Evidence map›Paper›PMID 25009135›Full record

ArticleBMJ open2014

The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach.

Hai-Yen Sung, Li-Chuan Chang, Yu-Wen Wen, Yi-Wen Tsai

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04688177 (The Association of Cigarette Smoking on Exercise Capacity and Skeletal Muscle Function in Taiwan Adult Smokers), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT04688177 completednot on this mapstarted 2020, after this paper: background citation

The Association of Cigarette Smoking on Exercise Capacity and Skeletal Muscle Function in Taiwan Adult Smokers

TypeobservationalSponsorNational Taiwan University HospitalRan2020 to 2021Enrolled52ConditionsCigarette SmokingArmsBody Composition, Heart rate variability, Grip Strength, Exhale Carbon Monoxide Concentration, Pulmonary Function Test
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Social Costs of Smoking in the Czech Republic.Applied health economics and health policy · 2025
    Article
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  4. Review
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  10. Review
  11. Article
  12. Comparative Effectiveness of Varenicline and Nicotine Replacement Therapy for Smoking Cessation in Older and Younger Smokers: A Prospective Cohort in Taiwan.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Article
  13. Article
  14. Article
  15. Economic Burden of Smoking in Iran: A Prevalence-Based Annual Cost ApproachAsian Pacific journal of cancer prevention : APJCP · 2017
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hai-Yen SungInstitute for Health & Aging, University of California, San Francisco, California, USA.
Li-Chuan ChangInstitute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan.
Yu-Wen WenClinical Informatics and Medical Statistics Research Center, Chang Gung University, Tao-Yuan, Taiwan.
Yi-Wen TsaiInstitute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the costs of the health effects of cigarette smoking and secondhand smoke (SHS) exposure to society.

designPrevalence-based, disease-specific cost-of-illness study. We used an epidemiological population-attributable risk method to determine the costs that can be attributed to smoking and SHS exposure.

settingTaiwan.

participantsAll adult population aged 35 and older. PRIMARY OUTCOME MEASURES: Direct costs of healthcare expenditures spent for treating tobacco-related diseases, indirect mortality costs measured by the value of lost productivity due to tobacco-related premature deaths and indirect morbidity costs measured by the value of time lost from work due to tobacco-related illness.

resultsIn 2010, direct costs of smoking and SHS exposure amounted to US$828 million, accounting for 3.4% of Taiwan's total personal healthcare expenditures. Smoking and SHS exposure also contributed to 15 555 premature deaths-corresponding to a loss of 284 765 years of life and US$820 million in productivity-and US$22 million in indirect morbidity costs. These direct and indirect costs totalled US$1670 million, representing 0.4% of Taiwan's gross domestic product and averaging about US$720/adult smoker. The share of the total costs was greater from active smoking (92%) than SHS exposure (8%), and greater for men (92%) than women (8%).

conclusionsSmoking and SHS exposure impose a huge financial loss in Taiwan. Sustained tobacco control efforts to encourage people to quit smoking, prevent smoking uptake by children and young adults and protect all people from SHS exposure are needed.

Indexed as

Cost of IllnessAdultAgedFemaleHumansMaleMiddle AgedPrevalenceSmoke-Free PolicySmokingTaiwanTime FactorsTobacco Smoke PollutionTobacco Smoke PollutionHEALTH ECONOMICSPUBLIC HEALTHSTATISTICS & RESEARCH METHODS

Identifiers

PMID25009135
PMCPMC4091540

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.