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AJPH First Look, published online ahead of print May 11, 2005
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American Journal of Public Health, 10.2105/AJPH.2004.040667

Analytic Essay Forum

Free Nicotine Replacement Therapy Programs vs Implementing Smoke-Free Workplaces: A Cost-Effectiveness Comparison

Michael Ong 1 Stanton A. Glantz 2*

1 UC San Francisco
2 University of California San Francisco

* To whom correspondence should be addressed. E-mail: glantz{at}medicine.ucsf.edu.


  Abstract

Objective: To compare the cost-effectiveness of a free nicotine replacement (NRT) program with a statewide smokefree workplace policy for Minnesota. Methods: One year simulations of costs and benefits were conducted, with benefits measured by quitters generated and quality-adjusted life years (QALYs). Results: After one year, a NRT program induces 18,500 quitters at a cost of $7,020 per quitter ($4,440 per QALY) and a smokefree workplace policy induces 10,400 quitters at a cost of $799 per quitter ($506 per QALY). Smokefree workplace policies are about 8 times more cost- effective per new nonsmoker than providing free NRT. Conclusion: Smokefree workplace policies should be a funding priority for public health programs, even if the primary goal is to promote individual smoking cessation.

Key Words: Community Health, Government, Health Policy, Environmental Tobacco Smoke, Smoking Cessation, Tobacco Control




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