Frezza Eldo E, Wachtel Mitchell S, Ewing Bradley T
Department of Surgery, Division of General Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas 79415, USA.
Surg Obes Relat Dis. 2006 Sep-Oct;2(5):504-8. doi: 10.1016/j.soard.2006.08.003.
Obesity's impact on a state's economy has not been fully analyzed. This study compared bariatric surgery demographics at a large university hospital to that of a broader region's population statistics. From this comparison, an economic model was derived that evaluated, for the state of New Mexico, the cost of obesity in terms of lost business output, employment, and income.
Between September 2003 and September 2005, we analyzed the charts of all of our patients from New Mexico who underwent laparoscopic gastric bypass and laparoscopic banding. Input-output analysis estimate margins, the purchase prices for goods and services, and regional purchase coefficients, the percent of spending by local suppliers, were used to model the regional economy. Collected patient data, used in conjunction with IMPLAN model data, were used to estimate, on a regional basis, an industry-by-industry formulation of input-output accounts to calculate multipliers in order to assess the impact of economic costs of the obese on the general economy.
Total labor income impacts are nearly 200 million dollars, 1,660 dollars of output income per household and 245 dollars of labor income per household. Obesity cost New Mexico more than 7,300 jobs and cut state and local tax revenues by more than 48 million dollars.
Obesity's impact of more than 1.3 billion dollars amounts to 2.5% of New Mexico's gross state product. Governmental measures to combat this menace are warranted.
肥胖对一个州经济的影响尚未得到充分分析。本研究将一家大型大学医院的减肥手术人口统计学数据与更广泛地区的人口统计数据进行了比较。通过这一比较,得出了一个经济模型,该模型针对新墨西哥州,从商业产出损失、就业和收入方面评估了肥胖的成本。
在2003年9月至2005年9月期间,我们分析了所有来自新墨西哥州接受腹腔镜胃旁路手术和腹腔镜束带手术患者的病历。投入产出分析估算利润、商品和服务的购买价格以及区域购买系数(当地供应商支出的百分比),用于模拟区域经济。收集的患者数据与IMPLAN模型数据结合使用,用于在区域基础上按行业制定投入产出账户,以计算乘数,从而评估肥胖的经济成本对总体经济的影响。
总劳动收入影响近2亿美元,每户产出收入1660美元,每户劳动收入245美元。肥胖使新墨西哥州损失了超过7300个工作岗位,州和地方税收减少了超过4800万美元。
肥胖造成的超过13亿美元的影响相当于新墨西哥州国内生产总值的2.5%。采取政府措施应对这一威胁是必要的。