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Estimating the social cost of respiratory cancer cases attributable to occupational exposures in France

The European Journal of Health Economics volume 15, pages 661–673 (2014)Cite this article

Abstract

Purpose

The objective of this article was to estimate the social cost of respiratory cancer cases attributable to occupational risk factors in France in 2010.

Methods

According to the attributable fraction method and based on available epidemiological data from the literature, we estimated the number of respiratory cancer cases due to each identified risk factor. We used the cost-of-illness method with a prevalence-based approach. We took into account the direct and indirect costs. We estimated the cost of production losses due to morbidity (absenteeism and presenteeism) and mortality costs (years of production losses) in the market and nonmarket spheres.

Results

The social cost of lung, larynx, sinonasal and mesothelioma cancer caused by exposure to asbestos, chromium, diesel engine exhaust, paint, crystalline silica, wood and leather dust in France in 2010 were estimated at between 917 and 2,181 million euros. Between 795 and 2,011 million euros (87–92 %) of total costs were due to lung cancer alone. Asbestos was by far the risk factor representing the greatest cost to French society in 2010 at between 531 and 1,538 million euros (58–71 %), ahead of diesel engine exhaust, representing an estimated social cost of between 233 and 336 million euros, and crystalline silica (119–229 million euros). Indirect costs represented about 66 % of total costs.

Conclusion

Our assessment shows the magnitude of the economic impact of occupational respiratory cancers. It allows comparisons between countries and provides valuable information for policy-makers responsible for defining public health priorities.

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Acknowledgments

We express our gratitude to the Institut national du cancer (INCA) and the Conseil régional de Bourgogne for financing the thesis of Hassan Serrier on which this study is largely based.

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Affiliations

  1. Laboratoire d’Économie et Gestion, Pôle Économie Gestion, Université de Bourgogne, 2 boulevard Gabriel, BP 26611, 21066, Dijon Cedex, France

    Hassan Serrier, Hélène Sultan-Taieb & Sophie Bejean

  2. Département organisation et ressources humaines, Centre de recherche interdisciplinaire sur la biologie, la santé, la société et l’environnement (CINBIOSE), École des sciences de la gestion, Université du Québec à Montréal (UQAM), 315, rue Sainte-Catherine Est, Montréal, Québec, H2X 3X2, Canada

    Hélène Sultan-Taieb

  3. Faculté de Médecine, Institut de Recherche en Santé, Environnement et Travail (INSERM U1085), Campus de Fouillole, BP 145, 97154, Pointe-à-Pitre, Guadeloupe, France

    Danièle Luce

  4. Centre de Recherche en Épidémiologie et Santé des Populations (INSERM U1018), Hôpital Paul Brousse, Bât. Inserm 15/16, 16 Avenue Paul Vaillant-Couturier, 94807, Villejuif Cedex, France

    Danièle Luce

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  1. Hassan Serrier
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  2. Hélène Sultan-Taieb
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  3. Danièle Luce
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  4. Sophie Bejean
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Correspondence to Hassan Serrier.

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Serrier, H., Sultan-Taieb, H., Luce, D. et al. Estimating the social cost of respiratory cancer cases attributable to occupational exposures in France. Eur J Health Econ 15, 661–673 (2014). https://doi.org/10.1007/s10198-013-0528-6

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  • DOI: https://doi.org/10.1007/s10198-013-0528-6

Keywords

  • Cost
  • Occupational health
  • Respiratory tract neoplasms
  • Asbestos
  • Cost of illness

JEL Classification

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  • H51
  • H55
  • I18
  • J24
  • J28
  • J32