Tobacco Documents Online

, _HUsp i ta? care 1!~q' -/)). ?[)(. F`hiys lLlan s sE-r'J1't_eS Nursi'ng home care DrUgs and drug satndrles -,2, ,,.;,:-) ,f v: ; Other professronaT services . . 4 .,t,;,:_„ .:., _ - 5.041 MEWYO'RK CITY: SMOKING-ATTRIBUTABLE INDIRECT MORTALITY COSTS a .. of sRIcG: 1 ng-re: :att:d ' u; .=c'. _== .it1C, Tie:~. 1:-:3:. cr'I-f~ I-!osGl ta 1 zuntd ofl rJr'rI ,.i Total personal he:-:l th $ 14, 1 L , 1. ~. . _ - - No_,,ita2 care . ..C/~,=~~i~l..i~:,n,s '~ s~er'w~~'1C~C.s ..' Cv u= , n q h o ', n a r, a r e 1 . ~ ~-} , 41' - DrU,QS and drug sundrl e= 01th2r prtcfes,ianaL servi _e5 ,t.. ~'.' . , The s+7+'twar'e dlstrit*!ute- these he;ltrr t_arre ctjsts 1'ni ac;_ordancr wlth the distrihution o+' 1990 U.S. n=.tllon_.,' ('7NCtllt,h' t_<=tre' Lost:s l 'ln, esC.P:m'cttlng th'e' f9^?;~tTOri Qt' t_ost nE 'P :L.i=T1L, t=1rCLl'La t::,Y"jt, ~snd ra s p7.lyd:to 1^`J fjls e c.s't3~:a r,`.iE i:'.]iilizlll l1 _F7 .:7~:~ts tt7r thi'"Sr~ d 'l,sre'ase '= arr mU l t: p '1 i ed t'y' tl'ie f'or hr~spltall care and fc~r yr, ;~~ciart •.l Sl ts CF:ice, Wodyazon, Sinshaiimer„ and Br•owner, 1^3~i ta.., appro~rimate the smo4:ing-attributat'Ie fra,Ztlon cf hE?--+l tlh 4.30 DATA SUMMFIRY' z~._r~: Sh1JF'INL~'-~:TTF:ISUTA'ELE D'IF:ECT HEi;L•T.H' C'rF'E N.3w 'iorEr (:it'•,'„ 193'' dol''larc '3I"iGF:: I NG -A TTIF: I BUTr";ELE D I F:ELT COS T;: F'1=r ~'Jn:ni (iie3i'th c'ctre', e:;penvitt_trtes: 5.~ 1~0 INDIRECT MOR'~TAL ITY' COSTS ,rtortaTlt": ci~~ts are the estlmated cost. ,ot , 6~i:..: ?r(:( P)~"~Ji~~L.,~='r,1 •1~1.t~ f ra ~~!UL. t,l.r(y f'rO1T1 G~ri?tn~a~t.l:!.r~? ~'".`l .. l.

