Economic burden of smoking in Korea

Hye-Young Kang, H. J. Kim, T. K. Park, S. H. Jee, C. M. Nam, H. W. Park

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Objective: To support tobacco control policies in Korea by providing the estimated annual economic burden attributed to cigarette smoking. Methods: The following two different approaches were used to estimate the cost: "disease specific" and "all causes". In the disease specific approach, we focused on estimating direct and indirect costs involved in treatments of cardiovascular, respiratory, and gastrointestinal diseases, and cancer as a result of smoking, by using an epidemiologic approach - the population attributable risk (PAR). To compute PAR, the relative risks of smoking in terms of physician visits, hospital admission, and death were estimated using the Cox proportional hazard model. In the all causes approach, we examined the differences in direct and indirect costs between smokers and non-smokers for all conditions and types of disease. The major data source was the Korea Medical Insurance Corporation cohort study, which had complete records of smoking status as of 1992 for 115 682 male and 67 932 female insured workers. Results: By the disease specific approach, the estimated costs attributable to smoking in 1998 in Korea ranged from US$2269.42 million ($4.89 million per 100000 population; 0.59% of gross domestic product (GDP)) to $2956.75 million ($6.37 million; 0.78% of GDP). The all causes approach yielded a minimum cost of $3154.75 million ($6.79 million; 0.82% GDP) and a maximum of $4580.25 million ($9.86 million; 1.19% GDP). Conclusion: The study confirms that smoking places a substantial economic burden on Korean society. In light of this, our study provides evidence for a strong need to develop a national policy to effectively control tobacco consumption in Korea.

Original languageEnglish
Pages (from-to)37-44
Number of pages8
JournalTobacco Control
Volume12
Issue number1
DOIs
Publication statusPublished - 2003 Mar 1

Fingerprint

Korea
Gross Domestic Product
smoking
Smoking
Economics
gross domestic product
Disease
economics
Costs and Cost Analysis
costs
cause
Population
tobacco consumption
Cost of Illness
Gastrointestinal Neoplasms
Gastrointestinal Diseases
Information Storage and Retrieval
Tobacco Use
Insurance
Proportional Hazards Models

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Kang, H-Y., Kim, H. J., Park, T. K., Jee, S. H., Nam, C. M., & Park, H. W. (2003). Economic burden of smoking in Korea. Tobacco Control, 12(1), 37-44. https://doi.org/10.1136/tc.12.1.37
Kang, Hye-Young ; Kim, H. J. ; Park, T. K. ; Jee, S. H. ; Nam, C. M. ; Park, H. W. / Economic burden of smoking in Korea. In: Tobacco Control. 2003 ; Vol. 12, No. 1. pp. 37-44.
@article{356cf6682a6744478b440e0e9d34cb6e,
title = "Economic burden of smoking in Korea",
abstract = "Objective: To support tobacco control policies in Korea by providing the estimated annual economic burden attributed to cigarette smoking. Methods: The following two different approaches were used to estimate the cost: {"}disease specific{"} and {"}all causes{"}. In the disease specific approach, we focused on estimating direct and indirect costs involved in treatments of cardiovascular, respiratory, and gastrointestinal diseases, and cancer as a result of smoking, by using an epidemiologic approach - the population attributable risk (PAR). To compute PAR, the relative risks of smoking in terms of physician visits, hospital admission, and death were estimated using the Cox proportional hazard model. In the all causes approach, we examined the differences in direct and indirect costs between smokers and non-smokers for all conditions and types of disease. The major data source was the Korea Medical Insurance Corporation cohort study, which had complete records of smoking status as of 1992 for 115 682 male and 67 932 female insured workers. Results: By the disease specific approach, the estimated costs attributable to smoking in 1998 in Korea ranged from US$2269.42 million ($4.89 million per 100000 population; 0.59{\%} of gross domestic product (GDP)) to $2956.75 million ($6.37 million; 0.78{\%} of GDP). The all causes approach yielded a minimum cost of $3154.75 million ($6.79 million; 0.82{\%} GDP) and a maximum of $4580.25 million ($9.86 million; 1.19{\%} GDP). Conclusion: The study confirms that smoking places a substantial economic burden on Korean society. In light of this, our study provides evidence for a strong need to develop a national policy to effectively control tobacco consumption in Korea.",
author = "Hye-Young Kang and Kim, {H. J.} and Park, {T. K.} and Jee, {S. H.} and Nam, {C. M.} and Park, {H. W.}",
year = "2003",
month = "3",
day = "1",
doi = "10.1136/tc.12.1.37",
language = "English",
volume = "12",
pages = "37--44",
journal = "Tobacco Control",
issn = "0964-4563",
publisher = "BMJ Publishing Group",
number = "1",

}

Kang, H-Y, Kim, HJ, Park, TK, Jee, SH, Nam, CM & Park, HW 2003, 'Economic burden of smoking in Korea', Tobacco Control, vol. 12, no. 1, pp. 37-44. https://doi.org/10.1136/tc.12.1.37

Economic burden of smoking in Korea. / Kang, Hye-Young; Kim, H. J.; Park, T. K.; Jee, S. H.; Nam, C. M.; Park, H. W.

