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。

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

摘要

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。

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

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.

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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.