to =!moE:imq-r'claledl ,:rd inju.r. Frar lndl .:cu -aia _'ie prematurel /, ,li' t~.-ut~ar-r' -=arr arP t Ur teir_ed .fle hLamelni cd'pl't cil this 1'C3'ii S' i7} incoifle T c J-ttzmated as the pre_;tant uf' future' aarn'i'ng';s. Tha inW'i rAct mor_taili tu c,.st est ilnO.'tes are' cCup,l ed'' to the ~`L;n'ate7 of sm0'.'.Lnn~-attrlbt t.:b1e' mort'all't'y for' the 3r,-:;:_Ip U s•r- stltd,, ec:r ea!=h ,dtagnn_is, smrol.:lng-attrlbU±ab'1e' ra:=ts' are' Ct7inputed as the sum Ct' th-3 Q'f the Pressnt vSl ue af fUture earn i,' ny=_ c'str ~r t ~ i,r,: •.kye and gendar i time= the nUmber of smo,4: ;n:g '-'at+':_r:ti_Etz't _m dle,:, ths fu-~r- each h;, ayra and gender categcrv- -r C~ Lr[• ~~n r•i~. 'rr .~. Cr~~C I~r.T' t.l;~,L_LiE t:, ~F FlJ~TUF:E E';;F.N~I7 G,f~ j:-E• 1 nD_, . ~P'1G~ = t~' tJ'r, ted' :t ate s, 1.98?=i: Di scc~~~m't F:ate = 4'<, .Hge Ma1es F:emales. ------------------------------------------------------------ _i-1 ~ 415',?93 ~' -7 1-4 4-'8 . 24I_ : 4 _'. ~l ~ : ~ ~ 479, 294 -79', '7 1 c~~7 5'~'9, _f 413', 1E 19 5T5', 3'55 443, 342 ~Ci~-~'4 6r_?4, 1'4 ', ~'E`= C~ 4 ~9~'~' 4 13 , 7i:~- ~I~-~F1~~ _ ~ . . . , J0~ ~~, JJ.i',. . 49_,0 8'I 4j-441 4 1 ". 77.E 717c[i . `-", 45-44 =25, 967 ~lv„3±lJ J4 2~5,464 1'67,i_'14 ==-=9 14u. 1 l~a 1! I 1.~41_ 60-54 44'S ~? , -8'_ 5"S - 6 9 7o-74 12, 666, `,:i. 75-79 6 , 1(:i3 9O-94 - ,,~~(:) 2 4,'4.: VJ `* 914 i'. 1~' 3L:,Urc?: Ri ce, Hodqson , and k:.opstPi n, 1936 H+uture strea'mi uf =arn'inys i''s callcUlated as the SLIm Gf i~. hi_iitUrC _.'nnl'1'c.,l E''3'r'i~Lt1~5 prlior to re.tlr"•?ment„ assuinln'y, a 3~t~raL~lr? ~rirti'~1 ~i Ln and an rnfl!atl`.n ratE. Th~= present ~a1'uz' of f'uture earnl•-:'qs is Lr _n,~La i:7:13u v fashi.:)n, but each term t s dll =_, ~;nt~.~,

if ter funr Haal th 'I"t',-o" r at.= -i l~~e. Hi,d~-. _ ~; •--,rt , ttn.i F t.::1 -. 1q°E! forr I,Sc"i, T•ab'1e =. ti,'; disNla,,= t'he'prt_=_errr 'aloe .- .-4a t~he a>/er~ a :lj,,e~ atin'Y!iilC~, li ..~':'' t..J: ?. .~. -: .. _ . --ifiei_+_'3'. The p:rr,:s=;- ts=;-t .;;.I.I:y ,fl tl.l'ti.lrr_: :z,rmtn-gS ersed' tm f'- .. u'. t.hC- Ncit..";1- 3: ft_t'•.ira ?,iirntn~.g= S .-.0 U lnt,ed at 4'., ._ -~rl~~a C f i tyaui-e-s ~~ ~Je.ni-2 ~r~A t~~-= d F''~~; iT, ~~ ~ ~~1 ca~~ a m d 'ro'1 I e a ;,d _!.~es ar P pro -+ ~u J c~=_ ^7r s,- ji•'ari' .nt~r Vall s ~sfiij ~t=Ci]tlnt f 7r ( l.%' 3q ;r?- -zk n'd •r~ p E3!-tf c life a p rcl-an'czAs, (2) patter-n=_ of' earniny,s ,.'