Home > Cost of youth tobacco-control policies in seven European countries.

Leão, Teresa and Perelman, Julian and Clancy, Luke and Hoffmann, Laura and Kinnunen, Jaana M and Mélard, Nora and Nuyts, Paulien A W and Richter, Matthias and Rimpelä, Arja and Lorant, Vincent and Kunst, Anton E (2019) Cost of youth tobacco-control policies in seven European countries. European Journal of Public Health , Early online .

URL: https://academic.oup.com/eurpub/advance-article/do...


Tobacco-control policies have been suggested to reduce smoking among adolescents. However, there is limited evidence on the real-world costs of implementation in different settings. In this study, we aimed at estimating the costs of school smoking bans, school prevention programmes and non-school bans (smoking bans in non-educational public settings, bans on sales to minors and bans on point-of-sale advertising), implemented in Finland, Ireland, the Netherlands, Belgium, Germany, Italy and Portugal, for 2016.


We retrospectively collected costs related to the inspection, monitoring and sanctioning activities related to bans and educational activities related to smoking prevention programmes. We used an 'ingredients-based' approach, identifying each resource used, quantity and unit value for one full year, under the state perspective. Costs were measured at national, regional, local and school-level and were informed by data on how these activities were performed in reality.


Purchasing power parities adjusted-costs varied between €0.02 and €0.74 (average €0.24) per person (pp) for bans implemented outside schools. Mean costs of school smoking bans ranged from €3.31 to €34.76 (average €20.60), and mean costs of school educational programmes from €0.75 to €4.65 (average €2.92).


It is feasible to estimate costs of health policies as implemented in different settings. Costs of the tobacco control policies evaluated here depend mainly on the number of person-hours allocated to their implementation, and on the scale of intervention. Non-school bans presented the lowest costs, and the implementation of all policies cost up to €36 pp for 1 year.

Item Type:Article
Date:18 September 2019
Publisher:Oxford University Press
Volume:Early online
Related URLs:
Subjects:B Substances > Tobacco (cigarette smoking) > Tobacco smoke (cigarette law / policy)
T Demographic characteristics > Adolescent / youth (teenager / young person)
VA Geographic area > Europe
VA Geographic area > Europe > Ireland

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