In: Tobacco Control, Vol. 12, No. 1, 01.03.2003, p. 37-44.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Economic burden of smoking in Korea

AU - Kang, Hye-Young

AU - Kim, H. J.

AU - Park, T. K.

AU - Jee, S. H.

AU - Nam, C. M.

AU - Park, H. W.

PY - 2003/3/1

Y1 - 2003/3/1

N2 - Objective: To support tobacco control policies in Korea by providing the estimated annual economic burden attributed to cigarette smoking. Methods: The following two different approaches were used to estimate the cost: "disease specific" and "all causes". In the disease specific approach, we focused on estimating direct and indirect costs involved in treatments of cardiovascular, respiratory, and gastrointestinal diseases, and cancer as a result of smoking, by using an epidemiologic approach - the population attributable risk (PAR). To compute PAR, the relative risks of smoking in terms of physician visits, hospital admission, and death were estimated using the Cox proportional hazard model. In the all causes approach, we examined the differences in direct and indirect costs between smokers and non-smokers for all conditions and types of disease. The major data source was the Korea Medical Insurance Corporation cohort study, which had complete records of smoking status as of 1992 for 115 682 male and 67 932 female insured workers. Results: By the disease specific approach, the estimated costs attributable to smoking in 1998 in Korea ranged from US$2269.42 million ($4.89 million per 100000 population; 0.59% of gross domestic product (GDP)) to $2956.75 million ($6.37 million; 0.78% of GDP). The all causes approach yielded a minimum cost of $3154.75 million ($6.79 million; 0.82% GDP) and a maximum of $4580.25 million ($9.86 million; 1.19% GDP). Conclusion: The study confirms that smoking places a substantial economic burden on Korean society. In light of this, our study provides evidence for a strong need to develop a national policy to effectively control tobacco consumption in Korea.

AB - Objective: To support tobacco control policies in Korea by providing the estimated annual economic burden attributed to cigarette smoking. Methods: The following two different approaches were used to estimate the cost: "disease specific" and "all causes". In the disease specific approach, we focused on estimating direct and indirect costs involved in treatments of cardiovascular, respiratory, and gastrointestinal diseases, and cancer as a result of smoking, by using an epidemiologic approach - the population attributable risk (PAR). To compute PAR, the relative risks of smoking in terms of physician visits, hospital admission, and death were estimated using the Cox proportional hazard model. In the all causes approach, we examined the differences in direct and indirect costs between smokers and non-smokers for all conditions and types of disease. The major data source was the Korea Medical Insurance Corporation cohort study, which had complete records of smoking status as of 1992 for 115 682 male and 67 932 female insured workers. Results: By the disease specific approach, the estimated costs attributable to smoking in 1998 in Korea ranged from US$2269.42 million ($4.89 million per 100000 population; 0.59% of gross domestic product (GDP)) to $2956.75 million ($6.37 million; 0.78% of GDP). The all causes approach yielded a minimum cost of $3154.75 million ($6.79 million; 0.82% GDP) and a maximum of $4580.25 million ($9.86 million; 1.19% GDP). Conclusion: The study confirms that smoking places a substantial economic burden on Korean society. In light of this, our study provides evidence for a strong need to develop a national policy to effectively control tobacco consumption in Korea.

UR - http://www.scopus.com/inward/record.url?scp=1642295085&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1642295085&partnerID=8YFLogxK

U2 - 10.1136/tc.12.1.37

DO - 10.1136/tc.12.1.37

M3 - Article

VL - 12

SP - 37

EP - 44

JO - Tobacco Control

JF - Tobacco Control

SN - 0964-4563

IS - 1

ER -

Kang H-Y, Kim HJ, Park TK, Jee SH, Nam CM, Park HW. Economic burden of smoking in Korea. Tobacco Control. 2003 Mar 1;12(1):37-44. https://doi.org/10.1136/tc.12.1.37