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Improved estimation of the health and economic burden of chronic disease risk factors in Manitoba

机译:改进对曼尼托巴省慢性病危险因素的健康和经济负担的估算

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Introduction: There are analytic challenges involved with estimating the aggregate burden of multiple risk factors (RFs) in a population. We describe a methodology to account for overlapping RFs in some sub-populations, a phenomenon that leads to ''double-counting'' the diseases and economic burden generated by those factors. Methods: Our method uses an efficient approach to accurately analyze the aggregate economic burden of chronic disease across a multifactorial system. In addition, it involves considering the effect of body weight as a continuous or polytomous exposure that ranges from no excess weight through overweight to obesity. We then apply this method to smoking, physical inactivity and overweight/obesity in Manitoba, a province of Canada. Results: The annual aggregate economic burden of the RFs in Manitoba in 2008 is about $1.6 billion ($557 million for smoking, $299 million for physical inactivity and $747 million for overweight/obesity). The total burden represents a 12.6% downward adjustment to account for the effect of multiple RFs in some individuals in the population. Conclusion: An improved estimate of the aggregate economic burden of multiple RFs in a given population can assist in prioritizing and gaining support for primary prevention initiatives.
机译:简介:估计人群中多种风险因素(RF)的总负担涉及分析难题。我们描述了一种方法,以解释某些子群体中重叠的RF,这种现象导致“双重计算”由这些因素产生的疾病和经济负担。方法:我们的方法使用一种有效的方法来准确地分析整个多因素系统中慢性病的总经济负担。另外,它涉及将体重的影响视为连续或多接触,范围从无多余体重到超重再到肥胖。然后,我们将此方法应用于加拿大曼尼托巴省的吸烟,缺乏运动和超重/肥胖症。结果:2008年,马尼托巴省RF的年度总经济负担约为16亿美元(吸烟为5.57亿美元,缺乏运动为2.99亿美元,超重/肥胖为7.47亿美元)。总负担表示向下调整了12.6%,以说明人口中某些个体受到多个RF的影响。结论:对给定人群中多个RF的总体经济负担进行更好的估计,可以帮助确定优先次序并获得对一级预防措施的支持。

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