Empowering decision makers in Latin America: potential impact of three interventions for tobacco control

Autores
Alcaraz, Andrea; Rodriguez, María Belén; Hernández Vásquez, Akram; Soto, Natalie; García Martí, Sebastián; Bardach, Ariel Esteban; Palacios, Alfredo; Pichón-Riviere, Andrés
Año de publicación
2018
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: The burden of disease attributable to tobacco use in Latin America is very high. The objective of this study was to evaluate the potential impact of implementing cigarette plain packaging (PP), 100% smoke-free environments (SFE) and complete ban on advertising, promotion and sponsorship of tobacco (BAPS) in Argentina, Bolivia, Brazil, Chile, Colombia, Mexico and Peru. Methods: A mathematical model was used to estimate the chances people have to get sick or die because of 17 smoking-related conditions. A systematic review was carried out to identify the epidemiological and cost data relevant to each country, as well as the effectiveness of the interventions. The model considered each country's legislation and level of compliance for each intervention. Then, we modeled the expected impact on health and costs of different potential scenarios for these interventions. Results: We estimated the following benefits for all seven countries: PP could avoid 204 073 deaths, 212 867 cardiovascular events, 26 456 cancer diagnoses, 99 784 COPD cases, and 23 739 USD on direct medical costs in the next ten years. 100% SFE could lead to avoid 150 361 deaths, 247 171 cardiovascular events, 77 400 cancers and 311 129 COPD cases, and 15 413 USD on direct medical costs in the next ten years. 100% BAPS could save 86 911 deaths, 327 390 cardiovascular events, 38 883 cancers, 142 104 COPD cases, and 10 505 USD on direct medical cost to the health system in the next ten years. Different scenarios were modeled for each country. An example-the case for Colombia- is shown in the table. Conclusions: The potential impact of fully implementing PP, 100% SFE and BAPS could avoid a large burden of disease and costs for the health systems in Latin America. This information could be useful for decision makers to promote these policies.
Fil: Alcaraz, Andrea. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Rodriguez, María Belén. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Hernández Vásquez, Akram. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Soto, Natalie. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Bardach, Ariel Esteban. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Palacios, Alfredo. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Pichón-Riviere, Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Materia
Tabaquismo
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/95656

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network_name_str CONICET Digital (CONICET)
spelling Empowering decision makers in Latin America: potential impact of three interventions for tobacco controlAlcaraz, AndreaRodriguez, María BelénHernández Vásquez, AkramSoto, NatalieGarcía Martí, SebastiánBardach, Ariel EstebanPalacios, AlfredoPichón-Riviere, AndrésTabaquismohttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: The burden of disease attributable to tobacco use in Latin America is very high. The objective of this study was to evaluate the potential impact of implementing cigarette plain packaging (PP), 100% smoke-free environments (SFE) and complete ban on advertising, promotion and sponsorship of tobacco (BAPS) in Argentina, Bolivia, Brazil, Chile, Colombia, Mexico and Peru. Methods: A mathematical model was used to estimate the chances people have to get sick or die because of 17 smoking-related conditions. A systematic review was carried out to identify the epidemiological and cost data relevant to each country, as well as the effectiveness of the interventions. The model considered each country's legislation and level of compliance for each intervention. Then, we modeled the expected impact on health and costs of different potential scenarios for these interventions. Results: We estimated the following benefits for all seven countries: PP could avoid 204 073 deaths, 212 867 cardiovascular events, 26 456 cancer diagnoses, 99 784 COPD cases, and 23 739 USD on direct medical costs in the next ten years. 100% SFE could lead to avoid 150 361 deaths, 247 171 cardiovascular events, 77 400 cancers and 311 129 COPD cases, and 15 413 USD on direct medical costs in the next ten years. 100% BAPS could save 86 911 deaths, 327 390 cardiovascular events, 38 883 cancers, 142 104 COPD cases, and 10 505 USD on direct medical cost to the health system in the next ten years. Different scenarios were modeled for each country. An example-the case for Colombia- is shown in the table. Conclusions: The potential impact of fully implementing PP, 100% SFE and BAPS could avoid a large burden of disease and costs for the health systems in Latin America. This information could be useful for decision makers to promote these policies.Fil: Alcaraz, Andrea. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Rodriguez, María Belén. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Hernández Vásquez, Akram. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Soto, Natalie. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Bardach, Ariel Esteban. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Palacios, Alfredo. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Pichón-Riviere, Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaEU European Publishing2018-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/95656Alcaraz, Andrea; Rodriguez, María Belén; Hernández Vásquez, Akram; Soto, Natalie; García Martí, Sebastián; et al.; Empowering decision makers in Latin America: potential impact of three interventions for tobacco control; EU European Publishing; Tobacco Induced Diseases; 16; 1; 3-2018; 177-1781617-9625CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.18332/tid/84748info:eu-repo/semantics/altIdentifier/url/http://www.tobaccoinduceddiseases.org/Empowering-decision-makers-in-Latin-America-potential-impact-of-three-interventions,84748,0,2.htmlinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:54:28Zoai:ri.conicet.gov.ar:11336/95656instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:54:28.825CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Empowering decision makers in Latin America: potential impact of three interventions for tobacco control
title Empowering decision makers in Latin America: potential impact of three interventions for tobacco control
spellingShingle Empowering decision makers in Latin America: potential impact of three interventions for tobacco control
Alcaraz, Andrea
Tabaquismo
