Does obesity along with major depression or anxiety lead to higher use of health care and costs? A 6-year follow-up study.
Background: Evidence lacks on whether obesity along with major depression (MD)/anxiety leads to higher health care use (HCU) and health care-related costs (HCC) compared with either condition alone. The objective of the study was to examine the longitudinal associations of obesity, MD/anxiety, and t...
| Publicado en: | European Journal of Public Health Vol. 27; no. 6; pp. 965 - 972 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126475459&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126475459 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Dec2017 vid: 27 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 126475459 126475459 126475459 10.1093/eurpub/ckx126 126475459 ppf: 965 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Does obesity along with major depression or anxiety lead to higher use of health care and costs? A 6-year follow-up study. aug: au: Nigatu, Yeshambel T. Bültmann, Ute Schoevers, Robert A. Penninx, Brenda W. J. H. Reijneveld, Sijmen A. affil: Work and Mental Health Unit Institute of Mental Health Research, University of Ottawa, Ottawa, Canada sug: subj: Health Care Costs Obesity Depression Anxiety Prospective Studies Odds Ratio Human Health Resource Utilization Confidence Intervals ab: Background: Evidence lacks on whether obesity along with major depression (MD)/anxiety leads to higher health care use (HCU) and health care-related costs (HCC) compared with either condition alone. The objective of the study was to examine the longitudinal associations of obesity, MD/anxiety, and their combination with HCU and HCC. Methods: Longitudinal data (2004-2013) among N= 2706 persons at baseline and 2-,4-, and 6-year follow-up were collected on obesity, MD/anxiety and HCU. Results: The combination of obesity and MD/anxiety was associated with an increased risk of primary and specialty care visits, and of hospitalizations, odds ratios (95%-confidence intervals): 1.83 (1.44; 2.34), 1.31 (1.06; 1.61) and 1.79 (1.40; 2.29) compared to non-obese and non-depressed individuals. The primary and specialty care costs were higher in persons with obesity and MD/anxiety than in persons without these conditions, but the relative excess risk due to interactions between obesity and MD/anxiety regarding HCU and HCC were not statistically significant (i.e. no synergistic effect). Conclusions: Obesity along with MD/anxiety leads to higher HCU and HCC over time. However, the HCC associated with the joint presence of both conditions are not higher than the sum of the HCC due to each condition independently. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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