Fox P, Gazzaniga J, Karter A, Max W
J Public Health Policy. 1996;17(4):442-59.
This study estimates costs of lost productivity in California due to cardiovascular disease (CVD) mortality. Death records were used to calculate mortality losses including the number of deaths due to CVD, Years of Potential Life Lost (YPLL), and the value of productivity losses. In 1991 there was $5.3 billion in lost productivity due to mortality caused by diseases of the heart and over one billion dollars in lost productivity due to cerebrovascular disease mortality. Racial/ethnic differences in YPLL are pronounced, which likely reflect the long-standing inverse association between CVD mortality and socioeconomic status that has been documented in a variety of populations worldwide. While it is important to effectively retain or develop low risk behaviors in populations, it is equally important to reduce barriers engendered by social, economic, and political patterns that inhibit the compression of CVD morbidity and mortality.
本研究估算了加利福尼亚州因心血管疾病（CVD）死亡导致的生产力损失成本。死亡记录用于计算死亡率损失，包括因CVD导致的死亡人数、潜在寿命损失年数（YPLL）以及生产力损失的价值。1991年，因心脏病导致的死亡造成了53亿美元的生产力损失，因脑血管疾病死亡导致的生产力损失超过10亿美元。YPLL在种族/族裔方面存在显著差异，这可能反映了全球各种人群中记录的CVD死亡率与社会经济地位之间长期存在的反向关联。虽然在人群中有效保持或培养低风险行为很重要，但减少社会、经济和政治模式造成的阻碍同样重要，这些阻碍抑制了CVD发病率和死亡率的压缩。
