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PLOS Medicine  2008 

Effect of the California Tobacco Control Program on Personal Health Care Expenditures

DOI: 10.1371/journal.pmed.0050178

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Abstract:

Background Large state tobacco control programs have been shown to reduce smoking and would be expected to affect health care costs. We investigate the effect of California's large-scale tobacco control program on aggregate personal health care expenditures in the state. Methods and Findings Cointegrating regressions were used to predict (1) the difference in per capita cigarette consumption between California and 38 control states as a function of the difference in cumulative expenditures of the California and control state tobacco control programs, and (2) the relationship between the difference in cigarette consumption and the difference in per capita personal health expenditures between the control states and California between 1980 and 2004. Between 1989 (when it started) and 2004, the California program was associated with $86 billion (2004 US dollars) (95% confidence interval [CI] $28 billion to $151 billion) lower health care expenditures than would have been expected without the program. This reduction grew over time, reaching 7.3% (95% CI 2.7%–12.1%) of total health care expenditures in 2004. Conclusions A strong tobacco control program is not only associated with reduced smoking, but also with reductions in health care expenditures.

References

[1]  Institute of Medicine (2007) Ending the tobacco problem: A blueprint for the nation. Washington (D. C.): National Academies Press.
[2]  Centers for Disease Control and Prevention (2007) Best practices for comprehensive tobacco control programs—2007. Atlanta (Georgia): US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Available: http://www.cdc.gov/tobacco/tobacco_contr?ol_programs/stateandcommunity/best_pract?ices/index.htm. Accessed 18 June 2008.
[3]  Fichtenberg CM, Glantz SA (2000) Association of the California Tobacco Control Program with declines in cigarette consumption and mortality from heart disease. N Engl J Med 343: 1772–1777.
[4]  Centers for Disease Control and Prevention (2000) Declines in Lung Cancer Rates—California, 1988–1997. MMWR Morb Mortal Wkly Rep 49: 1066–1069.
[5]  Jemal A, Cokkinides VE, Shafey O, Thun MJ (2003) Lung cancer trends in young adults: an early indicator of progress in tobacco control (United States). Cancer Causes Control 14: 579–585.
[6]  Barnoya J, Glantz S (2004) Association of the California Tobacco Control Program with declines in lung cancer incidence. Cancer Causes Control 15: 689–695.
[7]  Schroeder S (2004) Tobacco control in the wake of the 1998 master settlement agreement. N Engl J Med 350: 293–301.
[8]  Campaign for Tobacco Free Kids (2007) A broken promise to our children: The 1998 State Tobacco Settlement nine years later. Washington (D. C.): Campaign for Tobacco Free Kids. Available: http://www.tobaccofreekids.org/reports/s?ettlements/2008/fullreport.pdf. Accessed 18 July 2008.
[9]  Office of Technology Assessment (1985) Smoking-related deaths and financial costs. Washington (D. C.): Office of Technology Assessment, U.S. Congress.
[10]  Warner KE, Hodgson TA, Carroll CE (1999) Medical costs of smoking in the United States: estimates, their validity, and their implications. Tob Control 8: 290–300.
[11]  [No author listed] (2002) Annual smoking-attributable mortality, years of potential life lost, and economic costs—United States, 1995–1999. MMWR Morb Mortal Wkly Rep 51: 300–303.
[12]  Bal DG, Kizer KW, Felten PG, Mozar HN, Niemeyer D (1990) Reducing tobacco consumption in California. Development of a statewide anti-tobacco use campaign. JAMA 264: 1570–1574.
[13]  Tobacco Control Section (1998) A model for change: The California experience in tobacco control. Sacramento (California): California Department of Health Services. Available: http://www.cdph.ca.gov/programs/Tobacco/?Documents/CTCPmodelforchange1998.pdf. Accessed 18 July 2008.
[14]  Bal DG, Lloyd JC, Roeseler A, Shimizu R (2001) California as a model. J Clin Oncol 19: 69S–73S.
[15]  California Tobacco Education and Research Oversight Committee (TEROC) (2000) Toward a TOBACCO-free California: Strategies for the 21st Century 2000–2003. Sacramento (California): California Department of Health Services. Available: http://www.cdph.ca.gov/programs/Tobacco/?Documents/CTCPMasterPlan00–03.pdf. Accessed 18 July 2008.
[16]  Engle R, Granger C (1987) Co-integration and error correction: Representation, estimation and testing. Econometrica 55: 251–276.
