安大略省的肥胖、吸烟与医生服务费用
Obesity, cigarette smoking and the cost of physicians' services in Ontario.
作者信息
Finkelstein M M
机构信息
Family Medicine Centre, Suite 413, Mt Sinai Hospital, Toronto, ON M5G 1X5.
出版信息
Can J Public Health. 2001 Nov-Dec;92(6):437-40. doi: 10.1007/BF03404535.
BACKGROUND
This report uses population-based individual-level data to compute direct estimates of the costs of physicians' services in Ontario in relation to Body Mass Index (BMI) and smoking.
METHODS
Subjects were 2,170 respondents to the National Population Health Survey who approved linkage to the Ontario Health Insurance Plan.
RESULTS
The mean per capita cost of physicians' services in Ontario increased by $8.90 (95% CI: $1.90-$15.60) for each unit increase in BMI and by $1.75 (95% CI: $0.11-$3.40) for every year of daily smoking. The annual attributable cost of smoking and overweight among residents of Ontario, aged 40-79, was estimated at $275,000,000.
CONCLUSIONS
Overweight and smoking are responsible for large costs to the health care system. The cost of public health initiatives could be easily recovered if they were successful in making only moderate changes to the levels of smoking and body weight in the population.
背景
本报告使用基于人群的个体层面数据，来计算安大略省医生服务费用与体重指数（BMI）及吸烟之间的直接估计值。
方法
研究对象为2170名参与全国人口健康调查且同意与安大略省医疗保险计划进行数据关联的受访者。
结果
在安大略省，BMI每增加一个单位，医生服务的人均费用平均增加8.90加元（95%置信区间：1.90 - 15.60加元）；每日吸烟，每增加一年，医生服务的人均费用平均增加1.75加元（95%置信区间：0.11 - 3.40加元）。安大略省40至79岁居民中，吸烟和超重每年造成的可归因成本估计为2.75亿加元。
结论
超重和吸烟给医疗保健系统带来了巨大成本。如果公共卫生举措仅能成功适度改变人群中的吸烟和体重水平，那么其成本很容易得到弥补。
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