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Background : Cigarette smoking has been identified as the main cause of morbidity and mortality and imposed huge costs on the society. Studies on the economic costs of smoking have been conducted in several countries including Korea. However, the methods of estimation and the included cost items var...

Background : Cigarette smoking has been identified as the main cause of morbidity and mortality and imposed huge costs on the society. Studies on the economic costs of smoking have been conducted in several countries including Korea. However, the methods of estimation and the included cost items varied across studies. The purpose of this study was to estimate the smoking related harm and the associated economic costs with a practical and reasonable methodology. Methods : A prevalence-based, disease-specific approach was used to estimate the smoking attributable costs incurred during the 2007. Fourteen smoking related diseases (10 cancers, IHD, stroke, COPD, diabetes) from comprehensive literature review and population attributable risk (PAR) was used to estimate economic costs of smoking. We applied employment rate and labor force participation rate to estimate the realistic and accurate premature death costs. Results : The annual cost attributable to smoking in 2007 ranged from KW 2,612 billion (0.29% of gross domestic product : GDP) to KW 3,191 billion(0.35% of GDP). Of the total costs, premature death costs were KW 2,119 billion(74%). The smoking attributable deaths were estimated at 21,648, which accounted for 9.2% of the total number of death in the nation for the over 30 years old. Conclusions : Smoking causes many health and social problems such as morbidity and mortality. The adverse consequences of smoking impose a huge economic burden to the Korea society. Effective tobacco control programmes and sustained efforts are needed to reduce the burden of the diseases.

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