The costs of obesity among full-time employees
The costs of obesity among full-time employees
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DOI：
10.4278/0890-1171-20.1.45
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发表时间：
2005-09-01
影响因子：
2.7
通讯作者：
Wang, GJ
中科院分区：
文献类型：
--
作者：
Finkelstein, E;Fiebelkorn, IC;Wang, GJ
目的。量化肥胖的年度成本，包括增加的医疗支出和缺勤，分别针对有全职工作的男性和女性的超重和三类肥胖（即肥胖等级I、II和III）。使用标准计量经济学方法分别估计超重和肥胖导致的医疗费用和缺勤。美国未被收容的平民人口。样本。两个具有全国代表性和公开可用的数据集（回复率至少为60%）仅限于18至64岁的参与者，并且全年全职工作。用于估计肥胖导致的医疗支出和缺勤的最终数据集分别包括20,329和25,427名成年人。年度医疗费用和因生病或受伤而错过的工作日。分析结果。超重和肥胖导致的成本从超重男性员工每年175美元到ii级肥胖女性员工每年2485美元不等。在一家拥有1000名员工的公司中，肥胖（不包括超重）的成本估计为每年28.5万美元。肥胖导致全职员工的医疗支出和缺勤率显著增加。大约30%的总成本是由于缺勤增加造成的，尽管iii级肥胖者仅占就业人口的3%，但他们占肥胖造成的成本的21%。这些估计没有考虑与肥胖相关的其他潜在成本，包括残疾和出勤。
Purpose. To quantify annual costs attributable to obesity, including both increased medical expenditures and absenteeism, separately for overweight and three categories of obesity (i.e., obesity grades I, II, and III) among men and women with full-time employment.Design. Standard econometric methods were used to separately estimate overweight and obesity-attributable medical expenditures and absenteeism.Setting. The civilian noninstitutionalized population of the United States.Sample. Two nationally representative and publicly available datasets (with response rates of at least 60%) were restricted to participants 18 to 64 years old and employed full-time for the entire year The final datasets used to estimate obesity-attributable medical expenditures and absenteeism included 20,329 and 25,427 adults, respectively.Measures. Annual medical expenditures and missed work days due to illness or injury.Analysis Results. Overweight and obesity-attributable costs range, from $175 per year for overweight male employees to $2485 per year for grade-II obese female employees. The costs of obesity (excluding overweight) at a firm with 1000 employees are estimated to be $285, 000 per yearConclusions. Obesity results in significant increases in medical expenditures and absenteeism among full-time employees. Approximately 30% of the total costs result from increased absenteeism, and although those with grade-III obesity represent only 3% of the employed population, they account for 21% of the costs due to obesity. These estimates do not consider other potential costs associated with obesity, including disability and presenteeism.