Smoking-related outcomes
Non-smokers N=1483 | Smokers N=493 | |||||
Mean | SD | Mean | SD | Difference of means | p Value | |
Age at baseline, years | 55.72 | 2.50 | 55.54 | 2.38 | −0.2 | 0.17 |
Body mass index (BMI) | 27.29 | 3.51 | 26.01 | 3.81 | −1.3 | <0.001 |
Mean systolic blood pressure (mm Hg) | 135.93 | 17.43 | 133.43 | 18.18 | −2.5 | 0.007 |
LDL-cholesterol (mmol/l) | 4.07 | 1.01 | 4.21 | 1.09 | 0.1 | 0.013 |
Years of education | 8.19 | 3.32 | 7.52 | 2.74 | −0.7 | <0.001 |
Age at death, years | 80.71 | 8.40 | 72.13 | 8.89 | −8.6 | <0.001 |
Life years lost due to smoking | 0 | 0 | 9.19 | 8.15 | 9,2 | <0.001 |
Age at retirement, years | 56.60 | 5.89 | 55.35 | 6.23 | −1.3 | <0.001 |
Years of receiving pension | 23.69 | 9.11 | 16.42 | 9.39 | −7.3 | <0.001 |
Number of hospitalisations | 10.74 | 12.34 | 10.84 | 10.89 | 0.1 | 0.88 |
Number of inpatient days | 88.47 | 235.25 | 101.55 | 216.23 | 13.1 | 0.28 |
Years of smoking (at baseline) | 2.69 | 8.96 | 31.81 | 9.72 | 29.1 | <0.001 |
Annual income, € | 34060 | 22180 | 27510 | 17.730 | −6550 | <0.001 |
Occupational productivity lost due to smoking, € | 0 | 0 | 34370 | 27080 | 34370 | <0.001 |
Income taxes lost due to smoking, € | 0 | 0 | 11660 | 12550 | 11660 | <0.001 |
Annual pension, € | 20440 | 13330 | 16180 | 9730 | −4260 | <0.001 |
Reduced pension costs due to smoking,€ | 0 | 0 | 126850 | 148120 | 126850 | <0.001 |
Reduced income taxes paid from pensions, € | 0 | 0 | 34230 | 48650 | 34230 | <0.001 |
Annual healthcare costs/living individuals, € | 3420 | 9870 | 5040 | 10650 | 1620 | 0.003 |
Total healthcare costs, € | 79290 | 173420 | 74570 | 154950 | −4720 | 0.59 |
Tobacco tax paid, € | 2190 | 8860 | 50300 | 32450 | 48110 | <0.001 |
Life years lost due to smoking, € | 0 | 0 | 203960 | 180890 | 203960 | <0.001 |
Total costs, life years lost not included, € | 77110 | 173840 | −56680 | 195130 | −133790 | <0.001 |
Total costs, life years lost included, € | 77110 | 173840 | 147280 | 195960 | 70170 | <0.001 |
Total costs of smoking versus non-smoking were calculated by taking into account the life-long difference (€/person) of healthcare costs (€4720), tobacco taxes paid (€48110), income taxes lost (€11660), reduced pension costs (€126850) and reduced taxes paid from pensions (€34230). The smoking-related harms for the society were €11660+€34230=€45890, and the smoking-related benefits for the society were €4720+€48110+€126850=€179680, and thus the net effect on public finance balance was €133790 positive for each smoking individual. When the value of 9.19 life years lost due to smoking (€203960) was taken into account, the net effect became €70170 negative for each smoking individual. ‘Income taxes lost due to smoking’ indicate the loss due to earlier disability/retirement, and ‘Pension costs’ indicate the pensions paid by the state and pension companies. The value of one quality adjusted life year lost was estimated to be 0.74×€30 000=€22200.10 ,25