[17]  Granger CWJ (2003, December 8) Time series analysis, cointegration, and applications [Nobel Lecture]. Available: http://nobelprize.org/nobel_prizes/econo?mics/laureates/2003/granger-lecture.pdf. Accessed 7 February 2008.
[18]  Burke SP, Hunter J (2005) Modelling non-stationary economic time series: A multivariate approach. New York (New York): Palgrave McMillan.
[19]  Maddala GS, Kim I-M (1998) Unit roots, cointegration, and structural change. Cambridge (UK): Cambridge University Press.
[20]  Tsay RS (2005) Analysis of financial time series. Hoboken (New Jersey): John Wiley & Sons.
[21]  Abadie A, Diamond A, Hainmueller (2007) Synthetic control methods for comparative case studies: Estimating the effect of California's Tobacco Control Program. National Bureau of Economic Research. Available: http://ideas.repec.org/p/nbr/nberwo/1283?1.html. Accessed 18 July 2008.
[22]  Farrelly MC, Pechacek TF, Thomas KY, Nelson D (2008) The impact of tobacco control programs on adult smoking. Am J Public Health 98: 304–309.
[23]  Centers for Medicare and Medicaid Services (2007) Health expenditures by state of provider: Summary Tables, 1980–2004 (Final, February 2007). Available: http://www.cms.hhs.gov/NationalHealthExp?endData/05_NationalHealthAccountsStateHe?althAccounts.asp#TopOfPage. Accessed 5 May 2007.
[24]  [No author listed] (2004) Resident Population for Selected Age Groups: 1980 to 1989: United States Bureau of the Census. Available: http://www.census.gov/popest/archives/19?80s/estage80.txt. Accessed 7 December 2007.
[25]  [No author listed] (2008) State resident population by age and sex, 2000–2006: United States Bureau of the Census. Available: http://www.census.gov/popest/states/asrh?/files/SC_EST2005_AGESEX_RES.csv. Accessed 7 December 2007.
[26]  Bureau of Labor Statistics (2007) Consumer Price Index—All urban consumers (current series). Bureau of Labor Statistics. Available: http://www.bls.gov/cpi/. Accessed 18 July 2008.
[27]  Orzechowski & Walker (2005) Tax Burden on Tobacco: Historical Compilation, vol. 40. Arlington (VA): Orzechowski & Walker.
[28]  California Department of Health Services (2007) Proposition 99 Health Education Account, TCS Funding, CDE, and TRDRDP Budget Appropriation Summary.
[29]  National Cancer Institute (2005) ASSIST: Shaping the future of tobacco prevention and control. Bethesda (Maryland): National Cancer Institute Smoking and Health Monograph 16. NIH Pub. No. 05–5645. Available: http://cancercontrol.cancer.gov/TCRB/mon?ographs/16/index.html. Accessed 18 July 2008.
[30]  R Foundation for Statistical Computing (2007) R statistical environment. Vienna (Austria): Available: http://www.r-project.org/. Accessed 18 July 2008.
[31]  Glantz S, Balbach E (2000) Tobacco war: Inside the California battles. Berkeley: University of California Press. 336 p.
[32]  Baltagi BH, Griffin JM (2001) The econometrics of rational addiction: the case of cigarettes. Journal of Economic and Business Statistics 19: 449–454.
[33]  Gallet CA, List JA (2003) Cigarette demand: a meta-analysis of elasticities. Health Econ 12: 821–835.
[34]  Centers for Disease Control and Prevention (2007) Smoking & Tobacco Use: Consumption Data. Available: http://www.cdc.gov/tobacco/data_statisti?cs/tables/economics/consump1.htm. Accessed 17 September 2007.
[35]  Centers for Disease Control and Prevention (2007) Percentage of adults who were current, former, or never smokers. http://www.cdc.gov/tobacco/data_statisti?cs/tables/adult/table_2.htm. Accessed September 17, 2007.
[36]  Sloan FA, Ostermann J, Picone G, Conover C, Taylor D Jr. (2004) The price of smoking. Cambridge (Massachusetts): MIT Press.
[37]  Centers for Disease Control and Prevention (2008) Prevalence of Adult Smoking by State (BRFSS data). State Tobacco Activities Tracking and Evaluation (STATE) system. http://apps.nccd.cdc.gov/statesystem/. Accessed 15 April 2008.
[38]  Levy DT, Nikolayev L, Mumford E (2005) Recent trends in smoking and the role of public policies: results from the SimSmoke tobacco control policy simulation model. Addiction 100: 1526–1536.
[39]  Givel M, Glantz S (2001) Tobacco lobby political influence on US state legislatures in the 1990s. Tob Control 10: 124–134.
[40]  Givel M, Glantz S (2002) State tobacco settlement funds not being spent on vigorous tobacco control efforts. Oncology 16: 152–157.
[41]  Ling PM, Glantz SA (2005) Tobacco industry consumer research on socially acceptable cigarettes. Tob Control 14: e3.

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