Economic burden of smoking-attributable diseases in China: A systematic review
Introduction This review aims to synthesise the studies on smoking-attributable burden of diseases in China to assess the economic burden of smoking and highlight the weakness in these studies to inform future studies. Methods A systematic search of studies on smoking-attributable burden of disease...
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| Format: | Article |
| Language: | English |
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European Publishing
2020-05-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Economic-burden-of-smoking-attributable-diseases-in-China-A-systematic-review,120102,0,2.html |
| _version_ | 1818383043696525312 |
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| author | Lili Shi Lumin Zhong Yuyang Cai |
| author_facet | Lili Shi Lumin Zhong Yuyang Cai |
| author_sort | Lili Shi |
| collection | DOAJ |
| description | Introduction
This review aims to synthesise the studies on smoking-attributable
burden of diseases in China to assess the economic burden of smoking and
highlight the weakness in these studies to inform future studies.
Methods
A systematic search of studies on smoking-attributable burden of disease
in seven databases was conducted in 2019 and studies were screened according
to inclusion and exclusion criteria. The evaluation of studies was based on the
seven key elements for burden of disease studies. Costs were converted into 2013
Renminbi (RMB), with 1000 RMB about 163 US$ in 2013, the year of the first
search, using the Consumer Price Index and the then exchange rate.
Results
Twenty studies were identified that estimated the costs of smoking in China,
ranging from 57.162 to 368.273 billion RMB in total. The largest proportion of
direct costs was allocated to outpatient visits, accounting for 49.17–68.94% of the
direct costs. Meanwhile, costs resulting from mortality constituted 64.52–98.82%
of the indirect costs. In mainland China, the understanding of PAR% (ratio of
population attributable risk and incidence in the total population) in studies is not
consistent. Studies on the cost of passive smoking are lacking and the research
method for diseases needs to be improved.
Conclusions
Smoking-attributable diseases have exerted substantial direct and
indirect economic burden on China. The methodologies for future studies should
be improved. Hong Kong and Taiwan provide good examples for future research
in mainland China and researchers there should use PAR% correctly. More studies
on the burden of passive smoking should be conducted. We propose a combination
of single and all-disease research methods, if data are sufficient. |
| first_indexed | 2024-12-14T03:00:06Z |
| format | Article |
| id | doaj.art-17c5ec6983f54b1eb8df9eeb2a5fdf27 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-14T03:00:06Z |
| publishDate | 2020-05-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-17c5ec6983f54b1eb8df9eeb2a5fdf272022-12-21T23:19:32ZengEuropean PublishingTobacco Induced Diseases1617-96252020-05-0118May10.18332/tid/120102120102Economic burden of smoking-attributable diseases in China: A systematic reviewLili Shi0Lumin Zhong1Yuyang Cai2Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Epidemiology and Public Health, University College London, London, United KingdomSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaIntroduction This review aims to synthesise the studies on smoking-attributable burden of diseases in China to assess the economic burden of smoking and highlight the weakness in these studies to inform future studies. Methods A systematic search of studies on smoking-attributable burden of disease in seven databases was conducted in 2019 and studies were screened according to inclusion and exclusion criteria. The evaluation of studies was based on the seven key elements for burden of disease studies. Costs were converted into 2013 Renminbi (RMB), with 1000 RMB about 163 US$ in 2013, the year of the first search, using the Consumer Price Index and the then exchange rate. Results Twenty studies were identified that estimated the costs of smoking in China, ranging from 57.162 to 368.273 billion RMB in total. The largest proportion of direct costs was allocated to outpatient visits, accounting for 49.17–68.94% of the direct costs. Meanwhile, costs resulting from mortality constituted 64.52–98.82% of the indirect costs. In mainland China, the understanding of PAR% (ratio of population attributable risk and incidence in the total population) in studies is not consistent. Studies on the cost of passive smoking are lacking and the research method for diseases needs to be improved. Conclusions Smoking-attributable diseases have exerted substantial direct and indirect economic burden on China. The methodologies for future studies should be improved. Hong Kong and Taiwan provide good examples for future research in mainland China and researchers there should use PAR% correctly. More studies on the burden of passive smoking should be conducted. We propose a combination of single and all-disease research methods, if data are sufficient.http://www.journalssystem.com/tid/Economic-burden-of-smoking-attributable-diseases-in-China-A-systematic-review,120102,0,2.htmlsmokingsystematic revieweconomic burden |
| spellingShingle | Lili Shi Lumin Zhong Yuyang Cai Economic burden of smoking-attributable diseases in China: A systematic review Tobacco Induced Diseases smoking systematic review economic burden |
| title | Economic burden of smoking-attributable diseases in China:
A systematic review |
| title_full | Economic burden of smoking-attributable diseases in China:
A systematic review |
| title_fullStr | Economic burden of smoking-attributable diseases in China:
A systematic review |
| title_full_unstemmed | Economic burden of smoking-attributable diseases in China:
A systematic review |
| title_short | Economic burden of smoking-attributable diseases in China:
A systematic review |
| title_sort | economic burden of smoking attributable diseases in china a systematic review |
| topic | smoking systematic review economic burden |
| url | http://www.journalssystem.com/tid/Economic-burden-of-smoking-attributable-diseases-in-China-A-systematic-review,120102,0,2.html |
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