Abstract:
INTRODUCTION:Our objective was to estimate the future direct health care costs due to diabetes for a 10-year period in Canada using national survey data, a validated diabetes risk prediction tool and individual-level attributable cost estimates. METHODS:We used the Diabetes Population Risk Tool to predict the number of new diabetes cases in those aged 20 years and above over a 10-year period (to 2022), using 2011 and 2012 Canadian Community Health Survey data. We derived attributable costs due to diabetes from a propensity-matched case control study using the Ontario Diabetes Database and other administrative data. We calculated total costs by applying the respective attributable costs to the incident cases, accounting for sex, year of diagnosis and annual disease-specific mortality rates. RESULTS:The predicted 10-year risk of developing diabetes for the Canadian population in 2011/12 was 9.98%, corresponding to 2.16 million new cases. Total health care costs attributable to diabetes during this period were $7.55 billion for females and $7.81 billion for males ($15.36 billion total). Acute hospitalizations accounted for the greatest proportion of costs (43.2%). A population intervention resulting in 5% body weight loss would save $2.03 billion in health care costs. A 30% risk-reduction intervention aimed at individuals with the highest diabetes risk (i.e. the top 10% of the highest-risk group) would save $1.48 billion. CONCLUSION:Diabetes represents a heavy health care cost burden in Canada through to the year 2022. Our future cost calculation method can provide decision makers and planners with an accessible and transparent tool to predict future expenditures attributable to the disease and the corresponding cost savings associated with interventions. INTRODUCTION:Notre objectif était d’estimer les coûts de santé directs liés au traitement du diabète au Canada sur 10 ans, à l’aide de données de sondages nationaux et d’un outil de prévision du risque de diabète, ainsi que les coûts par personne. MÉTHODOLOGIE:Nous avons utilisé le Diabetes Population Risk Tool pour estimer le nombre de nouveaux cas de diabète chez les personnes âgées de 20 ans et plus sur 10 ans (jusqu'en 2022) à l’aide des données de 2011 et de 2012 de l’Enquête sur la santé dans les collectivités canadiennes. Nous avons évalué les coûts liés au diabète à partir d’une étude de cohorte faisant appel à l’appariement par score de propension, en utilisant la base de données sur le diabète de l’Ontario ainsi que d’autres données administratives. Nous avons calculé les coûts totaux en utilisant les coûts associés aux nouveaux cas, en tenant compte du sexe, de l’année du diagnostic et des taux de mortalité annuels dus à la maladie. RÉSULTATS:D'après nos calculs, le risque de développer le diabète sur 10 ans s’élevait pour la population canadienne en 2011-2012 à 9,98 %, soit 2,16 millions de nouveaux cas. Les coûts totaux en soins de santé imputables au diabète pendant cette période sont de 15,36 milliards (7,55 milliards pour les femmes et 7,81 milliards pour les hommes). Ce sont les hospitalisations de courte durée qui constituent la majeure partie de ces coûts (43,2 %). Des interventions menées au sein de la population entraînant une perte de poids de 5 % au sein de la population permettraient de réduire les coûts des soins de santé de 2,03 milliards de dollars. Une réduction du risque de 30 % obtenue grâce à des interventions auprès des personnes à plus haut risque de développer le diabète (c.‑à‑d. les 10 % au sommet du groupe à risque le plus élevé) entraînerait des économies de l’ordre de 1,48 million de dollars. CONCLUSION:D'ici 2022, le diabète va constituer un lourd fardeau financier pour le système de santé canadien. Notre méthode de calcul des coûts à venir offre aux décideurs et aux planificateurs un outil accessible et clair susceptible de leur permettre de prévoir les dépenses imputables à la maladie et les économies potentielles de coûts associées aux interventions.