title_short Empowering decision makers in Latin America: potential impact of three interventions for tobacco control
title_full Empowering decision makers in Latin America: potential impact of three interventions for tobacco control
title_fullStr Empowering decision makers in Latin America: potential impact of three interventions for tobacco control
title_full_unstemmed Empowering decision makers in Latin America: potential impact of three interventions for tobacco control
title_sort Empowering decision makers in Latin America: potential impact of three interventions for tobacco control
dc.creator.none.fl_str_mv Alcaraz, Andrea
Rodriguez, María Belén
Hernández Vásquez, Akram
Soto, Natalie
García Martí, Sebastián
Bardach, Ariel Esteban
Palacios, Alfredo
Pichón-Riviere, Andrés
author Alcaraz, Andrea
author_facet Alcaraz, Andrea
Rodriguez, María Belén
Hernández Vásquez, Akram
Soto, Natalie
García Martí, Sebastián
Bardach, Ariel Esteban
Palacios, Alfredo
Pichón-Riviere, Andrés
author_role author
author2 Rodriguez, María Belén
Hernández Vásquez, Akram
Soto, Natalie
García Martí, Sebastián
Bardach, Ariel Esteban
Palacios, Alfredo
Pichón-Riviere, Andrés
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Tabaquismo
topic Tabaquismo
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: The burden of disease attributable to tobacco use in Latin America is very high. The objective of this study was to evaluate the potential impact of implementing cigarette plain packaging (PP), 100% smoke-free environments (SFE) and complete ban on advertising, promotion and sponsorship of tobacco (BAPS) in Argentina, Bolivia, Brazil, Chile, Colombia, Mexico and Peru. Methods: A mathematical model was used to estimate the chances people have to get sick or die because of 17 smoking-related conditions. A systematic review was carried out to identify the epidemiological and cost data relevant to each country, as well as the effectiveness of the interventions. The model considered each country's legislation and level of compliance for each intervention. Then, we modeled the expected impact on health and costs of different potential scenarios for these interventions. Results: We estimated the following benefits for all seven countries: PP could avoid 204 073 deaths, 212 867 cardiovascular events, 26 456 cancer diagnoses, 99 784 COPD cases, and 23 739 USD on direct medical costs in the next ten years. 100% SFE could lead to avoid 150 361 deaths, 247 171 cardiovascular events, 77 400 cancers and 311 129 COPD cases, and 15 413 USD on direct medical costs in the next ten years. 100% BAPS could save 86 911 deaths, 327 390 cardiovascular events, 38 883 cancers, 142 104 COPD cases, and 10 505 USD on direct medical cost to the health system in the next ten years. Different scenarios were modeled for each country. An example-the case for Colombia- is shown in the table. Conclusions: The potential impact of fully implementing PP, 100% SFE and BAPS could avoid a large burden of disease and costs for the health systems in Latin America. This information could be useful for decision makers to promote these policies.
Fil: Alcaraz, Andrea. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Rodriguez, María Belén. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Hernández Vásquez, Akram. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Soto, Natalie. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Bardach, Ariel Esteban. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Palacios, Alfredo. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Pichón-Riviere, Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
description Background: The burden of disease attributable to tobacco use in Latin America is very high. The objective of this study was to evaluate the potential impact of implementing cigarette plain packaging (PP), 100% smoke-free environments (SFE) and complete ban on advertising, promotion and sponsorship of tobacco (BAPS) in Argentina, Bolivia, Brazil, Chile, Colombia, Mexico and Peru. Methods: A mathematical model was used to estimate the chances people have to get sick or die because of 17 smoking-related conditions. A systematic review was carried out to identify the epidemiological and cost data relevant to each country, as well as the effectiveness of the interventions. The model considered each country's legislation and level of compliance for each intervention. Then, we modeled the expected impact on health and costs of different potential scenarios for these interventions. Results: We estimated the following benefits for all seven countries: PP could avoid 204 073 deaths, 212 867 cardiovascular events, 26 456 cancer diagnoses, 99 784 COPD cases, and 23 739 USD on direct medical costs in the next ten years. 100% SFE could lead to avoid 150 361 deaths, 247 171 cardiovascular events, 77 400 cancers and 311 129 COPD cases, and 15 413 USD on direct medical costs in the next ten years. 100% BAPS could save 86 911 deaths, 327 390 cardiovascular events, 38 883 cancers, 142 104 COPD cases, and 10 505 USD on direct medical cost to the health system in the next ten years. Different scenarios were modeled for each country. An example-the case for Colombia- is shown in the table. Conclusions: The potential impact of fully implementing PP, 100% SFE and BAPS could avoid a large burden of disease and costs for the health systems in Latin America. This information could be useful for decision makers to promote these policies.
publishDate 2018
dc.date.none.fl_str_mv 2018-03
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/95656
Alcaraz, Andrea; Rodriguez, María Belén; Hernández Vásquez, Akram; Soto, Natalie; García Martí, Sebastián; et al.; Empowering decision makers in Latin America: potential impact of three interventions for tobacco control; EU European Publishing; Tobacco Induced Diseases; 16; 1; 3-2018; 177-178
1617-9625
CONICET Digital
CONICET
url http://hdl.handle.net/11336/95656
identifier_str_mv Alcaraz, Andrea; Rodriguez, María Belén; Hernández Vásquez, Akram; Soto, Natalie; García Martí, Sebastián; et al.; Empowering decision makers in Latin America: potential impact of three interventions for tobacco control; EU European Publishing; Tobacco Induced Diseases; 16; 1; 3-2018; 177-178
1617-9625
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.18332/tid/84748
info:eu-repo/semantics/altIdentifier/url/http://www.tobaccoinduceddiseases.org/Empowering-decision-makers-in-Latin-America-potential-impact-of-three-interventions,84748,0,2.html
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv EU European Publishing
publisher.none.fl_str_mv EU European Publishing
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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