Saygın Avşar, Tuba ORCID: 0000-0002-4143-3852 (2020). Economic evaluation of smoking cessation interventions for pregnant women. University of Birmingham. Ph.D.
SayginAvşar2020PhD_Redacted.pdf
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Abstract
Smoking during pregnancy (SDP) is a significant health problem, associated with high healthcare costs and health inequalities. Current SDP interventions are typically cost-effective, but their uptake, content and outcomes are very limited. This thesis aimed to produce evidence to identify the characteristics of ‘optimum’ SDP interventions, relating to aims (achieving smoke-free households or reducing smoking in the pregnant woman), content (higher financial incentives and more intense behavioural support) and longer duration.
A Markov-based economic model was developed, which extended an existing model by incorporating partners’ smoking and the number of cigarettes consumed. A systematic umbrella review informed inclusion of additional health conditions. Three hypothetical interventions were designed based on available evidence, and cost-utility analysis was undertaken to assess their outcomes, healthcare costs and long-term cost-effectiveness compared to standard NHS care. Additionally, a qualitative study in an international public health organisation explored the applicability of high-income country-based economic evidence on SDP interventions in low and middle-income countries (LMICs).
The economic modelling found that the hypothetical cessation interventions would greatly extend reach, reduce smoking, address inequalities, and be cost-effective. Piloting of SDP interventions based on this research would be warranted by UK policy-makers, and the findings have potential applicability to LMICs settings.
Type of Work: | Thesis (Doctorates > Ph.D.) | ||||||||||||
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Award Type: | Doctorates > Ph.D. | ||||||||||||
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Licence: | All rights reserved | ||||||||||||
College/Faculty: | Colleges (2008 onwards) > College of Medical & Dental Sciences | ||||||||||||
School or Department: | School of Health and Population Sciences, Health Economics Unit | ||||||||||||
Funders: | Other | ||||||||||||
Other Funders: | Turkish Ministry of National Education | ||||||||||||
Subjects: | R Medicine > RA Public aspects of medicine | ||||||||||||
URI: | http://etheses.bham.ac.uk/id/eprint/11043 |
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