ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2018
Smoking, health-related quality of life and economic evaluation.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Exploring the Association Between Cigarette Consumption and Health-Related Quality of Life: Insights From University Students in Bangladesh.Public health challenges · 2026Article
- Predictors of health-related quality of life among rural adult residents of western Maharashtra, India.Frontiers in public health · 2026Article
- Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study: A cross-sectional analysis.Pulmonology · 2025Article
- Association between use of combustible cigarettes and noncombustible nicotine or tobacco products and health-related quality of life in Korean men: a nationwide population-based study.Korean journal of family medicine · 2025Article
- The association between anti-smoking legislation and prevalence of acute respiratory illnesses in Indian children.Public health in practice (Oxford, England) · 2024Article
- Is smokeless tobacco use associated with lower health-related quality of life? A cross-sectional survey among women in Bangladesh.Tobacco induced diseases · 2024Article
- Tobacco and nicotine use.Nature reviews. Disease primers · 2022Review
- The Negative Impact of Tobacco Smoking on Health-Related Quality of Life among Saudi Adolescents During the COVID-19 Pandemic.Asian Pacific journal of cancer prevention : APJCP · 2021Article
- Article
- Smoking and Quality of Life - Is there really an association? Evidence from a Nepalese sample.PloS one · 2019Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
aimsThe economic evaluation of tobacco control policies requires the adoption of assumptions about the impact of changes in smoking status on health-related quality of life (HRQoL). Estimates for such impacts are necessary for different populations. This paper aims to test whether smoking status has an independent effect on HRQoL over and above the effect derived from the increased likelihood of suffering a tobacco related disease, and to calculate utility values for the Spanish population.
methodsUsing data from the Spanish Encuesta Nacional de Salud of 2011-12, we estimate statistical models for HRQoL as measured by the EQ-5D-5L instrument as a function of smoking status. We include a comprehensive set of controls for biological, clinical, lifestyle and socioeconomic characteristics.
resultsSmoking status has an independent, statistically significant effect on HRQoL. However, the size of the effect is small. The typical smoking related diseases, such as lung cancer, are associated with a reduction in HRQoL about 5 times larger than the difference between current smokers and never smokers.
conclusionAttributing substantive HRQoL gains to quitting smoking as well as accounting for the concomitant HRQoL gain derived from a smaller likelihood of contracting tobacco related diseases might lead to an overestimation of the benefits of tobacco control policies. Nonetheless, the relatively large drops in HRQoL associated with being diagnosed with diseases that might be causally linked to tobacco suggest that such diseases should not be omitted from the economic evaluations of tobacco control policies.
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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.