[Cost-benefit analysis of a school-based smoking prevention program].
OBJECTIVE
To analyze the efficiency of a school-based smoking prevention program in Barcelona (PASE.bcn program).


METHODS
A cost-benefit analysis was performed. As costs we included those corresponding to the design and implementation of the program. As benefits we considered healthcare costs and the productivity losses avoided. This study was conducted from a societal perspective, and the estimations of costs and benefits related to 2005.


RESULTS
Assuming an effectiveness of 1%, the PASE.bcn program would achieve a total benefit of 1,558,311.46euro. The healthcare benefits per prevented smoker were 1997.57euro, and the indirect benefits per prevented smoker were 21,260.80euro. Given the total cost of the school-based program (68,526.03euro), the cost-benefit ratio was 22.74.


CONCLUSIONS
From a societal perspective, the benefits of school-based tobacco prevention programs, in terms of healthcare costs and productivity losses avoided, are far greater than the costs. These results support universal application of this type of intervention.
Hormigo Amaro
Jordi
J
CIBER de Epidemiología y Salud Pública, España.
García-Altés
Anna
A
López
M José
MJ
Bartoll
Xavier
X
Nebot
Manel
M
Ariza
Carles
C
D000293:Adolescent; D002648:Child; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010415:Pensions / Q000706:statistics & numerical data; D015397:Program Evaluation; D012456:Salaries and Fringe Benefits / Q000706:statistics & numerical data; D012572:School Health Services / Q000191:economics* / Q000458:organization & administration; D012907:Smoking / Q000191:economics; D000074606:Smoking Prevention; D013030:Spain; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D013664:Teaching Materials / Q000191:economics