Estimating the return on investment of the Bureau of Tobacco Free Florida tobacco control programme from 1999 to 2015
Open Access
- 22 January 2021
- Vol. 11 (1), e040012
- https://doi.org/10.1136/bmjopen-2020-040012
Abstract
Objective To assess the return on investment (ROI) of the Florida tobacco control programme, the Bureau of Tobacco Free Florida (BTFF), in terms of healthcare expenditure savings and mortality cost saved as a result of reduced mortality due to the programme from 1999 to 2015. Methods We use a synthetic control method to estimate the impact of the BTFF on smoking-attributable mortality, years of life lost (YLL), healthcare expenditures, and the economic value of premature mortality due to smoking in Florida from 1999 through 2015. We calculated an ROI for healthcare expenditures and for the value of life years saved. Results From 1999 to 2015, adult smoking prevalence in Florida averaged 0.98 percentage points lower than prevalence in the synthetic control states (19.6% vs 20.6%). The ROI over the period from 1999 to 2015 was 9.61 for healthcare expenditures and 112.44 for premature mortality. These ROIs suggest that for every US$1 of expenditure by BTFF, smoking-attributable healthcare expenditures decreased by almost US$11 and reductions in the economic costs associated with YLL due to smoking-attributable mortality totaled approximately US$113. Conclusions Our results suggest the BTFF resulted in fewer YLL, substantial healthcare cost savings and substantial savings in terms of mortality costs. The positive ROIs for healthcare expenditures and premature mortality suggest that the BTFF is a good investment of public funds.This publication has 20 references indexed in Scilit:
- The Effect of the California Tobacco Control Program on Smoking Prevalence, Cigarette Consumption, and Healthcare Costs: 1989–2008PLOS ONE, 2013
- Program, Policy, and Price Interventions for Tobacco Control: Quantifying the Return on Investment of a State Tobacco Control ProgramAmerican Journal of Public Health, 2012
- The Return on Investment of a Medicaid Tobacco Cessation Program in MassachusettsPLOS ONE, 2012
- Effect of the Arizona tobacco control program on cigarette consumption and healthcare expendituresSocial Science & Medicine (1982), 2011
- The Impact of State Tobacco Control Program Funding Cuts on Teens' Exposure to Tobacco Control Interventions: Evidence from FloridaAmerican Journal of Health Promotion, 2011
- Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control ProgramJournal of the American Statistical Association, 2010
- Consequences of dramatic reductions in state tobacco control funds: Florida, 1998-2000Tobacco Control, 2008
- The Economic Costs of Conflict: A Case Study of the Basque CountryAmerican Economic Review, 2003
- The Florida "truth" anti-tobacco media evaluation: design, first year results, and implications for planning future state media evaluationsTobacco Control, 2001
- Influence of a counteradvertising media campaign on initiation of smoking: the Florida "truth" campaignAmerican Journal of Public Health, 2001