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Medical costs of secondhand-smoke exposure in North Carolina.
MedLine Citation:
PMID:  21678683     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: The health hazards of exposure to secondhand smoke (SHS) are well-defined. Less is known about the economic costs. We performed an analysis of the medical costs of SHS in North Carolina that was based on a similar study conducted in Minnesota.
METHODS: We used 2006 Blue Cross and Blue Shield of North Carolina claims data and national and state surveillance data to calculate the treated prevalence of medical conditions that have been found to be related to exposure to SHS, as established by a 2006 report from the US surgeon general. We used the population attributable risk for these conditions to calculate the number of individuals whose episodes of illness could be attributed to exposure to SHS. We adjusted these treatment costs for other types of insurance provided in the state, using Medical Expenditure Panel Survey data.
RESULTS: The total annual cost of treatment for conditions related to SHS exposure in North Carolina was estimated to be $293,304,430, in 2009 inflation-adjusted dollars. Sensitivity analysis showed a range of $208.2 million to $386.3 million. The majority of individuals affected were children, but the greatest costs were for cardiovascular conditions.
CONCLUSION: These cost data provide additional rationale for regulating smoking in all work sites and public places.
Authors:
Marcus Plescia; Daryl Wansink; Hugh R Waters; Sally Herndon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  North Carolina medical journal     Volume:  72     ISSN:  0029-2559     ISO Abbreviation:  N C Med J     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-06-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984805R     Medline TA:  N C Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  7-12     Citation Subset:  IM    
Affiliation:
Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, North Carolina 27699-1931, USA.
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