-. ~dt.Tfc=rent ~y«=•~, r'i ]:abor force p;,rti_ii3.ati.on (I4,; i,mp,...ted valt_te f.Dr housa'keepiny and :5, +.J:., _' fLlt,:!ir? strezz~m' u•fi G+;?.rnllngs into its Fire=:?nt, worth L.' L'?C :C, ufIt Ic'1':!. ';•i =e andl :t7'.1,1e'C,g'LS'C' S l-ISeC both a. a•::, and .'. 'jl ='=c, ntf.x?' :! n nytlo n:a.L c: jt.lt'=.a-ll.a tl~7ns. The sGftWcira.. -+.1C1!' S,L'C.:tr(q : 1bUt'"tt,l,'? 1'ndl'r'ect tTio:rt a17Jty LGsT-, f c' Ji s-,~clrlt rates. Final est,imate= can be tnflatedl to 1 dkrr' y.e=•r dlr,i 1 ars' t'f =~.nnl,l'~1 irr_' ea='es if1' hm?J.r1''Y r,:,rnpen5ariun iin the bl_i=iness se'_tor. 2Rcau(_e aggregcted mcrtal rty data r=_: Used„ i t i s g'eneral. 1' ;~ ni-.,t pc-srible' to ~jliff'eranti ate lndi•ridu'al smcEkimyr-related death's from othwr. de'ath s with the same cau_=.e-of-dGrth codle. Tilatrar'nr~. wLthln e'ach t_aLtsa-of-death related tn, smcck:ang„ it i1s a'S_uime•d that the distribl:.ltion of' age cf death 1'=_ t'•1ert.i:- _.:1 f;nr- <.ll rieat.h- = and fcr the srnol!:inyr-~'ttriblltc~,; ='r ac++; ,_~i of t:ho5e dcaths. Thi s i s a comservati •re 3 >!_cT~,; ~ l I1n a -si11c)[f 1'iyi, 1'3I StrQn gl'yf' I mQ LL'_.Kt ad ' l n P_~r l d?'=' `. 5. 2,'Cy' SUMMARY OF METHODS t-J' t'!.. C 1't.; ytm 'I'tdt•r-s p 'H-- r_ii= :3tTioV lnq pre•.,;.-s le ncm rHtr -s G•-i5 cS c triOr t al 2i t',+ d!atal f c: r tht: d l a'~no51 ~Jo r = I''._rei into the spreaij'snaet. l+llth this the so:•*k•Jr,, •- .,,'«?r Ca1CU 12:t.?s s'fncS l,ni-i -a }~rllb ..lt~tile' 1T1ortz- 1.1~ .,-ir_ ,nales and' females b•y i'n't u:ict_,a1 iil-Ag nc,=i=n pFsident ,n spreadsheet are tabl:e=_ of the pre=ent vai~!e' of ft_Itu r:a •E'arm T ngs d'1 scOUnt?''t •1 t 4. f-;itnci l? ~ ,aar age grou!P. De'td iS rE-g,3 t,?d' IrfO f0 lr c.~= _,a-44, 45-b4. 65-,4, 7'jI and The'ze aL3e hr sL.!mmed t0 provlde the esti tnG h e of t•Jt al gmo~ t.rndirect' m!Jrtal'it/ fkDr e,:k,_h T~te acftware pro•ri',d'es gender-=_peclflc indirect mortal'it., -.r.. z=+';ma+`e=_- f;-Ir t'ha<-:,~ atga- br.ac4:et., byr indi.id!_Iall :~_~rtcs;.s arrd, b• Wllay',-to=_ti,_ cateL3or•:, amd disa:la~,s 1iot-k1l ;nf t'r-:t,l.lt<,b1«: cros* s. These dA t a ;it ra a 1's:.a Fres;? n se:.ts comb~.nedb r;Ii data are uomN~,ted ior -, di=+-riu;nt r,.,t.es, 4: and .5'.. 5~. -D'' D!A'TA~~ SUMMAR~Y~ 8!i648'433

