The value of a statistical life in Mexico

Lima, Marcelo de

doi:10.1080/21606544.2019.1617196

Cited by 10 publications

(5 citation statements)

References 48 publications

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“…Also, the results showed that scaling up the SBIRT program in Mexico would have resulted in up to 16,000 avoided alcohol‐attributable deaths over the course of 10 years (scenario 5), translated into an investment ranging between Int$14,000 and Int$26,000 per delayed death. These values are substantially below the value of statistical life in Mexico (i.e., willingness to pay for reducing the statistical incidence of one premature death in a society) estimated in a recent study by De Lima at Int$210,880 [34].…”

Section: Discussionmentioning

confidence: 80%

Improving alcohol management in primary health care in Mexico: A return‐on‐investment analysis

Solovei

Rovira

Anderson

et al. 2023

Drug and Alcohol Review

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Introduction: Alcohol screening, brief advice and referral to treatment (SBIRT) in primary health care is an effective strategy to decrease alcohol consumption at population level. However, there is relatively scarce evidence regarding its economic returns in non-high-income countries. The current paper aims to estimate the return-on-investment of implementing a SBIRT program in Mexican primary health-care settings.Methods: Empirical data was collected in a quasi-experimental study, from 17 primary health-care centres in Mexico City regarding alcohol screening delivered by 145 health-care providers. This data was combined with data from a simulation study for a period of 10 years (2008 to 2017). Economic investments were calculated from a public sector health-care perspective as clinical consultation costs (salary and material costs) and program costs (set-up, adaptation, implementation strategies). Economic return was calculated as monetary gains in the public sector health-care, estimated via simulated reductions in alcohol consumption, dependent on population coverage of alcohol interventions delivered to primary health-care patients.Results: Results showed that scaling up a SBIRT program in Mexico over a 10-year period would lead to positive return-on-investment values ranging between 21% in scenario 4 (confidence interval À8.6%, 79.5%) and 110% in scenario 5 (confidence interval 51.5%, 239.8%). Moreover, over the 10-year period, up to 16,000 alcoholrelated deaths could be avoided as a result of implementing the program.Discussion and Conclusions: SBIRT implemented at national level in Mexico may lead to substantial financial gains from a public sector health-care perspective.

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Section: Discussionmentioning

confidence: 80%

Improving alcohol management in primary health care in Mexico: A return‐on‐investment analysis

Solovei

Rovira

Anderson

et al. 2023

Drug and Alcohol Review

View full text Add to dashboard Cite

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“…Finally, the PAF from each scenario was multiplied with the corresponding expected number of premature deaths in the population to obtain the number of attributable premature deaths. For the economic assessment, the value of statistical life was used to estimate the economic impacts of preventing deaths in each scenario, using the value of statistical life reported for Mexico (US $210,880) [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

Health Impacts of Urban Bicycling in Mexico

Rojas-Rueda

2021

IJERPH

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Background: Quantify the health impacts of Mexico urban bicycling scenarios. Methodology: Quantitative Health Impact Assessment, estimating health risks and benefits of bicycling scenarios in 51,718,756 adult urban inhabitants in Mexico (between 20 and 64 years old). Five bike scenarios were created based on current bike trends in Mexico. The number of premature deaths (increased or reduced) was estimated in relation to physical activity, road traffic fatalities, and air pollution. Input data were collected from national publicly available data sources from transport, environment, health and population reports, and surveys, in addition to scientific literature. Results: We estimated that nine premature deaths are prevented each year among urban populations in Mexico on the current car-bike substitution and trip levels (1% of bike trips), with an annual health economic benefit of US $1,897,920. If Mexico achieves similar trip levels to those reported in The Netherlands (27% of bike trips), 217 premature deaths could be saved annually, with an economic impact of US $45,760,960. In all bicycling scenarios assessed in Mexico, physical activity’s health benefits outweighed the health risks related to traffic fatalities and air pollution exposure. Conclusion: The study found that bicycling promotion in Mexico would provide important health benefits. The benefits of physical activity outweigh the risk from traffic fatalities and air pollution exposure in bicyclists. At the national level, Mexico could consider using sustainable transport policies as a tool to promote public health. Specifically, the support of active transportation through bicycling and urban design improvements could encourage physical activity and its health co-benefits.

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“…We multiplied VSL values by the number of avoidable deaths, which is required to better understand the money cost of the number of deaths by total and cardiovascular mortality. The VSL estimator compares, under a common unit of value, the cost and the benefits of introducing public policy aiming to reduce mortality rates due to air pollution [64]. Although VSL is debatable for ascribing monetary value to human life, this approach quantifies life for statistical and resource allocation purposes, allowing to explain the cost of death.…”

Section: Hia and The European Aphekom Projectmentioning

confidence: 99%

An Economic Analysis of the Environmental Impact of PM2.5 Exposure on Health Status in Three Northwestern Mexican Cities

et al. 2021

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Introduction: This study provides an economic assessment of the health effects due to exposure to particulate matter PM2.5 in three medium-size cities of northwestern Mexico: Los Mochis, Culiacan and Mazatlán. People in these cities are exposed to high pollutant concentrations that exceed limits suggested in domestic and international guidelines. PM2.5 is an air contaminant negatively associated with people’s health when is highly concentrated in the atmosphere; its diameter is below 2.5 µm and causes the air to appear hazy when levels are elevated. To account for the economic impact of air pollution, a Health Impact Assessment (HIA) was used by the means of the European Aphekom Project. We figured the cost-savings of complying with current environmental standards and computed gains in life expectancy, total avoidable premature mortality, preventable cardiovascular disease, and the economic costs of air pollution related to PM2.5. A formal analysis of air pollution epidemiology is not pursued in this paper. Results: The cost of reducing PM2.5 pollution associated with negative health outcomes was based on two different scenarios: Official Mexican Standard (NOM, Spanish acronym) and World Health Organization (WHO) environmental standards. The mean PM2.5 concentrations in 2017 were 22.8, 22.4 and 14.1 µg/m3 for Los Mochis, Mazatlán and Culiacan, respectively. Conclusions: The mean avoidable mortality for all causes associated to PM2.5 exposure in these cities was 638 for the NOM scenario (i.e., with a reduction to 12 µg/m3) compared to 739 for the WHO scenario (reduction to 10 µg/m3). Complying with the WHO guideline of 10 µg/m3 in annual PM2.5 mean would add up to 15 months of life expectancy at age 30, depending on the city. The mean economic cost per year of the PM2.5 effects on human life in these three cities was USD 600 million (NOM scenario) and USD 695 million (WHO scenario). Thus, effective public health and industrial policy interventions to improve air quality are socially advantageous and cost-saving to promote better health.

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The value of a statistical life in Mexico

Cited by 10 publications

References 48 publications

Improving alcohol management in primary health care in Mexico: A return‐on‐investment analysis

Improving alcohol management in primary health care in Mexico: A return‐on‐investment analysis

Health Impacts of Urban Bicycling in Mexico

An Economic Analysis of the Environmental Impact of PM2.5 Exposure on Health Status in Three Northwestern Mexican Cities

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