Evidence map›Paper›PMID 39084903›Full record

ArticleTobacco control2025

Economic evaluation of the recent French tobacco control policy: a model-based approach.

Marion Devaux, Marina Dorfmuller Ciampi, Romain Guignard, Aliénor Lerouge, Alexandra Aldea, Viêt Nguyen-Thanh, François Beck, Pierre Arwidson, Michele Cecchini

Abstract read
In one paragraph

Article in Tobacco control, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

9 authors.

Marion DevauxOECD, Paris, France marion.devaux@oecd.org.ORCID 0000-0002-0753-5871
Marina Dorfmuller CiampiOECD, Paris, France.
Romain GuignardSanté Publique France, The French Public Health Agency, Saint-Maurice, France.
Aliénor LerougeOECD, Paris, France.
Alexandra AldeaOECD, Paris, France.
Viêt Nguyen-ThanhSanté Publique France, The French Public Health Agency, Saint-Maurice, France.
François BeckSanté Publique France, The French Public Health Agency, Saint-Maurice, France.
Pierre ArwidsonSanté Publique France, The French Public Health Agency, Saint-Maurice, France.
Michele CecchiniOECD, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne in four French adults smoked daily in 2021, compared with one in six in Organisation for Economic Co-operation and Development (OECD) countries. To strengthen its tobacco control policy, in 2016, France has started implementing a policy package that includes a 3-year gradual price increase, plain packaging, an annual social marketing campaign promoting cessation and the reimbursement of nicotine replacement products. This study aims to evaluate the health and economic impact of this policy package.

methodsThe long-term policy impact on disease cases, healthcare expenditure and gains in labour participation and productivity was evaluated by using the OECD microsimulation model for Strategic Public Health Planning for Non-Communicable Diseases. The model was fed with historical and projected trends on tobacco smoking prevalence as produced by the policy package.

resultsOver the period 2023-2050, the policy package is estimated to avoid about 4.03 million (2.09-11.84 million) cases of chronic diseases, save €578 million (365-1848 million) per year in health expenditure and increase employment and workforce productivity by the equivalent to 19 800 (9100-59 900) additional full-time workers per year, compared with a scenario in which the intervention package is not implemented. The intervention cost is estimated at about €148 million per year. For each euro invested in the policy package, €4 will be returned in long-term savings in healthcare expenditure.

conclusionsThe tobacco control policy package implemented by France, targeting smoking initiation and promoting tobacco cessation is an effective intervention with an excellent return on investment.

Indexed as

Health PolicySmoking CessationSmoking PreventionAdultFemaleFranceHealth ExpendituresHumansMaleMiddle AgedModels, EconomicSmokingTobacco ControlTobacco Use Cessation DevicesEconomicsPreventionPublic policySocial marketingTaxation

Identifiers

PMID39084903
PMCPMC12703259

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.