Table W. =A: ANNUAL SMGF:If!dG-hTTF:IB`UTHBLE - It`JDI=:ECT MOF?TrLIT'e CGSTS' DE:It~~i]!JPUTED ;~T 4". fJeua Yc~r 4!C.'i ty.(19St_i~ d'o11 arr s) :ahE t3Fa7UF' MALES : FEMALE'S Bi0 'Tf1 3: E - !_"= (mi1lions) . (mi11'ic+ns) :mi1'i::- 7,',,+ I ,)C1.() 1'~'L. :3-1'-. _ -4-1 C `2.. 4 5L3. (") 4 • 4 5-~a-4 _-•4'. 5 1~:iC. :) 4' bu.-74 '~. 1 C4. C J~. i + •T1. J. L 7 . ~ New Ycirl: Cit•~ (estl1mated 19°T dv11%,r=: AhE GF:OUF' MhLES FEMALES EtOTw SEXES (~mi'11i~ons~) ~ ('~m~iLlio~n=_)~~ ~ ~ (m:i1~::1!on=), '91 . C C'"(7 . Ci 1'.•! 1 i. i :'T2.9 ~7. C 1 445 1^_. 4 6,5 74 4'C. L 11.4 6.00 NEW' YORk; CI'TY: SMOIk:INS-ATTRIBUTABLE INDIRECT'MORBIDITY' COSTS 6.10 INDIRECT MORBIDITY'COSTS'. Smoking-attri'but•,t;: _LnU;r,_t_t mizrbidit-.• costs ara the .:)f liost income and pr-oductUl.t•;- fcr indl•lidi-taTs whc are d'i sabl'ed by nonf atal or sl owl y f'at.al' smoi> i ny-re L',,,ted iliness, Srnod::ing-attribut'able' prodLacti•.:it;.: TcJJ=_'`= ara k~ t~t! r^gtj aS WdyZS, Sa.i ll' i e,5, dnd Sla47p 1'e,flZJntS f rO,T Fr; om vrcr.:. among cUrrrentl y cmpi o;.-ed aerrsons, Lcny-te-r a; }a'b11,I f_:, cj"t"y5 A;n'dI ~q=PItd1 iz'atl,ort dar s f'Jr s,TG7Grin,y- rn~ attr':.b;.,tabie c'al,.,ses: and the impUted v'alue of F,cr_i_r+eep r . 1 = r +ema l a'~ii l.Un.~L7l a tv l, eep h(-j l_l «e br+ e :) t Tm,:; ~ in~y-indU ced :11'ne=s, I ".r~r _:Oiilp inr~T'-1:i'.l d .:~t,`,. t~=. L.,=-? ' and : ~t i.e t, - : _. =p ll'-'~ r_l' mC;t .hCJlj',i_1Jy+ S1m11'ar to the d ir'e Lt Cr.1 sf' Vy1= t:-

r . ~ pro,_e+d Lir~ ~iT.Cny ` l i^`f F 1 ~~ ti_ h ~. ~_ ci~ 6,;rrP_~ u~; .:... ~J!'" v'~2@ hOC:=E'. r r'nlc'r' J<+ u .,..s2.s '. +Df ri~a1Jr.a ~i H 'E''.?,.~.~~.'?':h ~ i~~nf.e_'_':, r .. n' .=--:?rj f or .3.' :7 .~+". i, ]'n - _., ..- .~ a.. y" al't~ii g'Peh~u~~,cr, ,~. a~^i,~, ._!~'Ct r ...li',.jl , ~ .. , 3. i ~f' _al.,tj.+jr_~-~.L_~a+~' -r_..~.i!•_e , p ;ric4j~~ /irYTTlllriL ll~~rZ 'tr~•-.. . .. ~. r. __. f~b, i=. L i , o the g,rmt_ip, uu- d4=r !-.',:'d' . i . e, PJt.~ ~ ! '.-I+.::>h i?~~. :=:~Ci'4•r"Nar%?I tLnn~".~.'..IT~~~~. ~_. _. S ,i ..r~Ly, .~vUdt,~.h'.Ia ~ Cb'Jb t,..'7:'.?. r ~..~.!. .., -. .. r f~Jh- d7..~ fn,-D C'~,( r'O'.r-:-. >, nc) r!:, : ~j i ~~#i ~ b; ~~ F=i:r,;i ,y,rn I,r Lr p r 3 p t:ucr tc ,!;re=. Ti'i.a pr0Pur ti:7r:3i ...5't,irTl3t•.i 7n Orf' indir^Ct _-;mp•.tt -d e's fo',.i 1,7j ua ;; :,L;;a,~ Lh..t. ',Ch._s1 cmsts .U.`.7.t Dtt ~+ast~ iJ.S'., + Ilndir"~ct ~c =_t~ J.~. i _ ., ~1.av! --+ t: C t,+ .: , 1'tld l ^ =C t tT(D rt 1 ~J 1 t :F.i.i'ttitp2ijir f!=ir ?