Titre :
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Sudden infant death syndrome, maternal smoking during pregnancy, and the cost-effectiveness of smoking cessation intervention. (2001)
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Auteurs :
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Harold-A POLLACK
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 91, n° 3, 2001)
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Pagination :
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432-436
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Langues:
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Anglais
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Mots-clés :
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Mort subite
;
Nourrisson
;
Homme
;
Tabagisme
;
Grossesse
;
Epidémiologie
;
Femme
;
Mère
;
Désaccoutumance
;
Lutte antitabac
;
Programme santé
;
Economie santé
;
Analyse coût efficacité
;
Etats Unis
;
Amérique
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST zm39R0xS. Diffusion soumise à autorisation]. Objectives. This study analyzed the relationship between prenatal maternal smoking and sudden infant death syndrome (SIDS) and examined the cost-effectiveness of smoking cessation interventions. Methods. All recorded US singleton SIDS deaths from the 1995 birth cohort with birthweight exceeding 500 g were investigated. Infants with available maternal smoking data were matched with controls who survived to 1 year. Conditional logistic regression was used to estimate SIDS risks and accompanying cost-effectiveness. Results. A total of 23.6% of single-ton SIDS deaths appear to be attributable to prenatal maternal smoking. Typical cessation services available to all pregnant smokers could avert 108 SIDS deaths annually, at an estimated cost of $210 500 per life saved. Conclusions. Typical prenatal smoking cessation programs are highly cost-effective but have limited impact on the population incidence of SIDS.
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