ESTIMATION OF TOBACCO RELATED CANCERS DEATHS AND COSTS OF PRODUCTIVITY LOST IN INDONESIA

Abstract

There is a widely known that smoking economic burden has a significant impact on country health expenditure as well as society. This study aimed to estimate the mortality of major cancers associated to tobacco smoking in Indonesia and cost of productivity lost due to mortality in 2018. This study employed prevalence based epidemiological study design. Death rate of major cancers due to tobacco smoking among adults by gender was obtained from Globocan 2018 database. Smoker prevalence was obtained from the Basic Health Research 2018. Life expectancy of Indonesian was taken from the WHO Life Tables, while the average income of Indonesian population was retrieved from National Statistics Bureau. The expected years to life and average wages among active working population were used to estimate cost of productive lost due to smoking. The data analysis was conducted by Excel software. The largest of the smoking attributable fraction (SAF) was lung cancer, as amount as 99.82% and 96.93% in men and women respectively. The highest number of deaths caused by smoking on men was lung cancer (16,541 deaths), while in women was lung cancer (4,572 deaths). The total mortality of cancers associated to tobacco was 43,913 deaths in men, compared to 30,729 deaths in women. Total cost of productivity lost of cancer caused by smoking was 4,287,141 million IDR, with lung cancers costs in the first rank. Cancer burden caused by smoking were significantly impact on health and economy of the Indonesian government and community. These evidences can be useful in drawing up the strategy of intervention on prevention and control of tobacco use.