电子烟在无家可归者支持中心戒烟的成本效益:SCeTCH cRCTT
Jinshuo Li1, Qi Wu1, Steve Parrott1
1Department of Health Sciences, University of York, York, UK.
Public health research (Southampton, England)
|November 15, 2025
概括
在无家可归者支持中心为戒烟提供电子烟比通常的护理更昂贵,但质量调整后寿命年数的小幅增加并不显著. 未来的工作应该旨在最大限度地提高戒烟率,同时具有成本效益和可实施性.
科学领域:
- 公共卫生干预措施 公共卫生干预
- 卫生经济学 卫生经济学
- 戒烟研究 戒烟研究
背景情况:
- 在无家可归的人群中,吸烟很普遍.
- 在这个人群中,电子烟干预戒烟的有效性仍然不清楚.
- 无家可归者支持中心是戒烟干预措施的潜在场所.
研究的目的:
- 确定在无家可归者支持中心提供电子烟用于戒烟的成本效益与通常的护理相比.
- 评估电子烟干预措施对无家可归人口戒烟和质量调整寿命 (QALYs) 的影响.
- 预测电子烟干预在这个群体中戒烟的长期成本效益.
主要方法:
- 一个多中心,双臂集群随机对照试验,涉及英国各地32个无家可归者支持中心.
- 参与者 (年龄18岁以上,每天吸烟者) 接受电子烟启动套件或通常的护理 (简要建议和标志).
- 经过24周的时间进行了成本效益分析,并使用长期模型对整个生命进行了预测,其中包括QALY和医疗保健成本.
主要成果:
- 电子烟干预组的总成本较高 (每位参与者为3859英与2716英),QALYs的增幅较小但不显著 (0.303比0.295).
- 24周的增量成本效益比率 (ICER) 为每QALY获得的181,000英,成本效益的概率很低.
- 终身模型预计每QALY获得的ICER为38,360英,在常见值内具有47.6%-49.6%的成本效益概率.
结论:
- 在无家可归者支持中心提供电子烟比通常的护理更昂贵.
- 通过电子烟干预观察到的质量调整后寿命年数的增加在统计学上并不显著.
- 未来的研究应该专注于最大限度地提高戒烟率,同时确保对这一群体的干预措施的成本效益和可实施性.
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