Abstract:
INTRODUCTION:Processed meats are associated with increased risk of colorectal and stomach cancers, but health and economic impacts of policies to discourage processed meats are not well established. This paper aims to evaluate the cost effectiveness of implementing tax and warning labels on processed meats. METHODS:A probabilistic cohort-state transition model was developed in 2018, including lifetime and short-term horizons, healthcare, and societal perspectives, and 3% discount rates for costs and health outcomes. The model simulated 32 subgroups by age, gender, and race/ethnicity from the U.S. adult population and integrated nationally representative 2011-2014 data on processed meat consumption, with etiologic effects of processed meat consumption on cancer incidence, medical and indirect societal costs, and policy costs. RESULTS:Over a lifetime, the 10% excise tax would prevent 77,000 cases of colorectal cancer (95% uncertainty interval=56,800, 107,000) and 12,500 cases of stomach cancer (95% uncertainty interval=6,880, 23,900), add 593,000 quality-adjusted life years (95% uncertainty interval=419,000, 827,000), and generate net savings of $2.7 billion from a societal perspective, including $1.1 billion healthcare costs saved. The warning label policy would avert 85,400 cases of colorectal cancer (95% uncertainty interval=56,600, 141,000) and 15,000 cases of stomach cancer (95% uncertainty interval=6,860, 34,500), and add 660,000 quality-adjusted life years (95% uncertainty interval=418,000, 1,070,000), with net savings of $4.5 billion from a societal perspective, including $1.3 billion healthcare costs saved. In subgroup analyses, greater health and economic benefits accrued to (1) younger subpopulations, (2) subpopulations with greater cancer risk, and (3) those with higher baseline processed meat consumption. CONCLUSIONS:The model shows that implementing tax or warning labels on processed meats would be a cost-saving strategy with substantial health and economic benefits. The findings should encourage policy makers to consider nutrition-related policies to reduce cancer burden.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Kim DD,Wilde PE,Michaud DS,Liu J,Lizewski L,Onopa J,Mozaffarian D,Zhang FF,Wong JBdoi
10.1016/j.amepre.2019.02.023subject
Has Abstractpub_date
2019-11-01 00:00:00pages
e143-e152issue
5eissn
0749-3797issn
1873-2607pii
S0749-3797(19)30149-7journal_volume
57pub_type
杂志文章abstract:BACKGROUND:Laws requiring vaccination for school entry have resulted in high coverage and reduced disease incidence; however, few data exist on the use of similar laws in other settings. This study reviews laws regulating vaccination of healthcare workers (HCWs) and patients in selected healthcare delivery settings. M...
journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:American journal of preventive medicine
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abstract:BACKGROUND:Social capital has been related to a number of important public health variables such as overall mortality, health status, and sexually transmitted infections (including AIDS case rates). However, the relationship of social capital to tuberculosis has received little attention. Because social capital may be ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2003.10.014
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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abstract:CONTEXT:Worksite-based interventions have been shown to result consistently in significant improvements in weight- and health-related outcomes among the working adult population; however, applicability and effectiveness of studies has often been limited by inadequate reporting of age and ethnicity. This study aimed to ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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abstract::Editor's Note: This article is a reprint of a previously published article. For citation purposes, please use the original publication details: Harris RP, Helfand M, Woolf SH, et al. Current methods of the U.S. Preventive Services Task Force: a review of the process. Am J Prev Med. 2001;20(3S):21-35. The U.S. Preventi...
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journal_title:American journal of preventive medicine
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更新日期:2001-10-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2009.10.023
更新日期:2010-01-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2009.10.030
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Evidence indicates that the rising trend in overweight and obesity may be stronger for people from more socioeconomically advantaged backgrounds. PURPOSE:This study used longitudinal, multilevel data to describe trajectories of BMI for people living in more- versus less-deprived neighborhoods. METHODS:Data...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:The contributions of community health workers (CHWs) in the delivery of culturally relevant programs for hypertension control have been studied since the 1970s. This systematic review examines the effectiveness of CHWs in supporting the care of people with hypertension. METHODS:Computerized searches were co...
journal_title:American journal of preventive medicine
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doi:10.1016/j.amepre.2007.01.011
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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更新日期:2018-01-01 00:00:00
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journal_title:American journal of preventive medicine
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doi:
更新日期:1988-09-01 00:00:00
abstract:BACKGROUND:Since 2006-2007, education agencies (e.g., school districts) participating in U.S. federal meal programs are required to have wellness policies. To date, this is the only federal policy that addresses foods and beverages sold outside of school meals (in competitive venues). PURPOSE:To examine the extent to ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:The Hmong immigrated to the United States from Laos after the Vietnam conflict ended. Hmong encounter numerous readjustment issues, including health care. Traditional Hmong health beliefs and practices encompass more spiritual than biological etiologies. Hmong usually seek the first course of treatment from ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.04.003
更新日期:2004-08-01 00:00:00
abstract::The VERB campaign promoted physical activity to U.S. children aged 9-13 years (tweens) by surrounding them with appealing messages that were associated with the VERB brand and tag line It's what you do! To maximize the impact of the campaign, VERB had a two-level strategy for its marketing. One level was designed to r...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.03.012
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:The Robert Wood Johnson Foundation (RWJF) provided Columbia MO with an Active Living by Design (ALbD) grant in 2003 to promote active living in the community. A separate project was funded in 2006 through RWJF's Active Living Research program. PURPOSE:To evaluate whether participation in a Walking School Bu...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.07.009
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:The translation and dissemination of prevention intervention evidence into practice is needed to address significant public health issues such as childhood obesity. Increased attention to and reporting of external validity information in research publications would allow for better understanding of generaliz...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2007.11.019
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Influenza vaccination for all children aged 6 months to 18 years has been recommended since 2008 to prevent flu-related morbidity and mortality. However, 2010-2011 influenza vaccine coverage estimates show under-vaccination in children of all ages. We examined predictors of influenza vaccination in Michigan ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.03.002
更新日期:2014-07-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.05.005
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Financially disadvantaged populations are more likely to live in communities that do not support healthy choices. This paper investigates whether certain characteristics of the built environment are associated with obesity or coronary heart disease (CHD) risk among uninsured low-income women. METHODS:Using ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.12.001
更新日期:2006-04-01 00:00:00