journal_name
Health Promot Chronic Dis Prev Canjournal_title
Health promotion and chronic disease prevention in Canada : research, policy and practiceauthors
Bilandzic A,Rosella Ldoi
10.24095/hpcdp.37.2.03subject
Has Abstractpub_date
2017-02-01 00:00:00pages
49-53issue
2issn
2368-738Xjournal_volume
37pub_type
杂志文章abstract:INTRODUCTION:Based on self-determination theory, the Children's Intrinsic Needs Satisfaction Scale (CINSS) measures autonomy, competence and relatedness at school, home and with peers. The factor structure and criterion-related validity of the CINSS in the Canadian youth population are tested using data from the Canadi...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.39.1.03
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION:University and college campuses may be the last setting where it is possible to comprehensively address the health of a large proportion of the young adult population. It is important that health promoters understand the collective challenges students are facing, and to better understand the broader lifest...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.36.8.03
更新日期:2016-08-01 00:00:00
abstract:INTRODUCTION:Increases in life expectancy and the underlying age structure of the Canadian population have contributed to dramatic increases in the number of seniors who are caregivers. While caregiving is associated with several adverse health impacts, there is a need to better understand how these impacts might be di...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.39.5.01
更新日期:2019-05-01 00:00:00
abstract:INTRODUCTION:The Public Health Agency of Canada adapted a Finnish diabetes screening tool (FINDRISC) to create a tool (CANRISK) tailored to Canada's multi-ethnic population. CANRISK was developed using data collected in seven Canadian provinces. In an effort to extend the applicability of CANRISK to northern territoria...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.37.4.02
更新日期:2017-04-01 00:00:00
abstract:INTRODUCTION:Our study examines the frequency of joint investigations by child protection workers and the police in sexual abuse investigations compared to other maltreatment types and the association of child-, caregiver-, maltreatment- and investigation-related characteristics in joint investigations, focussing speci...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.35.8/9.03
更新日期:2015-10-01 00:00:00
abstract:INTRODUCTION:To address challenges Canadians face within their food environments, a comprehensive, multistakeholder, intergovernmental approach to policy development is essential. Food environment indicators are needed to assess population status and change. The Ontario Food and Nutrition Strategy (OFNS) integrates the...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.37.9.06
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION:Numerous data sources suggest a decline in child sexual abuse (CSA) in the United States since the early 1990s. Some evidence also indicates that an earlier period of higher CSA incidence began following World War II. This study examines prevalence estimates of sexual abuse reported retrospectively as havi...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.36.11.03
更新日期:2016-11-01 00:00:00
abstract:INTRODUCTION:Overweight and obesity are influenced by a complex interplay of individual and environmental factors that affect physical activity and healthy eating. Nevertheless, little has been reported on people's perceptions of those factors. Addressing this critical gap and community partner needs, this study explor...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.36.9.01
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION:This paper looks at the market food environments of First Nations communities located in the provincial Norths by examining the potential retail competition faced by the North West Company (NWC) and by reporting on the grocery shopping experiences of people living in northern Canada. METHODS:We employed t...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.37.10.03
更新日期:2017-10-01 00:00:00
abstract:INTRODUCTION:There has been increasing attention on preventing problematic youth substance use in light of concerns about rates of use and policy changes in Canada. Strengths-based approaches that emphasize protective factors, including positive mental health, are at the forefront of current prevention recommendations....
