Cost associated with being overweight and with obesity, high alcohol consumption, and tobacco use within the military health system's TRICARE prime-enrolled population
Cost associated with being overweight and with obesity, high alcohol consumption, and tobacco use within the military health system's TRICARE prime-enrolled population
复制标题
DOI：
10.4278/0890-1171-22.2.120
复制
发表时间：
2007-11-01
影响因子：
2.7
通讯作者：
Tornberg, David N.
中科院分区：
文献类型：
--
作者：
Dall, Timothy M.;Zhang, Yiduo;Tornberg, David N.
目的.估计与烟草使用、超重或肥胖以及高酒精消费相关的国防部（DoD）的医疗和间接成本。回顾性、定量研究。医疗保健提供的军事治疗设施和供应商参与军事卫生系统。2006年，430万65岁以下的受益人参加了TRICARE Prime军事健康计划。这些发现来自于一个疾病成本模型，该模型是由国防部和平民健康调查的信息结合开发的。研究; 410万受益者的DoD医疗保健遭遇数据;以及关于不健康行为前并发症增加的流行病学文献。据估计，美国国防部每年花费21亿美元用于与烟草使用（5.64亿美元）、超重和肥胖（11亿美元）以及酗酒（4.25亿美元）有关的医疗保健。国防部每年因烟草使用、超重和肥胖以及酗酒而产生的非医疗费用超过9.65亿美元。不健康的生活方式是向国家军事人员、军事退休人员及其家属提供医疗保健服务成本的重要因素。医疗保健成本的持续上升可能会影响国防部的其他项目，并可能影响与军事能力和战备相关的领域。2006年，国防部发起了健康生活选择倡议，以解决不健康生活方式和行为的高昂成本，国防部继续通过国防部生活方式评估计划监测生活方式趋势。
Purpose. To estimate medical and indirect costs to the Department of Defense (DoD) that are associated with tobacco use, being overweight or obese, and high alcohol consumption.Design. Retrospective, quantitative research.Setting. Healthcare provided in military treatment facilities and by providers participating in the military health system.Subjects. The 4.3 million beneficiaries under age 65 years who were enrolled in the military TRICARE Prime health plan option in 2006.Measures. The findings come from a cost-of-disease model developed by combining information front DoD and civilian health surveys and. studies; DoD healthcare encounter data for 4.1 million beneficiaries; and epidemiology literature on the increased fisk of comorbidities front Unhealthy behaviors.Results. DoD spends an estimated $2.1 billion per year for medical care associated with tobacco use ($564 million), excess weight and obesity, ($1.1 billion), and high alcohol consumption ($425 million). DoD incurs nonmedical costs related to tobacco use, excess weight and obesity, and high alcohol consumption in excess of $965 million per year.Conclusion. Unhealthy lifestyles are significant contributors to the cost of providing healthcare services to the nations military personnel, military retirees, and their dependents. The continued rise in healthcare costs could impact other DoD programs and could potentially affect areas related to military capability and readiness. In 2006, DoD initiated Healthy Choices for Life initiatives to address the high cost of unhealthy lifestyles and behaviors, and the DoD continues to monitor lifestyle trends through the DoD Lifestyle Assessment Program.