1 / 24

SMOKING IS BAD FOR YOU

SMOKING IS BAD FOR YOU. ^ REALLY. Jennifer A Ericksen September 7, 2007. Outline. Smoking statistics & facts Health consequences Smoking cessation Benefits, stats, & what should be covered? What are plans covering? (ATMC Survey) Your options Questions/comments.

kellsie
Download Presentation

SMOKING IS BAD FOR YOU

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SMOKING IS BAD FOR YOU ^ REALLY Jennifer A Ericksen September 7, 2007

  2. Outline • Smoking statistics & facts • Health consequences • Smoking cessation • Benefits, stats, & what should be covered? • What are plans covering? (ATMC Survey) • Your options • Questions/comments

  3. Despite the Warnings… • 21% of U.S. adults (45.1 million people) are current cigarette smokers. • In the United States, 23% of high school students are current cigarette smokers. • Each day, about 1,140 persons younger than 18 years of age become regular smokers

  4. How Much Are We Spending? • U.S. spends > $167 billion per year • Lost productivity: $92 billion • Health care: $75.5 billion • Secondhand smoke costs: ~ $10 b annually • 2005: Industry spent ~ $13 b on advertising • States spend < 3% of $21.3 billion from excise taxes and legal settlements on preventing and controlling tobacco use

  5. Mortality & Morbidity • Worldwide: ~ 5 million deaths per year • > 10 million deaths annually expected by 2020 • Leading preventable cause of death in U.S. • ~ 1 / 5 deaths annually (~438K deaths/year) • ~ 38,000 deaths from secondhand smoke exposure • Shortened life span of ~ 13 to 14 years

  6. Cardiovascular Disease (Heart & Circulatory System) • Coronary heart disease: 2 - 4 X  risk • Doubles risk for stroke • >10 times more likely to develop peripheral vascular disease • Narrows blood vessels & reduces circulation • Abdominal aortic aneurysm

  7. Cancer • Second leading cause of death • 90% of lung cancer deaths in women • 13 times higher risk of death vs. never smokers • 80% of lung cancer deaths in men • >23 times higher risk of death vs. never smokers • Bladder, oral cavity, pharynx, larynx, esophagus, cervix, kidney, lung, pancreas, and stomach, and acute myeloid leukemia • Rates of cancers generally highest in AA men

  8. Respiratory Disease, Etc. • COPD: 10 X increased risk of death • 90% deaths attributable to cigarette smoking • Reproductive and early childhood effects • Increased risk for infertility, preterm delivery, stillbirth, low birth weight, and sudden infant death syndrome (SIDS) • Women • Lower bone density • Increased risk for hip fractures

  9. Health Benefits of Cessation • Reduced risk of dying prematurely • Lowers risk for lung and other types of cancer • Risk declines with number of years since smoking cessation • CHD risk substantially reduced within 1 to 2 years • Reduces coughing, wheezing, and SOB • Slower rate of decline in lung function • Reduced risk for adverse reproductive outcomes

  10. A Very Important Organ…

  11. They Want To Quit! • 70% want to quit completely • 2005: ~19.2 million (42.5%) adult smokers had stopped 1 day in last 12 months • 2005: ~46.5 million former smokers • > 54% of U.S. high school smokers tried to quit smoking within the preceding year

  12. Areas For Improvement • National Tobacco Control Program goals: • Promote cessation among people of all ages • Prevent initiation of tobacco use among adolescents • Reduce exposure to secondhand smoke • Identify disparities related to tobacco use and its effects among different population groups

  13. Coverage of tobacco-use cessation treatment increases both use of effective treatment and the number of successful quit attempts.

  14. Public Health Service & Community Preventive Services Task Force • All health plans should provide: • Counseling and medications • ≥ 4 counseling sessions of ≥ 30 minutes each • Rx and OTC nicotine replacement medication • At least two smoking cessation attempts per year • Eliminate or minimize co-payments or deductibles

  15. Hard to Believe… Although 66% of Americans under the age of 65 are insured through an employer, only 24% of their employers offer any coverage for tobacco-use treatment.

  16. How Much Do Cessation Benefits Cost? Are They Cost-Effective? • More cost-effective than other interventions • HTN & Hyperlipidemia programs • Cost/expenditure: Benefits > costs by 5 years • 10 to 40 cents PMPM for comprehensive benefit • Annual cost of tobacco use: ~ $3,400 per smoker or about $7.18 for each pack of cigarettes sold • Neonatal health care costs: $704 for each maternal smoker • Program for pregnancy saves ~ $6 for each $1 spent

  17. Addressing Tobacco in Managed Care Program: Survey • Program mission: To advance integration of tobacco cessation strategies into routine health care within health plans • Survey of tobacco control practices and policies in health insurance plans • Surveyed 1997, 2000, 2002, 2003 • 160/215 plans (74%) completed survey • >60 million HMO members represented

  18. What Are Health Plans Doing? ATMC Survey Results • Written clinical guideline: 67% • Identification of at least some members who smoke: 89% • Health-risk appraisals & phone surveys** • Enrollment data used by 12% • 15% in 1997 • Identification of all smokers: 3% • Full coverage for ≥ 1 pharmacotherapy: 88% • Bupropion most common: 83% • 25% in 1997

  19. ATMC Survey Results… • ≥ 1 behavioral intervention: 72% • Self-directed online resources** • Individual counseling during pregnancy • Telephone counseling • Other self-help materials • Larger plans** • Self help materials & pregnancy • Smaller plans** • Phone & face-to-face counseling

  20. ATMC Survey Results… • “Teachable moments” • Participation in management program forother diseases: 91% • Pregnancy: 69% • Treatment for chronic illnesses: 65% • Following myocardial infarction: 56% • Provider education: 50% • Coupled with prompts & reminders: 21%

  21. What Stands in the Way? • Health system barriers • Resources: • Staff, funding, competing priorities • System: • Data collection, reporting, records • Provider compliance • Purchaser demand • Delayed economic return on investment • ROI analysis tool now available online

  22. It’s Your Turn… • Kaiser Cessation Program • Get a Rx from your physician • Participate in smoking cessation class every 2 weeks for 6 weeks • Just pay your normal drug co-pay! • Telephone counseling at 1-800-NO-BUTTS • Visit kp.org/quitsmoking or contact your local health education center

  23. Don’t Give Up Giving Up…

  24. References • CDC Website • McPhillips, et al. Addressing Tobacco in Managed Care: Results of the 2003 Survey Preventing Chronic Disease, July 2006 • Kaiser Permanente Website and Health Education Center

More Related