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.40.5/6.09
更新日期:2020-06-01 00:00:00
abstract::This corrigendum is being published to correct a number of errors and imprecisions, on pages 437-442, of the following article:Rao DP, Patel P, Roberts KC, Thompson W. Obesity and healthy aging: social, functional and mental well-being among older Canadians. Health Promot Chronic Dis Prev Can. 2018;38(12):437-44. doi:...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章,已发布勘误
doi:10.24095/hpcdp.39.8/9.05
更新日期:2019-09-01 00:00:00
abstract::The rise in opioid-related harms is an issue of increasing public health importance in Canada. This analysis used data from the Hospital Morbidity Database and the National Ambulatory Care Reporting System to determine the number of opioid poisoning hospitalizations and emergency department visits in Canada. Opioid po...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.38.6.04
更新日期:2018-06-01 00:00:00
abstract:INTRODUCTION:There is a growing literature demonstrating the benefits of engaging knowledge-users throughout the research process. We engaged a multi-stakeholder team to undertake a hackathon as part of an integrated knowledge translation (iKT) process to develop nonpharmacological interventions to enhance the economic...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.40.7/8.03
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION:Short and long interpregnancy intervals are associated with adverse perinatal outcomes such as miscarriage and preterm delivery, but cultural differences in interpregnancy intervals are understudied. Identifying cultural inequality in interpregnancy intervals is necessary to improve maternal-child outcomes...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.38.5.02
更新日期:2018-05-01 00:00:00
abstract::The Positive Mental Health Surveillance Indicator Framework (PMHSIF) provides estimates of positive mental health outcomes and associated risk and protective factors for youth aged 12 to 17 years in Canada. This study explored the relationship between sociodemographic factors and psychological and social well-being am...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.40.3.03
更新日期:2020-03-01 00:00:00
abstract:INTRODUCTION:Poor diet quality has been shown to increase the risk of common chronic diseases that can negatively impact quality of life and burden the healthcare system. Canada's Food Guide evidence-based recommendations provide dietary guidance aimed at increasing diet quality. Compliance with Canada's Food Guide can...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.38.3.03
更新日期:2018-03-01 00:00:00
abstract:INTRODUCTION:Canadians are living longer than before, and a large proportion of them are living with obesity. The present study sought to describe how older participants in the Canadian Longitudinal Study on Aging (CLSA) who are living with obesity are aging, through an examination of measures of social, functional and...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.38.12.01
更新日期:2018-12-01 00:00:00
abstract::In 2012, Canada and other United Nations (UN) Member States endorsed the "Rio Political Declaration on Social Determinants of Health" (Rio Declaration), a non-binding pledge which calls on World Health Organization (WHO) Member States to improve/influence the working and living conditions that affect health and well-b...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.35.7.03
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:Few studies have considered the factors independently associated with chronic fatigue syndrome (CFS) and/or fibromyalgia (FM) or considered the impact of these conditions on health status using population-based data. METHODS:We used data from the nationally representative 2010 Canadian Community Health Su...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.35.1.02
更新日期:2015-03-01 00:00:00
abstract::Health inequities, or avoidable inequalities in health between groups of people, are increasingly recognized and tackled to improve public health. Canada's interest in health inequities goes back over 40 years, with the landmark 1974 Lalonde report, and continues with the 2011 Rio Political Declaration on Social Deter...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 社论
doi:10.24095/hpcdp.36.2.01
更新日期:2016-02-01 00:00:00
abstract:TITRE:Préface. INTRODUCTION:Ce rapport présente une estimation jusqu’en 2032 du fardeau du cancer pour l’ensemble du Canada ainsi que pour les provinces et les territoires. Ces estimations sont fondées sur les tendances actuelles et, compte tenu de la période de latence de la plupart des cancers, ne sont pas déraisonn...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章,评审
doi:10.24095/hpcdp.35.s1.01
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION:There is growing interest in the role of food environments in suboptimal diet and overweight and obesity. This review assesses the evidence for the link between the retail food environment, diet quality and body mass index (BMI) in the Canadian population. METHODS:We conducted a systematic keyword search ...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.39.10.01
更新日期:2019-10-01 00:00:00
abstract::Information from emergency department (ED) visits for methamphetamine-related injuries and poisonings between 1 April 2011 and 9 August 2019 were captured from 19 sentinel sites across Canada for all ages. Overall, 1093 cases (97.6/100 000 eCHIRPP cases) were identified (59.4% male), with female patients experiencing ...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.40.4.04
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION:This study describes the use of prescription medications and psychological counselling in the past 12 months among Canadian adults with a self-reported mood and/or anxiety disorder diagnosis; the sociodemographic and clinical characteristics associated with their use; and reasons for not using them. METHO...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:10.24095/hpcdp.37.5.04
更新日期:2017-05-01 00:00:00
abstract::Dementia prevalence estimates vary among population-based studies, depending on the definitions of dementia, methodologies and data sources and types of costs they use. A common approach is needed to avoid confusion and increase public and stakeholder confidence in the estimates. Since 1994, five major studies have yi...
journal_title:Health promotion and chronic disease prevention in Canada : research, policy and practice
pub_type: 杂志文章
doi:
更新日期:2016-10-01 00:00:00