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首页> 外文期刊>ClinicoEconomics and Outcomes Research >Health status, hospitalizations, day procedures, and physician costs associated with body mass index (BMI) levels in Ontario, Canada
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Health status, hospitalizations, day procedures, and physician costs associated with body mass index (BMI) levels in Ontario, Canada

机译:加拿大安大略省的健康状况,住院,日间护理程序以及与体重指数(BMI)水平相关的医师费用

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Background: Obesity is today’s principal neglected public health problem, as a rising proportion of adults will succumb to the medical complications of obesity. However, little is known about the burden of obesity in adults living in Ontario. Objectives: To present an overview of the human and economic burden associated with BMI categories in Ontario, Canada, in terms of socio-demographics, comorbidities, health-related quality of life (HRQoL) and costs associated with hospitalization, same day procedures and physician visits. Methods: The records of all Ontarians who participated in the Canadian Community Health Survey (CCHS), cycle 1.1 and provided consent to data linkage were linked to three administrative databases. Socio-demographic variables, medical characteristics, HRQoL, one year hospitalization, day procedure and physician costs were described per BMI category. Regression analyses were conducted to identify predictors of medical characteristics, HRQoL and costs. Results: More than 50% of adult participants were either overweight or obese in 2000/2001. Obese adults, and to a lesser extent overweight adults, were more likely to report physician-diagnosed comorbid conditions, to use medications, and to have a lower HRQoL. After covariate adjustment, the hospitalization and physician costs were respectively 40% and 22% higher among obese and overweight adults than among normal-weight adults. No statistical cost differences were observed between normal and underweight individuals or between normal and overweight individuals. HRQoL was significantly lower in underweight and obese adults when compared to normal-weight individuals. Conclusions: Due to the large human and economic burden associated with under- or excess-weight, policies promoting healthy weight should remain a priority for governments and employers.
机译:背景:肥胖症是当今人们最常被忽视的公共卫生问题,因为越来越多的成年人会死于肥胖症的医学并发症。但是,对于居住在安大略省的成年人的肥胖负担知之甚少。目标:从社会人口统计学,合并症,与健康相关的生活质量(HRQoL)以及与住院,当日程序和医师相关的费用等方面,概述加拿大安大略省与BMI类别相关的人力和经济负担访问。方法:将参加加拿大社区健康调查(CCHS),第1.1周期并表示同意数据链接的所有安大略人的记录链接到三个管理数据库。每个BMI类别均描述了社会人口统计学变量,医学特征,HRQoL,一年住院,日间手术和医生费用。进行回归分析,以确定医学特征,HRQoL和费用的预测因素。结果:在2000/2001年,超过50%的成人参与者超重或肥胖。肥胖成年人和超重成年人(较轻程度)更有可能报告医生诊断的合并症,使用药物并降低HRQoL。经过协变量调整后,肥胖和超重成年人的住院和医师费用分别比正常体重成年人高40%和22%。正常人与体重不足者之间或正常人与超重个体之间没有观察到统计学上的成本差异。与正常体重的人相比,体重过轻和肥胖的成年人的HRQoL明显较低。结论:由于体重过轻或过重会给人类和经济带来沉重负担,因此,促进健康体重的政策仍应是政府和雇主的优先考虑事项。

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