Cost of Cigarette Smoking‒attributable Productivity Losses, U.S., 2018.
Thursday, August 18, 2022
Posted by: Natalia Gromov
Shrestha
SS, Ghimire R, Wang X, Trivers KF, Homa DM, Armour BS.
Cost of Cigarette
Smoking‒attributable Productivity Losses, U.S., 2018.
[published online ahead of print, 2022 Jul 27]. Am J Prev Med.
2022;S0749-3797(22)00294-X. doi:10.1016/j.amepre.2022.04.032
Introduction. Information
on morbidity-related productivity losses attributable to cigarette smoking, an
important component of the economic burden of cigarette smoking, is limited.
This study fills this gap by estimating these costs in the U.S. and by state.
Methods. A
human capital approach was used to estimate the cost of the morbidity-related
productivity losses (absenteeism, presenteeism, household productivity, and
inability to work) attributable to cigarette smoking among adults aged ≥18
years in the U.S. and by state. A combination of data, including the 2014-2018
National Health Interview Survey, 2018 Current Population Survey Annual Social
and Economic Supplement, 2018 Behavioral Risk Factor Surveillance System, 2018
value of daily housework, and literature-based estimate of lost productivity
while at work (presenteeism), was used. Costs were estimated for 2018, and all
analyses were conducted in 2021.
Results. Estimated
total cost of morbidity-related productivity losses attributable to cigarette
smoking in the U.S. in 2018 was $184.9 billion. Absenteeism, presenteeism, home
productivity, and the inability to work accounted for $9.4 billion, $46.8
billion, $12.8 billion, and $116.0 billion, respectively. State-level total
costs ranged from $291 million to $16.9 billion with a median cost of $2.7
billion.
Conclusions. The
cost of morbidity-related productivity losses attributable to cigarette smoking
in the U.S. and in each state was substantial in 2018 and varied across the
states. These estimates can guide public health policymakers and practitioners
planning and evaluating interventions designed to alleviate the burden of
cigarette smoking at the state and national levels.
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