The cost of obesity and related NCDs in Brazil: An analysis of hospital admissions, disability retirement benefits, and statutory sick pay

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2024-10-18 DOI:10.1016/j.puhe.2024.10.006

Eduardo Botti Abbade

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引用次数: 0

Abstract

Objectives

This study analyses the prevalence of overweight/obesity in Brazil, and its costs regarding hospital admissions (HA), disability retirement benefits (DRB), and statutory sick pay (SSP) associated with obesity-related non-communicable diseases (NCDs).

Study design

Time-series study.

Methods

This study analyses data from the VIGITEL system (2010–2019) to calculate the body-mass index (BMI) of adult residents in Brazil's state capitals. Data on HA, DRB, and SSP were obtained from Brazil's SIH/SUS and AEPS Infologo systems. Pearson's correlation and linear regression models were applied. The study selected 23 diseases of the International Classification of Disease (ICDs) belonging to chapters C; E; I; and K. Cost values in BRL were deflated using IPCA.

Results

The results showed a significant increase in overweight and obesity rates in Brazil, with BMI rising by 0.09 kg/m² annually. Regression analysis revealed that each 1-point increase in the average BMI of the population is associated with an increase of 81,772 (BRL 237.51 million/year) new HA per year, 5541 (BRL 18.8 million/year) new DRB granted per year, and 42,360 (BRL 131 million/year) new SSP per year. Also, every 1 % increase in the share of the Brazilian population with obesity is associated with an increase of 16,973 (BRL 48.8 million/year) new HA per year, 1202 (BRL 3.97 million/year) new DRB granted per year, and 8686 (BRL 26.8 million/year) new SSP per year. Regressions for deflated values showed lower significance, suggesting a strong impact of inflation on health costs in Brazil.

Conclusions

Obesity prevalence in Brazil implies high direct and indirect costs for the Brazilian government, especially considering circulatory system diseases.

查看原文本刊更多论文

巴西肥胖症及相关非传染性疾病的成本：对入院人数、伤残退休福利和法定病假工资的分析。

研究目的本研究分析了巴西超重/肥胖的流行率，以及与肥胖相关的非传染性疾病（NCDs）在入院治疗（HA）、伤残退休福利（DRB）和法定病假工资（SSP）方面的成本：研究设计：时间序列研究：本研究分析了 VIGITEL 系统（2010-2019 年）的数据，以计算巴西各州首府成年居民的体重指数 (BMI)。关于HA、DRB和SSP的数据来自巴西的SIH/SUS和AEPS Infologo系统。研究采用了皮尔逊相关模型和线性回归模型。研究选择了《国际疾病分类》（ICD）中属于 C、E、I 和 K 章的 23 种疾病：结果显示，巴西的超重和肥胖率明显上升，体重指数（BMI）每年上升 0.09 kg/m2。回归分析表明，人口平均体重指数每增加 1 个百分点，每年就会增加 81,772 例（2.3751 亿巴西雷亚尔/年）新的 HA、5541 例（1,880 万巴西雷亚尔/年）新的 DRB 和 42,360 例（1.31 亿巴西雷亚尔/年）新的 SSP。此外，巴西肥胖人口比例每增加 1%，每年就会增加 16973 个（4880 万巴西雷亚尔/年）新的医管局、1202 个（397 万巴西雷亚尔/年）新的 DRB 和 8686 个（2680 万巴西雷亚尔/年）新的 SSP。对缩减值的回归显示出较低的显著性，这表明通货膨胀对巴西的医疗成本有很大影响：巴西肥胖症的流行意味着巴西政府要付出高昂的直接和间接成本，特别是考虑到循环系统疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.