Trends in socioeconomic costs of morbid obesity among Korean adults, 2009–2013: Data from National Health Insurance Service

Summary As the prevalence of morbid obesity increased in Korea, the estimation of the accurate socioeconomic costs by morbid obesity was required; we analysed national medical costs through the big data. From 2009 year to 2013 year, Direct Costs (DC) for medical costs, transit costs and nursing cost...

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Bibliographic Details
Published in:Obesity research & clinical practice 2018-07, Vol.12 (4), p.389-393
Main Authors: Lee, Jae-woo, Choi, Young-Eun, Kim, Dong-wook, Lee, Sunmi, Cho, Kyung-Hee
Format: Article
Language:English
Subjects:
Adult
Cost of Illness
Direct Costs
Endocrinology & Metabolism
Female
Health Care Costs
Humans
Indirect Costs
Internal Medicine
Male
Middle Aged
Morbid obesity
National Health Programs
Obesity, Morbid - economics
Obesity, Morbid - epidemiology
Prevalence
Republic of Korea
Socioeconomic costs
Socioeconomic Factors
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Summary:Summary As the prevalence of morbid obesity increased in Korea, the estimation of the accurate socioeconomic costs by morbid obesity was required; we analysed national medical costs through the big data. From 2009 year to 2013 year, Direct Costs (DC) for medical costs, transit costs and nursing costs and Indirect Costs (IC) for Future Income Loss (FIL) and Productivity Loss (PL) of morbid obesity (BMI ≥ 30) were calculated, and socioeconomic costs were estimated by applying Population Attributable Risk (PAR) proportion according to obesity related diseases. From 10 year follow up research, Relative risk (RR) for morbid obesity related disease was analysed in comparison with control group. The high RR disease were congestive heart failure (RR 3.204 CI 2.421–3.987), hypertension (RR 3.13 CI 3.058–3.202), type 2 DM (RR 3.112 CI 2.973–3.251), pulmonary embolism (RR 2.969 CI 1.812–4.126), dyslipidemia (RR 2.283 CI 2.221–2.345) and ischaemic heart disease (RR 2.187 CI 2.068–2.306) in order. The socioeconomic costs by morbid obesity tended to increase 1.47 times from 2009 year (492 billion KRW) to 2013 year (726.2 billion KRW). The growth of the prevalence and the socioeconomic costs by morbid obesity in Korea are required not only the personal care issue but also social and national strategies for the future morbid obesity control.
ISSN:1871-403X
1878-0318
DOI:10.1016/j.orcp.2017.04.010