气候变化领域集成服务门户(CCPortal): Socioeconomic per-case costs of stroke, myocardial infarction, and preterm birth attributable to air pollution in Sweden

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DOI	10.1371/journal.pone.0290766
	Socioeconomic per-case costs of stroke, myocardial infarction, and preterm birth attributable to air pollution in Sweden
	Kriit, Hedi Katre; Sommar, Johan Nilsson; Astrom, Stefan
发表日期	2024
ISSN	1932-6203
起始页码	19
结束页码	1
卷号	19 期号:1
英文摘要	BackgroundIncident cases of stroke, myocardial infarction, and preterm birth have established exposure-response functions associated with air pollution. However, there are no studies reporting detailed costs per case for these health outcomes that are adapted to the cost-benefit tools that guide the regulation of air pollution.ObjectivesThe primary objective was to establish non-fatal per-case monetary estimates for stroke, myocardial infarction, and preterm birth attributable to air pollution in Sweden, and the secondary objective was to ease the economic evaluation process of air pollution morbidity effects and their inclusion in cost-benefit assessments.MethodsBased on recommendations from the literature, the case-cost analysis considered direct and indirect medical costs, as well as production losses and informal costs relevant for the calculation of the net present value. A literature search was conducted to estimate the costs of each category for each incident case in Sweden. Informal costs were estimated using the quality-adjusted life-years approach and the corresponding willingness-to-pay in the Swedish population. The total average per-case cost was estimated based on specific health outcome durations and severity and was discounted by 3.5% per year. Sensitivity analysis included varying discount rates, severity of health outcome, and the range of societal willingness to pay for quality-adjusted life years.ResultsThe average net present value cost estimate was euro2016 460k (185k-1M) for non-fatal stroke, euro2016 24k (16k-38k) for myocardial infarction, and euro2016 34k (19k-57k) for late preterm birth. The main drivers of the per-case total cost estimates were health outcome severity and societal willingness to pay for risk reduction. Varying the discount rate had the largest effect on preterm birth, with costs changing by +/- 30% for the discount rates analysed.RecommendationBecause stroke, myocardial infarction, and preterm birth have established exposure-response functions linking these to air pollution, cost-benefit analyses should include the costs for these health outcomes in order to adequately guide future air pollution and climate change policies.
语种	英语
WOS研究方向	Science & Technology - Other Topics
WOS类目	Multidisciplinary Sciences
WOS记录号	WOS:001143611200050
来源期刊	PLOS ONE
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/304301
作者单位	Umea University; Ruprecht Karls University Heidelberg; Ruprecht Karls University Heidelberg
推荐引用方式 GB/T 7714	Kriit, Hedi Katre,Sommar, Johan Nilsson,Astrom, Stefan. Socioeconomic per-case costs of stroke, myocardial infarction, and preterm birth attributable to air pollution in Sweden[J],2024,19(1).
APA	Kriit, Hedi Katre,Sommar, Johan Nilsson,&Astrom, Stefan.(2024).Socioeconomic per-case costs of stroke, myocardial infarction, and preterm birth attributable to air pollution in Sweden.PLOS ONE,19(1).
MLA	Kriit, Hedi Katre,et al."Socioeconomic per-case costs of stroke, myocardial infarction, and preterm birth attributable to air pollution in Sweden".PLOS ONE 19.1(2024).