ArticleAmerican journal of public health1992
Estimation of the break-even point for smoking cessation programs in pregnancy.
Article in American journal of public health, 1992. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic critical review of previous economic evaluations of smoking cessation during pregnancy.BMJ open · 2015Pooled it
- Economic evaluations of smoking cessation and relapse prevention programs for pregnant women: a systematic review.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes ResearchPooled it
- A smoking cessation program at a public antenatal clinic.American journal of public health · 1997Trial
- Health education for pregnant smokers: its behavioral impact and cost benefit.American journal of public health · 1993Trial
- Cost-effectiveness of motivational interviewing for smoking cessation and relapse prevention among low-income pregnant women: a randomized controlled trial.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes ResearchTrial
- Examining the Association Between Maternal Smoking During Pregnancy and Child Behavior Problems Using Quality-Adjusted Life Years.Maternal and child health journal · 2018Article
- Evaluating Cost-effectiveness of Interventions That Affect Fertility and Childbearing: How Health Effects Are Measured Matters.Medical decision making : an international journal of the Society for Medical Decision Making · 2015Review
- A review of economic evaluations of tobacco control programs.International journal of environmental research and public health · 2009Review
- The limited incorporation of economic analyses in clinical practice guidelines.Journal of general internal medicine · 2002Review
- Helping pregnant smokers quit: meeting the challenge in the next decade.The Western journal of medicine · 2001Review
- Smoking cessation in pregnancy.Canadian family physician Medecin de famille canadien · 1996Review
- Why do pregnant women smoke and can we help them quit?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1995Article
- Economic implications of smoking cessation therapies: a review of economic appraisals.PharmacoEconomics · 1993Review
- Women and smoking.American journal of public health · 1993Article
- The dissemination of smoking cessation methods for pregnant women: achieving the year 2000 objectives.American journal of public health · 1993Article
- Costs of a smoking cessation counseling intervention for pregnant women: comparison of three settings.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuccessful programs to help pregnant women quit smoking have been developed and evaluated, but formal smoking cessation programs are not a part of care at most prenatal sites. The cost of such programs may be an issue. Considering the costs of adverse maternal and infant outcomes resulting from smoking, we estimated there would be an amount of money a prenatal program could invest in smoking cessation and still "break even" economically.
methodsA model was developed and published data, along with 1989 hospital charge data, were used to arrive at a break-even point for smoking cessation programs in pregnancy.
resultsUsing overall United States data, we arrived at a break-even cost of $32 per pregnant woman. When these data were varied to fit specific US populations, the break-even costs varied from $10 to $237, with the incidence of preterm low birth weight having the most impact on the cost.
conclusionsIt may be advisable to invest greater amounts of money in a prenatal smoking cessation program for some populations. However, for every population there is an amount that can be invested while still breaking even.
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Registered trials
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