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dc.contributorDepartament de Salut
dc.contributor.authorMiquel, Laia
dc.contributor.authorRehm, Jürgen
dc.contributor.authorShield, Kevin
dc.contributor.authorVela, Emili
dc.contributor.authorBustins, Montse
dc.contributor.authorSegura-García, Lidia
dc.contributor.authorColom-Farran, Joan
dc.date.accessioned2022-02-08T12:42:50Z
dc.date.available2022-02-08T12:42:50Z
dc.date.issued2018-01-08
dc.identifier.citationMiquel 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.issn1464-360X
dc.identifier.urihttp://hdl.handle.net/11351/6988
dc.descriptionHealth costs; Alcohol; Tobacco
dc.description.abstractBackground: 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.isoeng
dc.publisherOxford University Press
dc.relation.ispartofseriesEuropean journal of public health;28(4)
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceScientia
dc.subjectTabaquisme
dc.subjectAlcoholisme
dc.subjectCatalunya - Assistència sanitària - Cost
dc.subject.meshAlcoholism
dc.subject.meshTobacco Use Disorder
dc.subject.mesh/economics
dc.subject.meshHealth Care Costs
dc.subject.meshCatalonia
dc.titleAlcohol, 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.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1093/eurpub/ckx236
dc.subject.decsalcoholismo
dc.subject.decstabaquismo
dc.subject.decs/economía
dc.subject.decscostes de la atención a la salud
dc.subject.decsCataluña
dc.relation.publishversionhttps://doi.org/10.1093/eurpub/ckx236
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
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.pmid29325000
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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