Cigarette tax increase and media campaign cost of reducing smoking-related deaths

Am J Prev Med. 2005 Jul;29(1):19-26. doi: 10.1016/j.amepre.2005.03.004.


Background: Tobacco use results in 500,000 premature deaths annually. Most smokers begin using tobacco before age 21, so the greatest impact on preventing smoking-related mortality is likely to come from campaigns targeting youths. This study estimates the cost-effectiveness of an anti-smoking media campaign and dollar 1 per pack increase in cigarette taxes on the lifetime decrease in smoking-attributable mortality among the cohort of all 18-year-olds in the United States during the year 2000.

Methods: Cost-effectiveness analysis conducted from a societal perspective.

Results: The combined effects of a media campaign and dollar 1 per pack tax increase will result in a societal savings of between dollar 590,000 per life-year saved, at a 3% discount rate and dollar 1.4 million per life year saved, at a 7% discount rate.

Conclusions: A media campaign and $1 per pack cigarette tax increase will reduce overall smoking prevalence, significantly decrease smoking-attributable mortality, and decrease net societal costs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Male
  • Mass Media*
  • Middle Aged
  • Mortality*
  • Smoking / economics*
  • Smoking / epidemiology
  • Smoking / mortality
  • Taxes / legislation & jurisprudence*
  • United States / epidemiology