Martin Bradley C, Church Timothy S, Bonnell Ron, Ben-Joseph Rami, Borgstadt Ted
Division of Pharmaceutical Evaluation and Policy, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
J Occup Environ Med. 2009 Feb;51(2):180-4. doi: 10.1097/JOM.0b013e3181965d6e.
The primary goal of the study was to quantify health care costs of truckers across categories of normal weight, overweight, and obese.
Health care claims data from a transportation logistics company were obtained from 2004 to 2005 and were merged with body mass index measures. A robust multivariate ordinary least squares regression model was used to adjust for demographic and occupational variables.
Two thousand eight hundred forty-nine truckers had a mean annual total health care cost of $1785. Unadjusted trimmed total cost for overweight subjects ($1613) and obese subjects ($1792) were significantly higher than for normal weight subjects ($1012; P < 0.05). After multivariate adjustment, obese and overweight subjects had on average, $591 (P = 0.031) and $383 (P = 0.188) higher total trimmed health care cost than normal weight subjects.
Both overweight and obese individuals had higher health care costs and higher prevalence of hyperlipidemia, diabetes, and hypertension than their normal weight counterparts.
本研究的主要目标是量化正常体重、超重和肥胖各类别卡车司机的医疗保健成本。
获取了一家运输物流公司2004年至2005年的医疗保健理赔数据，并与体重指数测量值合并。使用稳健的多元普通最小二乘回归模型对人口统计学和职业变量进行调整。
2849名卡车司机的年平均医疗保健总成本为1785美元。超重受试者（1613美元）和肥胖受试者（1792美元）未经调整的缩减总成本显著高于正常体重受试者（1012美元；P<0.05）。经过多变量调整后，肥胖和超重受试者的缩减医疗保健总成本平均分别比正常体重受试者高591美元（P = 0.031）和383美元（P = 0.188）。
超重和肥胖个体的医疗保健成本均高于正常体重个体，且高脂血症、糖尿病和高血压的患病率也更高。
