Substance misuse prevention and economic analysis: challenges and opportunities regarding international utility

Subst Use Misuse. 2012 Jun-Jul;47(8-9):877-88. doi: 10.3109/10826084.2012.663276.


Economic analyses of substance misuse prevention assess the intervention cost necessary to achieve a particular outcome, and thereby provide an additional dimension for evaluating prevention programming. This article reviews several types of economic analysis, considers how they can be applied to substance misuse prevention, and discusses challenges to enhancing their international relevance, particularly their usefulness for informing policy decisions. Important first steps taken to address these challenges are presented, including the disease burden concept and the development of generalized cost-effectiveness, advances that facilitate international policy discussions by providing a common framework for evaluating health care needs and program effects.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Cost-Benefit Analysis
  • Evidence-Based Practice
  • Humans
  • Internationality*
  • Law Enforcement
  • Models, Economic*
  • Policy Making
  • Program Evaluation / economics
  • Quality-Adjusted Life Years
  • Substance-Related Disorders / economics*
  • Substance-Related Disorders / prevention & control*