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Long-term effects of health factor modification in milwaukee county.
MedLine Citation:
PMID:  23358291     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We use the UCLA Health Forecasting Tool to forecast the 2011-2050 health trends in Milwaukee County. We first simulate a baseline scenario (S-1) that assumes no health behavior change, and compare this with three simulated intervention scenarios: expansion of Quitline reach to enhance smoking cessation (S-2), an increased penetration of diabetes screening (S-3) and construction of additional recreational facilities (S-4). We compared the disease-free life years (DFLY) gained from each intervention scenario by 2050 on a year-by-year and cumulative basis. Simulation results show that increasing access to recreational facilities achieves the greatest gain in DFLYs for every year from 2011 to 2050. By 2050, the cumulative DFLY gain is 22 393, 5956 and 41 396 for S-2, S-3, and S-4, respectively. The cost-effectiveness ratios for Quitline expansion, diabetes screening, and recreational facility construction are $1802, $1285, and $1322, per DFLY gained, respectively.
Authors:
Lu Shi; Jeroen van Meijgaard; Jonathan E Fielding
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of public health management and practice : JPHMP     Volume:  19     ISSN:  1550-5022     ISO Abbreviation:  J Public Health Manag Pract     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-01-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505213     Medline TA:  J Public Health Manag Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  133-8     Citation Subset:  T    
Affiliation:
Departments of Health Services (Drs Shi, Meijgaard, and Fielding), Pediatrics (Dr Fielding), University of California Los Angeles, Los Angeles; and Los Angeles Department of Public Health, Los Angeles, California. At the time of publication, Dr. Lu Shi is an assistant professor in Department of Public Health Sciences, Clemson University, Clemson, SC.
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