Cigarette tax increase and media campaign: Cost of reducing smoking-related deaths

Paul A. Fishman, Beth E. Ebel, Michelle M. Garrison, Dimitri A. Christakis, Sarah E. Wiehe, Frederick P. Rivara

Research output: Contribution to journalArticle

17 Scopus citations


Background: Tobacco use results in 500,000 premature deaths annually. Most smokers begin using tobacco before age 21, so the greatest impact on preventing smoking-related mortality is likely to come from campaigns targeting youths. This study estimates the cost-effectiveness of an anti-smoking media campaign and $1 per pack increase in cigarette taxes on the lifetime decrease in smoking-attributable mortality among the cohort of all 18-year-olds in the United States during the year 2000. Methods: Cost-effectiveness analysis conducted from a societal perspective. Results: The combined effects of a media campaign and $1 per pack tax increase will result in a societal savings of between $590,000 per life-year saved, at a 3% discount rate and $1.4 million per life year saved, at a 7% discount rate. Conclusions: A media campaign and $1 per pack cigarette tax increase will reduce overall smoking prevalence, significantly decrease smoking-attributable mortality, and decrease net societal costs.

Original languageEnglish (US)
Pages (from-to)19-26
Number of pages8
JournalAmerican Journal of Preventive Medicine
Issue number1
StatePublished - Jul 1 2005
Externally publishedYes

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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