| Cost associated with being overweight and with obesity, high alcohol consumption, and tobacco use within the military health system's TRICARE prime-enrolled population. | |
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MedLine Citation:
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PMID: 18019889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To estimate medical and indirect costs to the Department of Defense (DoD) that are associated with tobacco use, being overweight or obese, and high alcohol consumption. DESIGN: Retrospective, quantitative research. SETTING: Healthcare provided in military treatment facilities and by providers participating in the military health system. SUBJECTS: The 4.3 million beneficiaries under age 65 years who were enrolled in the military TRICARE Prime health plan option in 2006. MEASURES: The findings come from a cost-of-disease model developed by combining information from DoD and civilian health surveys and studies; DoD healthcare encounter data for 4.1 million beneficiaries; and epidemiology literature on the increased risk of comorbidities from unhealthy behaviors. RESULTS: DoD spends an estimated $2.1 billion per year for medical care associated with tobacco use ($564 million), excess weight and obesity ($1.1 billion), and high alcohol consumption ($425 million). DoD incurs nonmedical costs related to tobacco use, excess weight and obesity, and high alcohol consumption in excess of $965 million per year. CONCLUSION: Unhealthy lifestyles are significant contributors to the cost of providing healthcare services to the nation's military personnel, military retirees, and their dependents. The continued rise in healthcare costs could impact other DoD programs and could potentially affect areas related to military capability and readiness. In 2006, DoD initiated Healthy Choices for Life initiatives to address the high cost of unhealthy lifestyles and behaviors, and the DoD continues to monitor lifestyle trends through the DoD Lifestyle Assessment Program. |
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Authors:
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Timothy M Dall; Yiduo Zhang; Yaozhu J Chen; Rachel C Askarinam Wagner; Paul F Hogan; Nancy K Fagan; Samuel T Olaiya; David N Tornberg |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: American journal of health promotion : AJHP Volume: 22 ISSN: 0890-1171 ISO Abbreviation: Am J Health Promot Publication Date: 2007 Nov-Dec |
Date Detail:
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Created Date: 2007-11-19 Completed Date: 2008-01-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8701680 Medline TA: Am J Health Promot Country: United States |
Other Details:
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Languages: eng Pagination: 120-39 Citation Subset: T |
Affiliation:
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The Lewin Group, 3130 Fairview Park Drive, Suite 800, Falls Church, VA 22042, USA. tim.dall@lewin.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Alcohol Drinking / economics* Child Child, Preschool Female Health Behavior Health Care Costs Health Promotion Humans Infant Infant, Newborn Life Style Male Middle Aged Military Medicine* Military Personnel* Obesity / economics* Overweight / economics* Qualitative Research Retrospective Studies Risk Social Marketing Tobacco Use Disorder / economics* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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