dc.contributor | Departament de Salut |
dc.contributor.author | Miquel, Laia |
dc.contributor.author | Rehm, Jürgen |
dc.contributor.author | Shield, Kevin |
dc.contributor.author | Bustins, Montse |
dc.contributor.author | Segura-García, Lidia |
dc.contributor.author | Colom-Farran, Joan |
dc.contributor.author | Vela, Emili |
dc.date.accessioned | 2022-02-08T12:42:50Z |
dc.date.available | 2022-02-08T12:42:50Z |
dc.date.issued | 2018-01-08 |
dc.identifier.citation | Miquel L, Rehm J, Shield KD, Vela E, Bustins M, Segura L, et al. Alcohol, tobacco and health care costs: a population-wide cohort study (n = 606 947 patients) of current drinkers based on medical and administrative health records from Catalonia. Eur J Public Health. 2018 Aug 1;28(4):674-680. |
dc.identifier.issn | 1464-360X |
dc.identifier.uri | https://hdl.handle.net/11351/6988 |
dc.description | Health costs; Alcohol; Tobacco |
dc.description.abstract | Background: Most cost of illness studies are based on models where information on exposure is combined with risk information from meta-analyses, and the resulting attributable fractions are applied to the number of cases.
Methods: This study presents data on alcohol and tobacco use for 2011 and 2012 obtained from a routine medical practice in Catalonia of 606 947 patients, 18 years of age and older, as compared with health care costs for 2013 (all costs from the public health care system: primary health care visits, hospital admissions, laboratory and medical tests, outpatient visits to specialists, emergency department visits and pharmacy expenses). Quasi-Poisson regressions were used to assess the association between alcohol consumption and smoking status and health care costs (adjusted for age and socio-economic status).
Results: Resulting health care costs per person per year amounted to 1290 Euros in 2013, and were 20.1% higher for men than for women. Sex, alcohol consumption, tobacco use and socio-economic status were all associated with health care costs. In particular, alcohol consumption had a positive dose-response association with health care costs. Similarly, both smokers and former smokers had higher health care costs than did people who never smoked.
Conclusions: Alcohol and tobacco use had modest and large impacts respectively on health care costs, confirming the results of previous ecological modelling analyses. Reductions of alcohol consumption and smoking through public policies and via early identification and brief interventions would likely be associated with reductions in health care costs. |
dc.language.iso | eng |
dc.publisher | Oxford University Press |
dc.relation.ispartofseries | European journal of public health;28(4) |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
dc.source | Scientia |
dc.subject | Tabaquisme |
dc.subject | Alcoholisme |
dc.subject | Catalunya - Assistència sanitària - Cost |
dc.subject.mesh | Alcoholism |
dc.subject.mesh | Tobacco Use Disorder |
dc.subject.mesh | /economics |
dc.subject.mesh | Health Care Costs |
dc.subject.mesh | Catalonia |
dc.title | Alcohol, tobacco and health care costs: a population-wide cohort study (n = 606 947 patients) of current drinkers based on medical and administrative health records from Catalonia |
dc.type | info:eu-repo/semantics/article |
dc.identifier.doi | 10.1093/eurpub/ckx236 |
dc.subject.decs | alcoholismo |
dc.subject.decs | tabaquismo |
dc.subject.decs | /economía |
dc.subject.decs | costes de la atención a la salud |
dc.subject.decs | Cataluña |
dc.relation.publishversion | https://doi.org/10.1093/eurpub/ckx236 |
dc.type.version | info:eu-repo/semantics/publishedVersion |
dc.audience | Professionals |
dc.contributor.authoraffiliation | [Miquel L] Grup de Recerca en Addiccions Clínic, Institut Clínic de Neurociències, Barcelona, Spain. Universitat de Barcelona, Barcelona, Spain. Institut d'Investigacions Biomèdiques Agustí Pi i Sunyer, Barcelona, Spain. Spanish Network of Addictive Disorders (RTA), Madrid, Spain. [Rehm J] Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. Department of Psychiatry, Faculty of Medicine, University of Toronto, 1 King's College Circle, Toronto, ON, Canada. WHO/PAHO Collaborating Centre in Addiction and Mental Health, Toronto, ON, Canada. Epidemiological Research Unit, Klinische Psychologie & Psychotherapie, Technische Universität Dresden, Dresden, Germany. Campbell Family Mental Health Research Institute, Toronto, ON, Canada. [Shield KD] WHO/PAHO Collaborating Centre in Addiction and Mental Health, Toronto, ON, Canada. Section of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France. [Vela E] Grup de Recerca en Addiccions Clínic, Institut Clínic de Neurociències, Barcelona, Spain. Universitat de Barcelona, Barcelona, Spain. [Bustins M] Divisió d'Anàlisi de la Demanda i l'Activitat, Servei Català de la Salut, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain. [Segura L, Colom J] Subdirecció General de Drogodependències, Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain |
dc.identifier.pmid | 29325000 |
dc.rights.accessrights | info:eu-repo/semantics/openAccess |