Jiang Ning, Yu Hongjun, An Ruopeng
School of Economics and Resource Management, Beijing Normal University, Beijing, China.
Department of Physical Education, Tsinghua University, Beijing, China.
Australas J Ageing. 2017 Sep;36(3):E21-E27. doi: 10.1111/ajag.12453. Epub 2017 Aug 11.
This study examined the impact of overweight and obesity on health-care expenditure among university retirees in Beijing, China.
Annual health surveys of retirees were conducted at Tsinghua University during 2011-2016. Individual random-effect regressions were performed to estimate incremental health-care expenditures attributable to overweight/obesity, adjusting for various individual characteristics.
Compared to their normal-weight counterparts, obesity was associated with an increase in annual out-of-pocket expenditure on outpatient care by 27%, inpatient care 19% and medication 15%, and an increase in annual total out-of-pocket health-care expenditure by 33%. Overweight was associated with an increase in annual out-of-pocket expenditure on inpatient care by 13%, and an increase in annual total out-of-pocket health-care expenditure by 13%. The impact of obesity on health-care expenditure was statistically significant among men but not women.
Overweight, and obesity in particular, was associated with substantial increases in out-of-pocket health-care expenditures among Chinese older adults.
本研究探讨超重和肥胖对中国北京高校退休人员医疗保健支出的影响。
2011年至2016年期间，在清华大学对退休人员进行年度健康调查。进行个体随机效应回归，以估计超重/肥胖导致的医疗保健支出增量，并对各种个体特征进行调整。
与体重正常的退休人员相比，肥胖与门诊医疗年度自付费用增加27%、住院医疗增加19%、药物费用增加15%相关，年度自付医疗保健总支出增加33%。超重与住院医疗年度自付费用增加13%、年度自付医疗保健总支出增加13%相关。肥胖对医疗保健支出的影响在男性中具有统计学意义，在女性中则不然。
超重，尤其是肥胖与中国老年人自付医疗保健支出的大幅增加相关。