=e=il 3 jtq ' 3r+~ ^•~F?i 17 _ fs. 2`O SUMMARY OF METHODS Th'e sof t w a re user p r a ': :, d!?- a y ~- -z .r+,J j;rn-` r--CP W _. for direct and ind'1~ -ect •-tur tal.''l t+ ..-I ILies) for tFhe' ,yrnup Wnder =tu+!•, r~,. ~ :'n r;l' b. I d L, }'J G o s f.=- 3 r F t'_:;'" ! Ti 4F;t,'r. d T, i? t h t r! Er. j'i =F +1u_4tf.;;urt '7f 11 ... :. I a ta =- in..:1Gr: n j-:_rt t" , bt. ,~j :'r' -..•7 t' _ _ !~ .rI J=,-r.~ S1n'zf`io'2'i d1?7dBrUwnerf L.CF`C:, ~1 . 6'..'0 DATA SUMMARY `rc_! .."Jl3 =,'7 !; 1 _'tJT~6'L2 85648435

INL'IF:ECT '.,..r 77ST'z AGE GkOUP. .1 2` ?-5 -2 ,tC+ M:,LEw FEMALES .(millians) (miilionsi riCTM •3E x E:=. (;ni 111~n~) NEW YrRF CITY: COMF~3SITE :'M17V I1'aG-ATTF;IBUTAELE CS='= :. The final sprcad="' ec-+_ sLLms dir_ct, indirect mcrtality, and .. ---timat_d indirect inorbidit, costs tc provide an zstimated - :-ilue for tota:l smol:ing-attribttt'able costs for the groUp ~rnder study f,Jr ina,le=_« femal'es., both, se;ces, and fcr itg_~'g,ender-sp=cif'ic subyrcLups. The percentage distribut:on ,~f' tc~t •,1 costs by te pA of cost i s computed. T.3b: _'.+:)Fp' jl_MMAFi'( OF SML^~ I'NG-ATTF;I$UTr16LE COSTS Clew Yor4; Cit•; (198'C dollars) _ L I F:ECT COSTS IhlDIRECT MQF:TAL I T'i'' COiSTS' I'^lDIRECT' MORBI D'I TY COSTS TOTAL COSTS + 542',128,0'52' 781,159,651 327,212,,6I6 1,650,500,319 _ r:i-6 4 350-,,785,285' 728, 3791, 52'1 3115,048,183 1,404,212,989 65+ 181,342,767 52,780,130 12,164,433' 246,287,330 FE!'!'tALES' _ C0+ 435.I068,52'5. 23'0,003,214 155,027,349 820,099,088 =Ct-64 257,932.68'9'. 189,507',575 151,915,661 599„3'55,925 7~* 177',135',83b'.: 40,4951*639' 3',151„68'8 220,,743',16'3 0 ELTH SEXE S C1T' ~ =`'-''+ 977,196',577 1,011,162'.865' 479,693,314 2,468',052,758' ~ ~-J-64 618,,717,974 '4 917,887,09'6: 464,072„73'0 2,000,,677,800 rCy. ~ .L-11'+ 358',,478,603 93,2751,770 15,620,583 467„374,9'S6'

tJ[111[](ll][][][1LJL1LJL1l1lJ11[JIJlJC1lJ[1C1[]C]C~C)I,JLJLJLJLILJLJLILJL1L1lJLJLJL1i1l11111~JI 1lJLJl~t ll /l ~t it ~t [ ] 1 ' . = 1 I [ ] f 1 , f 1 , a, I t l [![][]C]E]E]H[]El(][lE]C]ElE][]Cl[][iC)flElE]HE)I][]f]C][]C]C]flC]C][][lE3{]Cl[]C][][1[][][][][][~E7 Clflflfltit]1.If 11 1 , [iSt9uk1NG-ATTRIBUTABLE COSTS FOP GROUP UNDER 57UDY SUM OF II [] DIRECT AND"'. " ESTIMATED " I1 C9 INDIRECT INDIRECT INDIf~ECI'..,. ESTIMATECI I I [] GENDER/ DIRECT MORTALITY MORTALITY MORBIDITY_ 'e TOTAL 1I C] AGE CATE60_RY COSTS COSTS COSTS COSTS COSTS I1 I (lf][l[][]Clf][][]C][]f]ClC]C]f]CiC]ClC][iClClCI[lf]f][]C][]EICIC][]ff][]C]flClC][]C][]flf](l[][7[lC it.lf][][lfi[]f 11 11 I []PY3LES: ALL AGES - - - $542,128,052 i791 , 159, 651 f 1, 525, 29?, 70:~ Cl ~C][]C]E]C][lf](]C]C][]C)C][]C]C][]C][]C)El[] -- ---- - []MALES: 2¢-64 YEARS ~[] DATA s36©,765,2e5 f?28,379,521 Cl $1,089,164,006 C] C] ENTRY , E] []MALES: 65+ YEARS [] CELLS $181,342,767 $52,780,130 Cl S234,122,697 C] f][]C][]E][]tl[]C)C][][]C7[][)ClC]ElC][7C][7 Cl []FEMHLESq ALL AGES $435,068,525 $230,003,214 $665,071,739 Cl C][)C]C][]C][][)f]E]EHC]ElE]f]f)E]E]C)C3E][] []FEMALES: 2©-61 YEARS Cl OATA $257,932,689 $189,507,575 f] $447,440,264 E] , 11 ENTRY 11 E IFEMALES: 65+ YEARS [] CELLS , $177,135.836 ' f40, 495, 639 E l $217,631,475 Cl E][3E][][JCI~I[)ElC]CICIC][]C]C][lC]ClC)[]C] [l' [ l GOTH SEXES: ALL AGES ,., $977,196,577 t 1, O1 1, 16-c~, 665 'l 1, 966, 359, 442 (I []BOTH SE?SES: 20-64 YEAR S ~f616,717,974 J<917,987,096 >E1,536,6U5,Q74 El : [ )E~tITH SExES: 65+ YEARS 15358,176,603 t93, 275, 77U $151,754,575 f ].. ' - I l 11 Jl JL J[ Jl JL JL Jl JL JL JL JL JE 1[ JL JL JL JL JL ]L JL 1L 1L JL JL JL JL )L JL JL Jl JL JL JL JL JL_ JE ]E ]L Jl J( JL JL JL JL JL ]E )C J[ 1[ ][ It )l 11 1l 1[ ]1 11 11 1 - - []PERI:ENT DISTRIBUTION BY TYPE OF COST_ SUM OF ~~ []FOR GROUP UNDER STUDY DIRECT AND ESTIMATED I t lI INDIRECT INDIRECT INDIRECT A ESTIMATED II Cl GENDER/ DIRECT MORTALITY MORTALITY MORBIDITY_ f~::TElL I 1 - 1' ] AGE CATE6ORY COSTS COSTS COSTS COSTS 1 Il~~l 1 1 I 1 [][]C3Elt]E]E]C)[]ClC][]Clf]C)C)f)C)CICI[lC]C][]ClC]C][][]C]E][]C7[][~CIC][]Cl[)C]fi[lflf][][][)Cl[] [)f][][l[][1[lf 1t 11 I []MALES: ALL AGES .'32. A5G 47. 33? 00. 1 7 i' 19. E13t4 100. E] ' []MALES: 20-64 YEARS 25.69'. 51 . B7'f_ i~7. 56i 22. 44i: 100. O-~t E] _ I 1 []MALES: 65+ YEARS 73. 63~ 21. 43i; 95. 06r [) 4. 94i; 100. (?E~::1 1 [] 1 1 ~ S ' I t [ ]FEMALES: ALL AGES 53.05? 29.05:; 91 . lOr 1t3.90C~ 1~~~~,r(~:.I t E ] 1 1 C]FEMHLES: 20-64 YEARS 43.05X • 31. 62.. 74.65% 1.~0. OrJ:'I 1 f 7 9p _5q;: 1 . 41,: t0o • n~',::t ( 132,~ , 212, 616 .;1 , 65G~, 500, _. 1 `? 1 I II'f 2,=+~i'+ II E315,049,1e5 $1, 404, 21 - 11 ;12,164,433 ;216,2B1,'~30 1 1 II $155,027,349 $820,095l,OE~[i~' l1 f151,915,661 $599,`35a,92a 11 1 1 S3,111,688 J:22Q, 743, 16'S 1 1 ll I t $479, 69'~3' , 314 t2, 466, 052, ; 5E. [ 1 ( i $464,072,730 f2,000,67T,f1UG (1 EI S15,620,583 346?, 3?4 ,~+-i~. I; 1 ----- - - 4MV999