Interpreting results, impacts and implications from WHO FCTC tobacco control investment cases in 21 low-income and middle-income countries.

Autor:	Mann N; RTI International, Research Triangle Park, North Carolina, USA nmann@rti.org., Spencer G; RTI International, Research Triangle Park, North Carolina, USA., Hutchinson B; RTI International, Research Triangle Park, North Carolina, USA., Ngongo C; RTI International, Research Triangle Park, North Carolina, USA., Tarlton D; United Nations Development Programme, Istanbul, Turkey., Webb D; United Nations Development Programme, Amman, Jordan., Grafton D; United Nations Development Programme, Istanbul, Turkey., Nugent R; RTI International, Research Triangle Park, North Carolina, USA.; Department of Global Health, University of Washington, Seattle, Washington, USA.
Jazyk:	angličtina
Zdroj:	Tobacco control [Tob Control] 2024 May 02; Vol. 33 (Suppl 1), pp. s17-s26. Date of Electronic Publication: 2024 May 02.
DOI:	10.1136/tc-2023-058337
Abstrakt:	Background: Tobacco control investment cases analyse the health and socioeconomic costs of tobacco use and the benefits that can be achieved from implementing measures outlined in the WHO Framework Convention on Tobacco Control (WHO FCTC). They are intended to provide policy-makers and other stakeholders with country-level evidence that is relevant, useful and responsive to national priorities and policy context. Methods: This paper synthesises findings from investment cases conducted in Armenia, Cabo Verde, Cambodia, Chad, Colombia, Costa Rica, El Salvador, Eswatini, Georgia, Ghana, Jordan, Laos, Madagascar, Myanmar, Nepal, Samoa, Sierra Leone, Sri Lanka, Suriname, Tunisia and Zambia. We examine annual socioeconomic costs associated with tobacco use, focusing on smoking-related healthcare expenditures, the value of lives lost due to tobacco-related mortality and workplace productivity losses due to smoking. We explore potential benefits associated with WHO FCTC tobacco demand-reduction measures. Results: Tobacco use results in average annual socioeconomic losses of US$95 million, US$610 million and US$1.6 billion among the low-income (n=3), lower-middle-income (n=12) and upper-middle-income countries (n=6) included in this analysis, respectively. These losses are equal to 1.1%, 1.8% and 2.9% of average annual national gross domestic product, respectively. Implementation and enforcement of WHO FCTC tobacco demand-reduction measures would lead to reduced tobacco use, fewer tobacco-related deaths and reduced socioeconomic losses. Conclusions: WHO FCTC tobacco control measures would provide a positive return on investment in every country analysed. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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