Cost of passive smoking in children in Spain
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Universidad Politécnica de Cartagena
Universitat Internacional de Catalunya
Agència de Salut Pública de Barcelona
Publication date: 2018-06-13
Tob. Prev. Cessation 2018;4(Supplement):A31
To estimate the economic impact in the Spanish Healthcare System of secondhand smoking on children in Spain in 2015.

Material and Methods:
The cost has been estimated for primary care, outpatient care and hospital admissions for Spanish population of children (0-14 years old) in 2015. The Population Attributable Fraction (PAF) has been calculated from OR's to children exposed to household smoking and the number of real events has been obtained from the Ministry of Healthcare of Spain. To estimate the cost of primary care consultations, the price by consultation has been calculated as a mean of the public prices published by all the regions of Spain. The prices for each outpatient consultation and hospital admission have been obtained from the Spanish Healthcare System.

The attributable cost of secondhand smoking in children for the Spanish Healthcare system in 2015 was around 27M€ (27.162.048€): 19.300.383€ due to primary care, 360.360€ was spent providing outpatient care and 7.501.305€ for hospitals admissions.

The reducible percentage of the total budget of Spanish Healthcare System expended in 2015 due to children were exposed to passive smoking is around 0,041%, calculated in terms of hospital cost, outpatient care and primary care admissions. This amount could totally disappear just adopting better and stronger policies forbidding smoking in front of children.

European Union. Tackling secondhand tobacco smoke and e-cigarette emissions: exposure assessment, novel interventions, impact on lung diseases and economic burden in diverse European populations. The TackSHS project

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