Impact of the 2009 <scp>T</scp>aiwan <scp>T</scp>obacco <scp>H</scp>azards <scp>P</scp>revention <scp>A</scp>ct on <scp>S</scp>moking <scp>C</scp>essation

Sung, Hai Yen; Zhu, Shu‐Hong; Chiou, Shu Ti

doi:10.1111/add.12344

Cited by 34 publications

(30 citation statements)

References 23 publications

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“…However, the benefits of tobacco control programmes are substantially larger. Several recent studies have shown that the 2009 Act in Taiwan was associated with a reduction in adolescent smoking31 and SHS exposure,7 and an increase in adult cessation rates 32. Assuming a half of the reduction in adult smoking prevalence and SHS exposure during 2008−2010 was driven by the 2009 Act, our sensitivity analysis results show that there was a saving in avoided smoking and SHS attributable financial losses by US$59 million a year in 2010 alone.…”

Section: Discussionmentioning

confidence: 72%

The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach

Sung

Chang²,

Wen

et al. 2014

BMJ Open

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ObjectivesTo assess the costs of the health effects of cigarette smoking and secondhand smoke (SHS) exposure to society.DesignPrevalence-based, disease-specific cost-of-illness study. We used an epidemiological population-attributable risk method to determine the costs that can be attributed to smoking and SHS exposure.SettingTaiwan.ParticipantsAll adult population aged 35 and older.Primary outcome measuresDirect costs of healthcare expenditures spent for treating tobacco-related diseases, indirect mortality costs measured by the value of lost productivity due to tobacco-related premature deaths and indirect morbidity costs measured by the value of time lost from work due to tobacco-related illness.ResultsIn 2010, direct costs of smoking and SHS exposure amounted to US$828 million, accounting for 3.4% of Taiwan's total personal healthcare expenditures. Smoking and SHS exposure also contributed to 15 555 premature deaths—corresponding to a loss of 284 765 years of life and US$820 million in productivity—and US$22 million in indirect morbidity costs. These direct and indirect costs totalled US$1670 million, representing 0.4% of Taiwan's gross domestic product and averaging about US$720/adult smoker. The share of the total costs was greater from active smoking (92%) than SHS exposure (8%), and greater for men (92%) than women (8%).ConclusionsSmoking and SHS exposure impose a huge financial loss in Taiwan. Sustained tobacco control efforts to encourage people to quit smoking, prevent smoking uptake by children and young adults and protect all people from SHS exposure are needed.

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Section: Discussionmentioning

confidence: 72%

The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach

Sung

Chang²,

Wen

et al. 2014

BMJ Open

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“…Nevertheless, switching between menthol and non-menthol cigarettes does not appear to be common. 37 Fourth, this study defined successful smoking cessation using ≥3 months criterion following previous studies, 14,23,24 as literature indicates that 65% of quitters relapse within the first 3 months. 38 While successful abstinence of ≥6 months has been a commonly used criterion in clinical trials and longitudinal studies, 12,13,[16][17][18] previous cross-sectional studies have used the criterion of ≥0 month, 15 ≥1 month, 39 ≥3 month, 14 and ≥6 months.…”

Section: Discussionmentioning

confidence: 99%

“…14,23,24 The prevalence of annual successful cessation rate was defined as the proportion of recent active smokers with successful cessation. 14,24 Intention-to-Quit Smoking The TUS-CPS asked: "Are you seriously considering quitting smoking within the next 6 months?" Respondents who answered "yes" were classified as having intention-to-quit smoking.…”

Section: Successful Cessationmentioning

confidence: 99%

The Association of Menthol Cigarette Use With Quit Attempts, Successful Cessation, and Intention to Quit Across Racial/Ethnic Groups in the United States

