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  • 标题:Improved estimation of the health and economic burden of chronic disease risk factors in Manitoba
  • 本地全文:下载
  • 作者:H. Krueger ; D. Williams ; A. E. Ready
  • 期刊名称:Maladies Chroniques et Blessures au Canada
  • 印刷版ISSN:1925-6531
  • 电子版ISSN:1925-654X
  • 出版年度:2013
  • 卷号:33
  • 期号:4
  • 出版社:Agence de la Santé Publique du Canada
  • 摘要:

    Introduction: There are analytic challenges involved with estimating the aggregate burden of multiple risk factors ( RF s) in a population. We describe a methodology to account for overlapping RF s 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 RF s 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 RF s in some individuals in the population.

    Conclusion: An improved estimate of the aggregate economic burden of multiple RF s in a given population can assist in prioritizing and gaining support for primary prevention initiatives.

  • 关键词:population attributable fraction; risk factors; obesity; physical inactivity; tobacco smoking; chronic disease
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