Abstract：
OBJECTIVE:To analyze the economic burden of obesity and four obesity-related chronic diseases in rural Yunnan Province, China. STUDY DESIGN:A community-based, cross-sectional study was conducted among rural residents in Yunnan Province. A multistage stratified random sampling approach was applied to collect a sample of the population aged ≥35 years in this region. METHODS:Questionnaires were conducted and measurements were taken from 5040 participants. A two-step model was used to measure direct economic burden of disease, whereas a human capital approach was applied to measure indirect economic burden. RESULTS:The prevalence of general obesity, central obesity, hypertension, diabetes, coronary heart disease, and stroke was 7.1%, 37.0%, 35.3%, 9.9%, 3.8%, and 1.7%, respectively, while obese participants as expected had a higher risk of the aforementioned four obesity-related illnesses than their counterparts (P < 0.01). The total, direct, and indirect costs of the four illnesses were $30,350.8 million, $28,642.5 million, and $1708.3 million, respectively, with 12.7% attributable to general obesity and 28.7% attributable to central obesity. CONCLUSIONS:The economic burden of the four studied chronic diseases attributable to obesity in rural Yunnan Province is substantial. Interventions for controlling obesity should be applied to prevent obesity-related diseases and reduce the economic burden of disease.
journal_name
Public Healthjournal_title
Public healthauthors
Li Q,Cai L,Cui W,Wang G,He J,Golden ARdoi
10.1016/j.puhe.2018.07.024subject
Has Abstractpub_date
2018-11-01 00:00:00pages
91-98eissn
0033-3506issn
1476-5616pii
S0033-3506(18)30258-0journal_volume
164pub_type
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