Income and Health Perceptions in an Economically Disadvantaged Community: A Qualitative Case Study from Central Florida

Pysmenna, Olga; Anderson, Kim

doi:10.1007/s42413-022-00177-3

Cited by 4 publications

(2 citation statements)

References 85 publications

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“…This suggests that more targeted studies on underweight people are warranted in future studies. Current relative economic inequality in the world impedes efforts to improve the nutrition of underweight individuals [ 47 , 48 ]. Relative economic inequalities in societies undermine nutrition in numerous ways, including public education, diet, physical activity, food systems, health infrastructure, etc.…”

Section: Discussionmentioning

confidence: 99%

Healthcare costs attributable to abnormal weight in China: evidence based on a longitudinal study

Zhao,

Xu,

You

et al. 2023

BMC Public Health

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Background The prevalence of abnormal weight is on the rise, presenting serious health risks and socioeconomic problems. Nonetheless, there is a lack of studies on the medical cost savings that can be attained through the mitigation of abnormal weight. The aim of this study was to estimate the impact of abnormal weight on healthcare costs in China. Methods The study employed a 4-wave panel data from China Family Panel Studies (CFPS) between 2012 and 2018 (11,209 participants in each wave). Inpatient, non-inpatient and total healthcare costs were outcome variables. Abnormal weight is categorized based on body mass index (BMI). Initially, the two-part model was employed to investigate the impact of overweight/obesity and underweight on healthcare utilisation and costs, respectively. Subsequently, the estimated results were utilised to calculate the overweight/obesity attributable fraction (OAF) and the underweight attributable fraction (UAF). Results In 2018, healthcare costs per person for overweight and obese population were estimated to be $607.51 and $639.28, respectively, and the underweight population was $755.55. In comparison to people of normal weight, individuals who were overweight/obese (OR = 1.067, p < 0.05) was more likely to utilise healthcare services. Overweight/obesity attributable fraction (OAF) was 3.90% of total healthcare costs and 4.31% of non-inpatient costs. Overweight/obesity does not result in additional healthcare expenditures for young people but increases healthcare costs for middle-aged adults (OAF = 7.28%) and older adults (OAF = 6.48%). The non-inpatient cost of underweight population was significantly higher than that of normal weight population (β = 0.060,p < 0.1), but the non-inpatient health service utilisation was not significantly affected. Conclusions Abnormal weight imposes a huge economic burden on individuals, households and the society. Abnormal weight in Chinese adults significantly increased healthcare utilisation and costs, particular in non-inpatient care. It is recommended that government and relevant social agencies provide a better social environment to enhance individual self-perception and promote healthy weight.

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Section: Discussionmentioning

confidence: 99%

Healthcare costs attributable to abnormal weight in China: evidence based on a longitudinal study

Zhao,

Xu,

You

et al. 2023

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Therefore, governments should shift nancial resources towards food, with the aim of raising the price of unhealthy foods and reducing the cost of healthy foods rich in ber. Equally important environmental drivers include urbanization, urban planning and built environments, food systems, and natural environments that shape obesity risk factors at the individual level[53,54].Progress in increasing nutrition for underweight individuals is being impeded by relative economic inequality[55, 56]. Relative economic inequalities in societies undermine nutrition in a variety of ways, including public education, diet, physical activity, food systems, health infrastructure, etc [57,.…”

mentioning

confidence: 99%

Healthcare costs attributable to abnormal weight in China: evidence based on a longitudinal study

Zhao

You

et al. 2023

Preprint

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Background The prevalence of abnormal weight is on the rise, presenting serious health risks and socioeconomic problems. Nonetheless, there is a lack of consensus on the medical cost savings that can be attained through the mitigation of abnormal weight. The aim of this study was to estimate the impact of abnormal weight on health care costs in China. Methods The study employed a 5-wave panel data from China Family Panel Studies (CFPS) between 2012 and 2020 (8,847 participants in each wave). Inpatient, non-inpatient and total healthcare costs were outcome variables. Abnormal weight is categorized based on body mass index (BMI).Initially, the two-part model was employed to investigate the impact of overweight/obesity and underweight on healthcare utilisation and costs, respectively. Subsequently, the estimated results were utilised to calculate the overweight/obesity attributable fraction (OAF) and the underweight attributable fraction (UAF). Results In 2020, the total national healthcare cost of the overweight and obese population was estimated to be $189.99 billion and $ 62.54 billion, and the underweight population was $37.32 billion. In comparison to people of normal weight, individuals who were overweight/obese (OR=1.072, p<0.05) and underweight (OR=1.143, p<0.1) were more likely to utilise healthcare services. Overweight/obesity attributable fraction (OAF) was 3.16% of total healthcare costs and 2.80% of non-inpatient costs. Underweight attributable faction (UAF) was 2.10% of total healthcare costs and 1.92% of non-inpatient costs. Both overweight/obese and underweight increased the likelihood of hospitalisation, although neither of them had a statistically significant impact on inpatient costs (p>0.1). Conclusions Abnormal weight imposes a huge economic burden on individuals, households and the society. Abnormal weight in Chinese adults significantly increased healthcare utilisation and costs, particular in non-inpatient care. It is recommended that government and relevant social agencies provide a better social environment to enhance individual self-perception and promote healthy weight.

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Revising What We Know About Spatial Predictors of Violent Victimization: A Comprehensive Analysis of Differential Effects of Spatial Predictors of Robbery Victimization for Victims of Different Ethnic Backgrounds

Semukhina,

Korotchenko,

Tsang

et al. 2024

Victims & Offenders

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Income and Health Perceptions in an Economically Disadvantaged Community: A Qualitative Case Study from Central Florida

Cited by 4 publications

References 85 publications

Healthcare costs attributable to abnormal weight in China: evidence based on a longitudinal study

Healthcare costs attributable to abnormal weight in China: evidence based on a longitudinal study

Healthcare costs attributable to abnormal weight in China: evidence based on a longitudinal study

Revising What We Know About Spatial Predictors of Violent Victimization: A Comprehensive Analysis of Differential Effects of Spatial Predictors of Robbery Victimization for Victims of Different Ethnic Backgrounds

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