caa a22 4500 606222278 CHVBK 20210128101132.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00038-014-0577-3 doi (NATIONALLICENCE)springer-10.1007/s00038-014-0577-3 Cost-effectiveness analysis of salt reduction policies to reduce coronary heart disease in Syria, 2010-2020 [Elektronische Daten] [Meredith Wilcox, Helen Mason, Fouad Fouad, Samer Rastam, Radwan Ali, Timothy Page, Simon Capewell, Martin O'Flaherty, Wasim Maziak] 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. Swiss School of Public Health, 2014 Cost-effectiveness nationallicence Salt reduction nationallicence Coronary heart disease nationallicence CHD nationallicence Syria nationallicence Eastern Mediterranean Region nationallicence EMR nationallicence Wilcox Meredith Department of Epidemiology, Florida International University, Miami, FL, USA aut Mason Helen Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK aut Fouad Fouad American University of Beirut, Beirut, Lebanon aut Rastam Samer Syrian Centre for Tobacco Studies, Aleppo, Syria aut Ali Radwan Syrian Centre for Tobacco Studies, Aleppo, Syria aut Page Timothy Department of Health Policy and Management, Florida International University, Miami, FL, USA aut Capewell Simon Department of Public Health and Policy, University of Liverpool, Liverpool, UK aut O'Flaherty Martin Department of Public Health and Policy, University of Liverpool, Liverpool, UK aut Maziak Wasim Department of Epidemiology, Florida International University, Miami, FL, USA aut International Journal of Public Health Springer Basel 60(2015-01-01), 23-30 1661-8556 60<23 2015 60 38 https://doi.org/10.1007/s00038-014-0577-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-014-0577-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wilcox Meredith Department of Epidemiology, Florida International University, Miami, FL, USA aut NATIONALLICENCE 700 1- Mason Helen Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK aut NATIONALLICENCE 700 1- Fouad Fouad American University of Beirut, Beirut, Lebanon aut NATIONALLICENCE 700 1- Rastam Samer Syrian Centre for Tobacco Studies, Aleppo, Syria aut NATIONALLICENCE 700 1- Ali Radwan Syrian Centre for Tobacco Studies, Aleppo, Syria aut NATIONALLICENCE 700 1- Page Timothy Department of Health Policy and Management, Florida International University, Miami, FL, USA aut NATIONALLICENCE 700 1- Capewell Simon Department of Public Health and Policy, University of Liverpool, Liverpool, UK aut NATIONALLICENCE 700 1- O'Flaherty Martin Department of Public Health and Policy, University of Liverpool, Liverpool, UK aut NATIONALLICENCE 700 1- Maziak Wasim Department of Epidemiology, Florida International University, Miami, FL, USA aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60(2015-01-01), 23-30 1661-8556 60<23 2015 60 38