| Titre : | The Disproportionate Cost of Smoking for African Americans in California. (2010) |
| Auteurs : | Wendy MAX ; Brad STARK ; Hai-Yen SUNG ; Lue-Yen TUCKER ; Institute for Health and Aging. School of Nursing. University of California. San Francisco. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 100, n° 1, Janvier 2010) |
| Pagination : | 152-158 |
| Langues: | Anglais |
| Mots-clés : | Tabagisme ; Coût ; Economie santé ; Tabac ; Homme ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS HmJR0xsp. Diffusion soumise à autorisation]. Objectives. We estimated the economic impact of smoking on African Americans in California in 2002, including smoking-attributable health care expenditures and productivity losses from smoking-caused mortality. Methods. We estimated econometric models of smoking-attributable ambulatory care, prescription drugs, inpatient care, and home health care using national and state survey data. We assessed smoking-attributable mortality using epidemiological models. Results. Adult smoking prevalence for African Americans was 19.3% compared with 15.4% for all Californians. The health care cost of smoking was $626 million for the African American community. A total of 3013 African American Californians died of smoking-attributable illness in 2002, representing a loss of over 49000 years of life and $784 million in productivity. The total cost of smoking for this community amounted to $1.4 billion, or $1.8 billion expressed in 2008 dollars. Conclusions. Although African Americans account for 6% of the California adult population, they account for over 8% of smoking-attributable expenditures and fully 13% of smoking-attributable mortality costs. Our findings confirm the need to tailor tobacco control programs to African Americans to mitigate the disproportionate burden of smoking for this community. |
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