OBJECTIVES: This study presents a cost-effectiveness analysis of salt reduction policies to lower coronary heart disease in Syria. METHODS: Costs and benefits of a health promotion campaign about salt reduction (HP); labeling of salt content on packaged foods (L); reformulation of salt content within packaged foods (R); and combinations of the three were estimated over a 10-year time frame. Policies were deemed cost-effective if their cost-effectiveness ratios were below the region's established threshold of $38,997 purchasing power parity (PPP). Sensitivity analysis was conducted to account for the uncertainty in the reduction of salt intake. RESULTS: HP, L, and R+HP+L were cost-saving using the best estimates. The remaining policies were cost-effective (CERs: R=$5,453 PPP/LYG; R+HP=$2,201 PPP/LYG; R+L=$2,125 PPP/LYG). R+HP+L provided the largest benefit with net savings using the best and maximum estimates, while R+L was cost-effective with the lowest marginal cost using the minimum estimates. CONCLUSIONS: This study demonstrated that all policies were cost-saving or cost effective, with the combination of reformulation plus labeling and a comprehensive policy involving all three approaches being the most promising salt reduction strategies to reduce CHD mortality in Syria.
OBJECTIVES: This study presents a cost-effectiveness analysis of salt reduction policies to lower coronary heart disease in Syria. METHODS: Costs and benefits of a health promotion campaign about salt reduction (HP); labeling of salt content on packaged foods (L); reformulation of salt content within packaged foods (R); and combinations of the three were estimated over a 10-year time frame. Policies were deemed cost-effective if their cost-effectiveness ratios were below the region's established threshold of $38,997 purchasing power parity (PPP). Sensitivity analysis was conducted to account for the uncertainty in the reduction of salt intake. RESULTS: HP, L, and R+HP+L were cost-saving using the best estimates. The remaining policies were cost-effective (CERs: R=$5,453 PPP/LYG; R+HP=$2,201 PPP/LYG; R+L=$2,125 PPP/LYG). R+HP+L provided the largest benefit with net savings using the best and maximum estimates, while R+L was cost-effective with the lowest marginal cost using the minimum estimates. CONCLUSIONS: This study demonstrated that all policies were cost-saving or cost effective, with the combination of reformulation plus labeling and a comprehensive policy involving all three approaches being the most promising salt reduction strategies to reduce CHD mortality in Syria.
Authors: W Maziak; K D Ward; F Mzayek; S Rastam; M E Bachir; M F Fouad; F Hammal; T Asfar; J Mock; I Nuwayhid; H Frumkin; F Grimsley; M Chibli Journal: Int Arch Occup Environ Health Date: 2005-07-06 Impact factor: 3.015
Authors: Lawrence J Appel; Sonia Y Angell; Laura K Cobb; Heather M Limper; David E Nelson; Jonathan M Samet; Ross C Brownson Journal: Ann Epidemiol Date: 2012-06 Impact factor: 3.797
Authors: Christopher J L Murray; Jeremy A Lauer; Raymond C W Hutubessy; Louis Niessen; Niels Tomijima; Anthony Rodgers; Carlene M M Lawes; David B Evans Journal: Lancet Date: 2003-03-01 Impact factor: 79.321
Authors: Crystal M Smith-Spangler; Jessie L Juusola; Eva A Enns; Douglas K Owens; Alan M Garber Journal: Ann Intern Med Date: 2010-03-01 Impact factor: 25.391
Authors: Karl M F Emmert-Fees; Florian M Karl; Peter von Philipsborn; Eva A Rehfuess; Michael Laxy Journal: Adv Nutr Date: 2021-10-01 Impact factor: 8.701
Authors: Lirije Hyseni; Alex Elliot-Green; Ffion Lloyd-Williams; Chris Kypridemos; Martin O'Flaherty; Rory McGill; Lois Orton; Helen Bromley; Francesco P Cappuccio; Simon Capewell Journal: PLoS One Date: 2017-05-18 Impact factor: 3.240