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Breitfelder, A. ; Wenig, C.M. ; Wolfenstetter, S.B. ; Rzehak, P. ; Menn, P. ; John, J. ; Leidl, R. ; Bauer, C.P.* ; Koletzko, S.* ; Roder, S.* ; Herbarth, O.* ; von Berg, A.* ; Berdel, D.* ; Krämer, U.* ; Schaaf, B.* ; Wichmann, H.-E. ; Heinrich, J. ; GINIplus Study Group (Wichmann, H.-E. ; Heinrich, J.) ; LISAplus Study Group (Behrendt, H. ; Grosch, J.)

Relative weight-related costs of healthcare use by children - results from the two German birth cohorts, GINI-plus and LISA-plus.

Econ. Hum. Biol. 9, 302-315 (2011)
DOI PMC
Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
Obesity among children and adolescents is a growing public health burden. According to a national reference among German children and adolescents aged 3-17 years, 15% are overweight (including obese) and 6.3% are obese. This study aims to assess the economic burden associated with overweight and obesity in children based on a cross-sectional survey from two birth cohort studies: the GINI-plus - German Infant Nutritional Intervention plus Non-Intervention study (3287 respondents aged 9 to <12 years) and the LISA-plus study - Influence of life-style factors on the development of the immune system and allergies in East and West Germany (1762 respondents aged 9 to <12 years). Using a bottom-up approach, we analyse direct costs induced by the utilisation of healthcare services and indirect costs emerging from parents' productivity losses. To investigate the impact of Body Mass Index (BMI) on costs, we perform various descriptive analyses and estimate a two-part regression model. Average annual total direct medical costs of healthcare use are estimated to be €418 (95% CI [346-511]) per child, split between physician (22%), therapist (29%), hospital (41%) and inpatient rehabilitation costs (8%). Bivariate analysis shows considerable differences between BMI groups: €469 (severely underweight), €468 (underweight), €402 (normal weight), €468 (overweight) and €680 (obese). Indirect costs make up €101 per year on average and tend to be higher for obese children, although this was not statistically significant. Drawing on these results, differences in healthcare costs between BMI groups are already apparent in children.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Obesity; Overweight; Children; Cost-of-illness; Healthcare utilisation
Sprache
Veröffentlichungsjahr 2011
HGF-Berichtsjahr 2011
ISSN (print) / ISBN 1570-677X
e-ISSN 1873-6130
Zeitschrift Economics and Human Biology
Quellenangaben Band: 9, Heft: 3, Seiten: 302-315 Artikelnummer: , Supplement: ,
Verlag Elsevier
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Health Economics and Health Care Management (IGM)
Institute of Epidemiology (EPI)
Institute of Lung Health and Immunity (LHI)
POF Topic(s) 30202 - Environmental Health
30503 - Chronic Diseases of the Lung and Allergies
Forschungsfeld(er) Genetics and Epidemiology
PSP-Element(e) G-505300-001
G-503900-001
G-521200-001
FE 73991
PubMed ID 21371953
DOI 10.1016/j.ehb.2011.02.001
Scopus ID 79958121183
Erfassungsdatum 2011-05-06
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