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논문 상세정보

Abstract

Objective : To estimate the socioeconomic costs of obesity in Korea,1998. Methods : The 1998 National Health and Nutrition Examination Survey(1998 NHNES) data was used and 10,880 persons who had taken health examinations were selected for study. Essential hypertension, NIDDM(non insulin-dependent diabetes mellitus), dyslipidemia, osteoarthritis, coronary heart disease, stroke were included as obesity related disease. The data of direct costs of obesity was obtained from the National Federation of Medical Insurance. The category of indirect costs was the loss of productivity caused by premature death and admission, time costs, traffic costs, nursing fees due to obesity. Multiple logistic regression model was developed to estimate prevalence odds ratio by obesity class adjusted demographic and socio-ecnomic factors and calculate PAF(Population Attributable Fraction) of obesity on obesity related disease. And we finally calculated the socioeconomic costs of obesity in relation to BMI with PAF. Results : The direct costs of obesity were 2,126 billion${\sim}965$ billion Won in considering out of pocket payment to uninsured services, and the indirect costs of obesity were 2,099 billion${\sim}1,086$ billion Won. Consequently, in considering out of pocket payment to uninsured services, the socioeconomic costs of obesity were 4.225 billion${\sim}2,050$ billion Won, which corresponded to about $0.094%{\sim}0.046%$ of GDP and $1.88%{\sim}0.91$ of total health care costs in Korea. Conclusions : Obesity represents a major health problem with significant economic implications for the society. This results are conservative estimates as far as all obesity related disease and all health care and indirect costs were not included due to missing information. further studies are needed to caculate socioeconomic costs of obesity more exactly.

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이 논문을 인용한 문헌 (8)

  1. Park, Young-Jun ; Yim, Hyeon-Woo ; Park, Young-Moon ; Lee, Won-Chul 2007. "The Association between Sleep and Obesity in Korean Adults" Journal of preventive medicine and public health = 예방의학회지, 40(6): 454~460 
  2. 2007. "" Journal of preventive medicine and public health = 예방의학회지, 40(2): 191~195 
  3. Yoon, Jong-Wan ; Yi, Kyung-Jin ; Lee, Sang-Yun ; Oh, Jang-Gyun 2007. "The Relationship between Metabolic Syndrome and Korean Cardiocerebrovascular Risk Assessment: for Male Researchers in a Workplace" Journal of preventive medicine and public health = 예방의학회지, 40(5): 397~403 
  4. Lee, Ae-Kyoung ; Lee, Sang-Yi ; Yoon, Tae-Ho ; Jeong, Baek-Geun 2009. "The Effect of Follow-up Management Service on Health Promotion for Obesity Population Classified in Health Screening of National Health Insurance Corporation" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 26(3): 75~83 
  5. Kim, Jin-Hee ; Hahm, Myung-Il ; Park, Eun-Cheol ; Park, Jae-Hyun ; Park, Jong-Hyock ; Kim, Sung-Eun ; Kim, Sung-Gyeong 2009. "Economic Burden of Cancer in South Korea for the Year 2005" Journal of preventive medicine and public health = 예방의학회지, 42(3): 190~198 
  6. Kang, Jae-Heon ; Jeong, Baek-Geun ; Cho, Young-Gyu ; Song, Hye-Ryoung ; Kim, Kyung-A 2010. "Medical Expenditure Attributable to Overweight and Obesity in Adults with Hypertension, Diabetes and Dyslipidemia : Evidence from Korea National Health and Nutrition Examination Survey Data and Korea National Health Corporation Data" 農村醫學·地域保健 = Journal of agricultural medicine & community health, 35(1): 77~88 
  7. Kang, Jae-Heon ; Jeong, Baek-Geun ; Cho, Young-Gyu ; Song, Hye-Ryoung ; Kim, Kyung-A 2010. "Medical Expenditure Attributable to Overweight and Obesity in Adults with Ischemic Heart Disease and Stroke in Korea" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 27(4): 83~90 
  8. Lee, Jong-Woo ; Eom, Hye-Jeong ; Yin, Chang-Shik 2010. "Validation of Somatotype Drawing for Assessment of Childhood Obesity" 한방비만학회지 = Journal of Korean Medicine for Obesity Research, 10(1): 17~28 

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