在中国,由于体重异常而导致的医疗费用:基于纵向研究的证据
Shiqi Zhao1, Xinpeng Xu2,3, Hua You4,5
1Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing, 211166, Jiangsu, P.R. China.
BMC public health
|October 5, 2023
概括
异常体重在中国显著增加了医疗保健成本,特别是非住院服务. 解决异常体重问题对于减少个人和社会的经济负担至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 异常体重的流行率不断上升,给健康和社会经济带来了重大挑战.
- 关于通过减轻异常体重可以节省医疗成本的研究有限.
- 本研究通过估计异常体重对中国医疗保健成本的影响来弥补这一差距.
研究的目的:
- 估计异常体重对中国医疗保健支出的经济影响.
- 量化与超重,肥胖和体重不足人口相关的医疗保健成本.
- 确定医疗保健费用的可归因于异常体重状况的部分.
主要方法:
- 利用了2012-2018年中国家庭小组研究 (CFPS) 的4波面板数据.
- 采用两部分模型来分析异常体重 (按BMI分类) 对医疗保健利用率和成本的影响.
- 计算的超重/肥胖归因分数 (OAF) 和低重归因分数 (UAF) 用于成本估计.
主要成果:
- 2018年,每人医疗费用为607.51美元 (超重),639.28美元 (肥胖) 和755.55美元 (体重不足).
- 超重/肥胖与更高的医疗保健利用率相关 (OR=1.067,p<0.05).
- 超重/肥胖占总费用的3.90%,非住院费用的4.31%,对中年和老年人影响更大.
结论:
- 异常体重显著增加了中国成年人的医疗保健利用率和成本,特别是在非住院服务方面.
- 异常体重的经济负担影响个人,家庭和社会.
- 建议包括创造支持性的社会环境,以促进健康的体重管理.
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