The Mortality Costs of Tobacco Related Cancers Among Secondhand Smokers in Indonesia 2018 Kristina Susi Ari1,*, Wiedyaningsih Chairun2, Masrida Wa Ode3, Santoso Karina Anindita4, Ahsan Abdillah5 1Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada 2Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada 3Pharmacy Management Graduate Program, Faculty of Pharmacy, Universitas Gadjah Mada 4Pharmacy Management Graduate Program, Faculty of Pharmacy, Universitas Gadjah Mada 5Faculty of Economics and Business, Universitas Indonesia *Corresponding Author E-mail: susiari_k@ugm.ac.id
Online published on 24 February, 2020. Abstract Objectives Many studies reported that secondhand smoke associated with many health problems including multiple types of cancer. Both secondhand smoking and cancer have a significant economic impact on society, especially in developing countries. To assess this economic burden, we estimated the costs of lost productivity due to premature mortality cancer attributable to secondhand smoking in Indonesia. Methods This study used to estimating the number of premature mortality cost (PMC) of six cancers (lung, bladder, colorectal, stomach, pancreas and larynx) due to secondhand smoking in Indonesia. This research was using descriptive epidemiological prevalence-based research approach, with cancers mortality data gained from GLOBOCAN 2018 database. Results Burden priorities for Indonesian men and women accounted for IDR 1, 075 trillion by lung cancer, IDR 667 trillion by colorectal cancer and IDR 336 trillion by pancreas cancer out of total PMC IDR 2, 665 trillion. We also calculated present value for total PMC which was IDR 2, 512 trillion after discounted by 3%. The higher premature mortality cost in males than females reflects higher wages and rates of workforce participation. Conclusion Lost productivity costs due to cancers related to secondhand smoking premature mortality were significant source of high economic burden in Indonesia. The result of this study may provide an alternative perspective on the cancer burden on society and to strengthen tobacco and smoke free control policy decisions. Top Keywords Burden of disease, secondhand smoke, cancer, premature mortality cost, Indonesia. Top |