Keeler

Max

Yerger

et al. 2016

NICTOB

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Introduction: Few studies have examined the relationship between menthol use and smoking cessation across various racial/ethnic groups; the findings were mixed. This study explored the association of menthol cigarette use with quit attempts, smoking cessation, and intention-to-quit among US adults and by race/ethnicity. Methods: Using the 2006Using the /2007Using the and 2010Using the /2011 Tobacco Use Supplements to the Current Population Survey data, this study analyzed 54 448 recent active smokers, defined as current smokers or former smokers who quit less than 12 months ago. Three behaviors were examined: any quit attempts in the past 12 months, successful cessation for ≥3 months, and intention-to-quit smoking in the next 6 months. For each cessation behavior, multiple logistic regression models were estimated separately for the full-sample and stratified racial/ethnic subsamples. Results: While 72.3% of African American recent active smokers typically smoked menthol cigarettes, this proportion was 21.7%, 21.5%, and 28.0% for whites, Asians, and Hispanics, respectively. African American menthol smokers had higher odds of quit attempts compared to non-African American, non-menthol smokers (full-sample analysis), as well as African American non-menthol smokers (subsample analysis). Menthol use was not significantly associated with quit attempts in other racial/ethnic subsamples. There was no significant difference in either successful cessation or intention-to-quit between menthol and non-menthol smokers. Conclusions: African American menthol smokers were more likely to attempt to quit smoking than non-menthol smokers but these quit attempts did not translate into successful cessation. This study revealed no association of menthol use with quit attempts, successful cessation, and intention-to-quit among other racial/ethnic groups. Implications: The findings suggested that African American menthol smokers were more motivated to quit smoking; yet, the results also indicated no significant differences in successful cessation between African American menthol and non-menthol smokers. Interventions targeting menthol smokers within the African American community may help bridge this gap. While more

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“…In January 2009, the Taiwan government amended the 1997 Tobacco Hazards Prevention Act by extending smoke-free areas to almost all enclosed work-places and public places, printing graphic health warnings on cigarette packages, totally banning tobacco advertisements, promotion and sponsorship and increasing tobacco taxes. The implementation of the 2009 Act was reported to be associated with the increased quit attempt rate and the increased annual cessation rate 37. The quit attempt rate raised significantly from 39.4% to 42.9% between 2007 and 2010.…”

Section: Nationwide Program For Controlling Risk Factorsmentioning

confidence: 99%

Stroke: Morbidity, Risk Factors, and Care in Taiwan

2014

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Stroke is the third leading cause of death and the most common cause of complex disability in Taiwan. The annual age-standardized mortality rate of stroke is steadily decreasing between 2001 and 2012. The average years of potential life lost before age 70 for stroke is 13.8 years, ranked the fifth in the cause of death. Its national impact is predicted to be greater accompany aging population. The most common type of stroke was ischemic stroke in Taiwan. Small vessel occlusion was the majority of ischemic strokes subtype. Age, gender, hypertension, diabetes hyperlipidemia, obesity, atrial fibrillation, and smoking were important contributory factors to stroke morbidity. The standard treatment for acute ischemic stroke in Taiwan is providing the intravenous thrombolysis with recombinant tissue plasminogen activator (IV tPA) therapy for ischemic stroke patients within 3 hours of symptom onset. However, the rate of IV tPA therapy for patients with acute ischemic stroke is still low in Taiwan. Therefore, improving the public awareness of stroke warning signs and act on stroke and improving in-hospital critical pathway for thrombolysis would be the most important and urgent issues in Taiwan. To improve acute stroke care quality, a program of Breakthrough Series-Stroke activity was conducted from 2010 to 2011 and stroke centers were established in the medical centers. For the prevention of stroke, it was successful to increased annual smoke cessation rate through the 2009 Tobacco Hazards Prevention Act and decreased obesity rate through a nationwide weight-loss program conducted by Health Promotion Administration from 2011 to 2013 in Taiwan.

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Impact of the 2009 Taiwan Tobacco Hazards Prevention Act on Smoking Cessation

Cited by 34 publications

References 23 publications

The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach

The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach

The Association of Menthol Cigarette Use With Quit Attempts, Successful Cessation, and Intention to Quit Across Racial/Ethnic Groups in the United States

Stroke: Morbidity, Risk Factors, and Care in Taiwan

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