| Autor: |
Gortmaker, Steven L., Long, Michael W., Resch, Stephen C., Ward, Zachary J., Cradock, Angie L., Barrett, Jessica L, Wright, Davene R., Sonneville, Kendrin R., Giles, Catherine M., Carter, Rob C., Moodie, Marj L., Sacks, Gary, Swinburn, Boyd A., Hsiao, Amber, Vine, Seanna, Barendregt, Jan, Vos, Theo, Wang, Y. Claire |
| Jazyk: |
angličtina |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
Am J Prev Med |
| Popis: |
BACKGROUND: The childhood obesity epidemic continues in the United States, and fiscal crises are leading policy makers to ask not only whether an intervention works, but also whether it offers value for money. However, cost-effectiveness analyses have been limited. PURPOSE: To discuss methods and outcomes of four childhood obesity interventions: 1) Sugar sweetened beverage excise tax (SSB); 2) Eliminating tax subsidy of television advertising to children (TV AD); 3) Early care and education policy change (ECE); 4) Active physical education (Active PE). METHODS: Cost-effectiveness models of nationwide implementation of interventions were estimated for a simulated cohort representative of the 2015 U.S. population over 10-years (2015–2025). A societal perspective was used; future outcomes were discounted at 3%. Data were analyzed in 2014. Effectiveness, implementation and equity issues were reviewed. RESULTS: Population reach varied widely, and cost per body mass index (BMI) change ranged from $1.16 (TV AD) to $401 (Active PE). At 10 years, assuming maintenance of the intervention effect, three interventions would save net costs, with SSB and TV AD saving $55 and $38 for every dollar spent. The SSB intervention would avert disability-adjusted life years, and both SSB and TV AD would increase quality-adjusted life years. Both SSB ($12.5 billion) and TV AD ($80 million) would produce yearly tax revenue. CONCLUSIONS: The cost effectiveness of these preventive interventions is greater than that seen for published clinical interventions to treat obesity. Cost effectiveness evaluations of childhood obesity interventions can provide decision makers with information demonstrating best value for money. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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