A mass media programme to prevent smoking among adolescents: Costs and cost effectiveness

Abstract

Objective - To examine costs and cost-effectiveness ratios of a four-year mass media programme previously shown to prevent the onset of smoking among adolescents. Design - A matched control design. Setting - Two cities in Montana, one in New York and one in Vermont, USA. Subjects - Students in grades 10-12 (ages 15-18). Intervention - A four-year mass media campaign to prevent the onset of smoking. Main outcome measures - Cost per student potentially exposed to the mass media campaign; cost per student smoker potentially averted; and cost per life-year gained. Cost estimates were also made for a similar campaign that would, be broadcast nationally in the United States. Results - In 1996 dollars, the cost of developing and broadcasting the mass media campaign was $759 436, and the cost per student potentially exposed to the campaign (n = 18 600) was $41. The cost per student smoker averted (n = 1023) was $754 (95% confidence interval (CI) = $531-$1296). The cost per life-year gained discounted at 3% over the life expectancy for young adult smokers was $696 (95% CI = $445-$1269). The estimated cost of developing and broadcasting a similar four-year mass media campaign in all 209 American media markets would be approximately $84.5 million, at a cost of $8 per student potentially exposed to a national campaign, $162 per student smoker averted, and $138 (95% CI = $88-$252) per life-year gained. Conclusion - Estimates of the cost-effectiveness ratios of this mass media campaign in preventing the onset of smoking showed it to be economically attractive and to compare favourably with other preventive and therapeutic strategies.