Learning Objectives: Understand the contents and application of the MCH-SAMMEC software and its use in designing a cost-effective strategy across sub-groups of women
Abstract: PROBLEM/OBJECTIVE- Maternal smoking during pregnancy results in an economic burden to society. Early estimates of national smoking-attributable health care costs related to maternal smoking ranged from $263 to $519 million. The current national estimate is $366 million. The purpose of this presentation is to analyze smoking-attributable neonatal expenditures generated by an Internet based software for population sub-groups using age and race.
METHODS- We use CDC’s Maternal and Child Health Smoking-Attributable Mortality, Morbidity and Economic Costs (MCH SAMMEC) software to derive estimates of smoking-attributable neonatal medical expenditures for older mothers compared to teenage mothers; African-American mothers compared to white mothers; and teenage white mothers compared to teenage African-American mothers.
RESULTS- Smoking prevalence varies from 14% for older mothers to 21% for teenage mothers. Across all age groups, smoking prevalence varies from 12% for African-American mothers to 15% for white mothers. Smoking prevalence varies from 11% for African-American teenage mothers to 25% for white teenage mothers. Smoking-attributable neonatal costs averaged $92 per birth for older mothers compared to $112 for teenage mothers. Smoking-attributable neonatal costs per birth for white mothers averaged $97 versus $123 for African-American mothers. For white teens, it is $141 per birth, versus $68 for African-American teens.
DISCUSSION- Smoking prevalence is higher among teenagers and has historically been lower among African-American groups. This translates into different smoking-attributable neonatal costs for each sub-group. State-specific estimates of smoking-attributable neonatal costs will be generated from the software. These data can help states design and tailor their cessation intervention programs.
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