Alternative BAU: Constant tobacco prevalence

We now consider the case where the prevalence of tobacco use in each cohort remains constant over time — in other words, the cessation rate is zero. As per the previous tutorial, the purpose here is to highlight how our assumptions about the BAU scenario can affect the predicted impact of an intervention.

The only change that we need to make to the simulation definition is:

  • Set the remission rate to zero.

This is done by adding the following configuration option:

configuration:
    tobacco:
        constant_prevalence: True

These simulations are already defined in the following files:

  • Tobacco eradication:

    • mslt_tobacco_maori_20-years_constant_erad.yaml

    • mslt_tobacco_non-maori_20-years_constant_erad.yaml

  • Tobacco tax:

    • mslt_tobacco_maori_20-years_constant_tax.yaml

    • mslt_tobacco_non-maori_20-years_constant_tax.yaml

  • Tobacco-free generation:

    • mslt_tobacco_maori_20-years_constant_tfg.yaml

    • mslt_tobacco_non-maori_20-years_constant_tfg.yaml

Intervention comparison

If you run all of these simulations, you can then compare their effects (and how these differ to those obtained with the original BAU scenario), using the data analysis software of your choice.

As an example, here are some of the results obtained for non-Maori males aged 50-54 in 2011, for the tobacco eradication intervention:

Results for the tobacco eradication intervention, which yields gains in LYs, HALYs, ACMR, and YLDR.

Year of birth

Sex

Age

Year

Survivors

BAU Survivors

Population

BAU Population

ACMR

BAU ACMR

Probability of death

BAU Probability of death

Deaths

BAU Deaths

YLD rate

BAU YLD rate

Person years

BAU Person years

HALYs

BAU HALYs

LE

BAU LE

HALE

BAU HALE

1959

male

52

2011

129,460.4

129,460.4

129,850.0

129,850.0

0.003

0.003

0.003

0.003

389.6

389.6

0.1122

0.1122

129,655.2

129,655.2

115,103.4

115,103.4

33.7

33.1

26.6

26.0

1959

male

53

2012

129,047.3

129,047.0

129,460.4

129,460.4

0.0032

0.0032

0.0032

0.0032

413.2

413.5

0.1122

0.1122

129,253.9

129,253.7

114,750.0

114,746.9

32.8

32.2

25.7

25.2

1959

male

54

2013

128,608.8

128,607.5

129,047.3

129,047.0

0.0034

0.0034

0.0034

0.0034

438.5

439.5

0.1122

0.1122

128,828.0

128,827.2

114,375.1

114,368.3

31.9

31.3

24.9

24.4

1959

male

108

2067

169.8

136.4

273.6

220.7

0.4767

0.4811

0.3792

0.3819

103.7

84.3

0.352

0.3578

221.7

178.6

143.7

114.7

1.6

1.6

1.1

1.0

1959

male

109

2068

105.4

84.3

169.8

136.4

0.477

0.4811

0.3793

0.3819

64.4

52.1

0.3523

0.3578

137.6

110.4

89.1

70.9

1.3

1.3

0.9

0.8

1959

male

110

2069

65.4

52.1

105.4

84.3

0.4774

0.4812

0.3796

0.382

40.0

32.2

0.3526

0.3578

85.4

68.2

55.3

43.8

0.8

0.8

0.5

0.5

Note that these results differ to those obtained with the original BAU scenario.