The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany

Abstract Background Simulation models play an increasingly important role in tobacco control. Models examining the impact of nicotine vaping products (NVPs) and smoking tend to be highly specialized and inaccessible. We present the Smoking and Vaping Model (SAVM),a user-friendly cohort-based simulat...

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Main Authors: Luz María Sánchez-Romero, Alex C. Liber, Yameng Li, Zhe Yuan, Jamie Tam, Nargiz Travis, Jihyoun Jeon, Mona Issabakhsh, Rafael Meza, David T. Levy
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-17152-y
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author Luz María Sánchez-Romero
Alex C. Liber
Yameng Li
Zhe Yuan
Jamie Tam
Nargiz Travis
Jihyoun Jeon
Mona Issabakhsh
Rafael Meza
David T. Levy
author_facet Luz María Sánchez-Romero
Alex C. Liber
Yameng Li
Zhe Yuan
Jamie Tam
Nargiz Travis
Jihyoun Jeon
Mona Issabakhsh
Rafael Meza
David T. Levy
author_sort Luz María Sánchez-Romero
collection DOAJ
description Abstract Background Simulation models play an increasingly important role in tobacco control. Models examining the impact of nicotine vaping products (NVPs) and smoking tend to be highly specialized and inaccessible. We present the Smoking and Vaping Model (SAVM),a user-friendly cohort-based simulation model, adaptable to any country, that projects the public health impact of smokers switching to NVPs. Methods SAVM compares two scenarios. The No-NVP scenario projects smoking rates in the absence of NVPs using population projections, deaths rates, life expectancy, and smoking prevalence. The NVP scenario models vaping prevalence and its impact on smoking once NVPs became popular. NVP use impact is estimated as the difference in smoking- and vaping-attributable deaths (SVADs) and life-years lost (LYLs) between the No-NVP and NVP scenarios. We illustrate SAVM’s adaptation to the German adult ages 18+ population, the Germany-SAVM by adjusting the model using population, mortality, smoking and NVP use data. Results Assuming that the excess NVP mortality risk is 5% that of smoking, Germany-SAVM projected 4.7 million LYLs and almost 300,000 SVADs averted associated with NVP use from 2012 to 2060. Increasing the excess NVP mortality risk to 40% with other rates constant resulted in averted 2.8 million LYLs and 200,000 SVADs during the same period. Conclusions SAVM enables non-modelers, policymakers, and other stakeholders to analyze the potential population health effects of NVP use and public health interventions.
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spelling doaj.art-ae8f6134d4004dd78b787e0359017b6f2023-11-26T14:28:07ZengBMCBMC Public Health1471-24582023-11-0123111510.1186/s12889-023-17152-yThe smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to GermanyLuz María Sánchez-Romero0Alex C. Liber1Yameng Li2Zhe Yuan3Jamie Tam4Nargiz Travis5Jihyoun Jeon6Mona Issabakhsh7Rafael Meza8David T. Levy9Lombardi Comprehensive Cancer Center, Georgetown UniversityLombardi Comprehensive Cancer Center, Georgetown UniversityLombardi Comprehensive Cancer Center, Georgetown UniversityLombardi Comprehensive Cancer Center, Georgetown UniversitySchool of Public Health, Yale UniversityLombardi Comprehensive Cancer Center, Georgetown UniversityDepartment of Epidemiology, University of MichiganLombardi Comprehensive Cancer Center, Georgetown UniversityDepartment of Epidemiology, University of MichiganLombardi Comprehensive Cancer Center, Georgetown UniversityAbstract Background Simulation models play an increasingly important role in tobacco control. Models examining the impact of nicotine vaping products (NVPs) and smoking tend to be highly specialized and inaccessible. We present the Smoking and Vaping Model (SAVM),a user-friendly cohort-based simulation model, adaptable to any country, that projects the public health impact of smokers switching to NVPs. Methods SAVM compares two scenarios. The No-NVP scenario projects smoking rates in the absence of NVPs using population projections, deaths rates, life expectancy, and smoking prevalence. The NVP scenario models vaping prevalence and its impact on smoking once NVPs became popular. NVP use impact is estimated as the difference in smoking- and vaping-attributable deaths (SVADs) and life-years lost (LYLs) between the No-NVP and NVP scenarios. We illustrate SAVM’s adaptation to the German adult ages 18+ population, the Germany-SAVM by adjusting the model using population, mortality, smoking and NVP use data. Results Assuming that the excess NVP mortality risk is 5% that of smoking, Germany-SAVM projected 4.7 million LYLs and almost 300,000 SVADs averted associated with NVP use from 2012 to 2060. Increasing the excess NVP mortality risk to 40% with other rates constant resulted in averted 2.8 million LYLs and 200,000 SVADs during the same period. Conclusions SAVM enables non-modelers, policymakers, and other stakeholders to analyze the potential population health effects of NVP use and public health interventions.https://doi.org/10.1186/s12889-023-17152-yTobacco smokingVapingPrevalenceComputer simulationPopulation healthGermany
spellingShingle Luz María Sánchez-Romero
Alex C. Liber
Yameng Li
Zhe Yuan
Jamie Tam
Nargiz Travis
Jihyoun Jeon
Mona Issabakhsh
Rafael Meza
David T. Levy
The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany
BMC Public Health
Tobacco smoking
Vaping
Prevalence
Computer simulation
Population health
Germany
title The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany
title_full The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany
title_fullStr The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany
title_full_unstemmed The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany
title_short The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany
title_sort smoking and vaping model a user friendly model for examining the country specific impact of nicotine vaping product use application to germany
topic Tobacco smoking
Vaping
Prevalence
Computer simulation
Population health
Germany
url https://doi.org/10.1186/s12889-023-17152-y
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