title: Cost effectiveness of a community based research project to help women quit smoking.
abstract: OBJECTIVE
  To estimate the cost effectiveness of a four year, multifaceted, community based research project shown previously to help women quit smoking.
  
  
  METHODS
  A quasi-experimental matched control design.
  
  
  METHODS
  Two counties in Vermont and two in New Hampshire, USA.
  
  
  METHODS
  Women aged 18-64 years.
  
  
  METHODS
  Costs were the grant related expenditures converted to 2002 US dollars. Survey results at the end of the intervention were used to estimate the numbers of never smokers, former smokers, light smokers, and heavy smokers in the intervention and comparison counties, and 1986 life tables for populations of US women categorised by smoking status to estimate the gain in life expectancy.
  
  
  METHODS
  Cost effectiveness ratios, as dollars per life-year saved, for the intervention only and for total grant costs (intervention, evaluation and indirect costs).
  
  
  RESULTS
  The cost effectiveness ratio for the intervention, in 2002 US dollars per life-year saved, discounted at 3%, was 1156 dollars (90% confidence interval (CI) 567 dollars to infinity), and for the total grant, 4022 dollars (90% CI 1973 dollars to infinity). When discounted at 5%, these ratios were 1922 dollars (90% CI 1024 dollars to 15,647 dollars), and 6683 dollars (90% CI 3555 dollars to 54,422 dollars), respectively.
  
  
  CONCLUSIONS
  The cost effectiveness ratios of this research project are economically attractive, and are comparable with other smoking cessation interventions for women. These observations should encourage further research and dissemination of community based interventions to reduce smoking.
authors.affiliation: The Office of Health Promotion Research, University of Vermont, Burlington, Vermont, USA. roger.secker-walker@.uvm.edu
authors.forename: R H
authors.initials: RH
authors.lastname: Secker-Walker
authors.forename: R R
authors.initials: RR
authors.lastname: Holland
authors.forename: C M
authors.initials: CM
authors.lastname: Lloyd
authors.forename: D
authors.initials: D
authors.lastname: Pelkey
authors.forename: B S
authors.initials: BS
authors.lastname: Flynn
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D015331:Cohort Studies; D003362:Cost-Benefit Analysis / Q000191:economics; D005260:Female; D006801:Humans; D008017:Life Expectancy; D008875:Middle Aged; D009513:New Hampshire; D019057:Quality-Adjusted Life Years; D012106:Research / Q000191:economics; D012107:Research Design; D016540:Smoking Cessation / Q000191:economics*; D014707:Vermont
references.citation: Am J Public Health. 1999 Dec;89(12):1819-26
references.pmid: 10589309
references.citation: BMJ. 1998 Feb 28;316(7132):705
references.pmid: 9522813
references.citation: Am J Public Health. 2000 Jun;90(6):940-6
references.pmid: 10846513
references.citation: Prev Med. 2001 Feb;32(2):118-27
references.pmid: 11162337
references.citation: Health Promot Int. 2002 Mar;17(1):43-50
references.pmid: 11847137
references.citation: Cochrane Database Syst Rev. 2002;(3):CD001745
references.pmid: 12137631
references.citation: Med Care. 1982 Jul;20(7):663-75
references.pmid: 6811807
references.citation: Annu Rev Public Health. 1985;6:147-93
references.pmid: 3873246
references.citation: Annu Rev Public Health. 1985;6:41-63
references.pmid: 2859868
references.citation: Med Care. 1986 Aug;24(8):767-80
references.pmid: 3090379
references.citation: JAMA. 1986 Sep 12;256(10):1315-8
references.pmid: 3091857
references.citation: Am J Public Health. 1987 Feb;77(2):162-5
references.pmid: 3099586
references.citation: JAMA. 1989 Jan 6;261(1):75-9
references.pmid: 2491762
references.citation: BMJ. 1991 May 11;302(6785):1119-22
references.pmid: 1904286
references.citation: Soc Sci Med. 1991;32(10):1151-9
references.pmid: 2068598
references.citation: J Epidemiol Community Health. 1993 Jun;47(3):215-23
references.pmid: 8350035
references.citation: Health Policy. 1993 Nov;26(1):43-53
references.pmid: 10130845
references.citation: Int J Technol Assess Health Care. 1994 Spring;10(2):317-24
references.pmid: 8034412
references.citation: Prev Med. 1994 Nov;23(6):800-8
references.pmid: 7855113
references.citation: Am J Public Health. 1995 Feb;85(2):193-200
references.pmid: 7856778
references.citation: Clin Ther. 1995 Jan-Feb;17(1):109-25
references.pmid: 7758053
references.citation: JAMA. 1996 Apr 24;275(16):1247-51
references.pmid: 8601956
references.citation: J Clin Epidemiol. 1996 Apr;49(4):435-9
references.pmid: 8621994
references.citation: BMJ. 1996 May 18;312(7041):1274-8
references.pmid: 8634618
references.citation: J Epidemiol Community Health. 1996 Apr;50(2):190-5
references.pmid: 8762387
references.citation: Am J Prev Med. 1996 Sep-Oct;12(5):367-77
references.pmid: 8909648
references.citation: Prev Med. 1996 Nov-Dec;25(6):708-16
references.pmid: 8936573
references.citation: Am J Prev Med. 1997 Jan-Feb;13(1):18-25
references.pmid: 9037338
references.citation: Women Health. 1997;25(1):23-35
references.pmid: 9253136
references.citation: BMJ. 1997 Sep 6;315(7108):582-5
references.pmid: 9302957
references.citation: JAMA. 1997 Dec 3;278(21):1759-66
references.pmid: 9388153
references.citation: Prev Med. 2000 Feb;30(2):126-37
references.pmid: 10656840