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Updated: Feb 14, 2026

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Published on: October 22, 2020
Smoking Cessation Is Associated With Lower Indirect Costs
Christine L Baker1, Marianna Bruno, Birol Emir
1Pfizer Inc. (Ms Baker, Ms Bruno, and Dr Emir); Kantar Health (Ms Li and Dr Goren), New York, New York.
Current smokers incur significantly higher annual indirect costs due to lost work productivity compared to former smokers. These costs remain elevated regardless of how long ago an individual quit smoking.
Area of Science:
- Health Economics
- Occupational Health
- Tobacco Control Research
Background:
- Smoking is a significant public health issue with economic consequences.
- Reduced work productivity represents a substantial indirect cost associated with smoking.
Purpose of the Study:
- To quantify the differences in indirect costs related to decreased work productivity between current and former smokers.
- To analyze how the duration since quitting smoking influences these indirect costs.
Main Methods:
- Utilized data from the 2013 US National Health and Wellness Survey (NHWS) involving 75,000 employed individuals.
- Calculated indirect costs using weekly wages, adjusted for age and sex, for current and former smokers.
Main Results:
- Current smokers incurred annual indirect costs higher by $1327.53, $1560.18, and $1839.87 compared to those who quit 0-4, 5-10, and ≥11 years prior, respectively.
- No significant differences in mean total indirect costs were observed among the different former smoker groups.
Conclusions:
- Current smokers face substantially higher annual indirect costs than former smokers.
- The number of years since quitting smoking did not significantly alter the indirect costs observed in former smokers compared to current smokers.
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