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The relative impact...
The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample.
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Ihyauddin, Zulfikar (author)
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Marthias, Tiara (author)
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Kanya, Anindya (author)
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- Ng, Nawi, 1974 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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Dewi, Fatwa Sari Tetra (author)
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Hulse, Emily S G (author)
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Aji, Reza Pandu (author)
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Putri, Dwi Astuti Dharma (author)
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Lee, John Tayu (author)
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(creator_code:org_t)
- 2022-09-17
- 2022
- English.
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In: BMC health services research. - : Springer Science and Business Media LLC. - 1472-6963. ; 22:1
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
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- Indonesia is in the middle of a rapid epidemiological transition with an ageing population and increasing exposure to risk factors for chronic conditions. This study examines the relative impacts of obesity, tobacco consumption, and physical inactivity, on non-communicable diseases multimorbidity, health service use, catastrophic health expenditure (CHE), and loss in employment productivity in Indonesia.Secondary analyses were conducted of cross-sectional data from adults aged≥40years (n=12,081) in the Indonesian Family Life Survey 2014/2015. We used propensity score matching to assess the associations between behavioural risk factors and health service use, CHE, employment productivity, and multimorbidity.Being obese, overweight and a former tobacco user was associated with a higher number of chronic conditions and multimorbidity (p<0.05). Being a former tobacco user contributed to a higher number of outpatient and inpatient visits as well as CHE incidences and work absenteeism. Physical inactivity relatively increased the number of outpatient visits (30% increase, p<0.05) and work absenteeism (21% increase, P<0.06). Although being underweight was associated with an increased outpatient care utilisation (23% increase, p<0.05), being overweight was negatively associated with CHE incidences (50% decrease, p<0.05).Combined together, obesity, overweight, physical inactivity and tobacco use contributed to an increased number of NCDs as well as medical costs and productivity loss in Indonesia. Interventions addressing physical and behavioural risk factors are likely to have substantial benefits for individuals and the wider society in Indonesia.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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Ihyauddin, Zulfi ...
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Marthias, Tiara
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Kanya, Anindya
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Ng, Nawi, 1974
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Dewi, Fatwa Sari ...
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Hulse, Emily S G
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show more...
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Aji, Reza Pandu
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Putri, Dwi Astut ...
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Lee, John Tayu
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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BMC health servi ...
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University of Gothenburg