Sonntag, Diana, Jarczok, Marc and Ali, Shehzad orcid.org/0000-0002-8042-3630 (2017) DC-Obesity:A new model for estimating Differential lifetime Costs of overweight and Obesity by socioeconomic status. Obesity. 1603–1609. ISSN 1930-7381
Abstract
Objective: The aim of this study was to quantify the magnitude of lifetime costs of overweight and obesity by socioeconomic status (SES). Methods: Differential Costs (DC)-Obesity is a new model that uses time-to-event simulation and the Markov modeling approach to compare lifetime excess costs of overweight and obesity among individuals with low, middle, and high SES. SES was measured by a multidimensional aggregated index based on level of education, occupational class, and income by using longitudinal data of the German Socioeconomic Panel (SOEP). Random-effects meta-analysis was applied to combine estimates of (in)direct costs of overweight and obesity. Results: DC-Obesity brings attention to opposite socioeconomic gradients in lifetime costs due to obesity compared to overweight. Compared to individuals with obesity and high SES, individuals with obesity and low SES had lifetime excess costs that were two times higher (€8,526). In contrast, these costs were 20% higher in groups with overweight and high SES than in groups with overweight and low SES (€2,711). Conclusions: The results of this study indicate that SES may play a pivotal role in designing cost-effective and sustainable interventions to prevent and treat overweight and obesity. DC-Obesity may help public policy planners to make informed decisions about obesity programs targeted at vulnerable SES groups.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2017 The Obesity Society. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 01 Sep 2017 09:00 |
Last Modified: | 02 Apr 2025 23:10 |
Published Version: | https://doi.org/10.1002/oby.21913 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1002/oby.21913 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:120748 |
Downloads
Filename: Obesity_Manuscript_clean_3_.doc
Description: Obesity_Manuscript_clean_3_
Filename: Obesity_Figures_and_Tables_final.docx
Description: Obesity_Figures_and_Tables_final
Filename: Obesity_Appendices_final_1_.docx
Description: Obesity_Appendices_final_1_