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Journal article
Smoking, life expectancy, and chronic disease in South Korea, Singapore, and the United States: A microsimulation model
Health economics, v 30(1)
01 Nov 2021
PMID: 31802569
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The substantial social and economic burden attributable to smoking is well-known, with heavy smokers at higher risk of chronic disease and premature mortality than light smokers and nonsmokers. In aging societies with high rates of male smoking such as in East Asia, smoking is a leading preventable risk factor for extending lives (including work-lives) and healthy aging. However, little is known about whether smoking interventions targeted at heavy smokers relative to light smokers lead to disproportionately larger improvements in life expectancy and prevalence of chronic diseases and how the effects vary across populations. Using a microsimulation model, we examined the health effects of smoking reduction by simulating an elimination of smoking among subgroups of smokers in South Korea, Singapore, and the United States. We found that life expectancy would increase by 0.2 to 1.5 years among light smokers and 2.5 to 3.7 years among heavy smokers. Whereas both interventions led to an increased life expectancy and decreased the prevalence of chronic diseases in all three countries, the life-extension benefits were greatest for those who would otherwise have been heavy smokers. Our findings illustrate how smoking interventions may have significant economic and social benefits, especially for life extension, that vary across countries.
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Details
- Title
- Smoking, life expectancy, and chronic disease in South Korea, Singapore, and the United States: A microsimulation model
- Creators
- Daejung Kim - Korea Institute for Health and Social AffairsCynthia Chen - National University Health SystemBryan Tysinger - University of Southern CaliforniaSungchul Park - Drexel UniversityMing Zhe Chong - National University Health SystemLijia Wang - National University Health SystemMichelle Zhao - Health Systems and Behavioural Sciences Domain Stanford University Stanford CaliforniaJian-Min Yuan - University of PittsburghWoon-Puay Koh - National University Health SystemJoanne Yoong - University of Southern CaliforniaJay Bhattacharya - Stanford UniversityKaren Eggleston - Shorenstein Asia Pacific Research Center Stanford University Stanford California
- Publication Details
- Health economics, v 30(1)
- Publisher
- Wiley
- Number of pages
- 13
- Grant note
- R01CA144034; UM1CA182876 / US NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA P30AG017253 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) HSRG-0077/2017; HSRGMH18may-0002; NMRC/CSA/0055/2013 / National Medical Research Council; UK Research & Innovation (UKRI); Medical Research Council UK (MRC) P30AG17253; P30AG024968 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R01CA144034; UM1CA182876 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Medicine (Graduate); Health Management and Policy
- Web of Science ID
- WOS:000500534700001
- Scopus ID
- 2-s2.0-85076129342
- Other Identifier
- 991019168976004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Economics
- Health Care Sciences & Services
- Health Policy & Services