Sökning: onr:"swepub:oai:DiVA.org:uu-527499" > Estimated health be...
Fältnamn | Indikatorer | Metadata |
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000 | 05268naa a2200505 4500 | |
001 | oai:DiVA.org:uu-527499 | |
003 | SwePub | |
008 | 240503s2024 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5274992 URI |
024 | 7 | a https://doi.org/10.1136/bmjgh-2023-0142942 DOI |
040 | a (SwePub)uu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Marklund, Mattiu Uppsala universitet,Klinisk nutrition och metabolism,George Inst Global Hlth, Food Policy, Newtown, NSW, Australia.;Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA.;Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD 21218 USA.4 aut0 (Swepub:uu)matma701 |
245 | 1 0 | a Estimated health benefits, costs and cost-effectiveness of eliminating industrial trans-fatty acids in Nigeria :b cost-effectiveness analysis |
264 | 1 | b BMJ Publishing Group Ltd,c 2024 |
338 | a electronic2 rdacarrier | |
520 | a Introduction: Nigeria is committed to reducing industrial trans-fatty acids (iTFA) from the food supply, but the potential health gains, costs and cost-effectiveness are unknown.Methods: The effect on ischaemic heart disease (IHD) burden, costs and cost-effectiveness of a mandatory iTFA limit (≤2% of all fats) for foods in Nigeria were estimated using Markov cohort models. Data on demographics, IHD epidemiology and trans-fatty acid intake were derived from the 2019 Global Burden of Disease Study. Avoided IHD events and deaths; health-adjusted life years (HALYs) gained; and healthcare, policy implementation and net costs were estimated over 10 years and the population's lifetime. Incremental cost-effectiveness ratios using net costs and HALYs gained (both discounted at 3%) were used to assess cost-effectiveness.Results: Over the first 10 years, a mandatory iTFA limit (assumed to eliminate iTFA intake) was estimated to prevent 9996 (95% uncertainty interval: 8870 to 11 118) IHD deaths and 66 569 (58 862 to 74 083) IHD events, and to save US$90 million (78 to 102) in healthcare costs. The corresponding lifetime estimates were 259 934 (228 736 to 290 191), 479 308 (95% UI 420 472 to 538 177) and 518 (450 to 587). Policy implementation costs were estimated at US$17 million (11 to 23) over the first 10 years, and US$26 million USD (19 to 33) over the population's lifetime. The intervention was estimated to be cost-saving, and findings were robust across several deterministic sensitivity analyses.Conclusion: Our findings support mandating a limit of iTFAs as a cost-saving strategy to reduce the IHD burden in Nigeria. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Näringslära0 (SwePub)303042 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nutrition and Dietetics0 (SwePub)303042 hsv//eng |
653 | a Health economics | |
653 | a Nutrition | |
653 | a Public Health | |
653 | a Cardiovascular disease | |
700 | 1 | a Aminde, Leopold N.u Griffith Univ, Sch Med & Dent, Gold Coast, Qld, Australia.4 aut |
700 | 1 | a Wanjau, Mary Njeriu Griffith Univ, Sch Med & Dent, Gold Coast, Qld, Australia.4 aut |
700 | 1 | a Ale, Boni M.u Univ Abuja Teaching Hosp, Cardiovasc Res Unit, Gwagwalada, Abuja, Nigeria.;Holo Healthcare, Nairobi, Kenya.4 aut |
700 | 1 | a Ojo, Adedayo E.u Univ Abuja Teaching Hosp, Cardiovasc Res Unit, Gwagwalada, Abuja, Nigeria.;Univ Med Ctr Utrecht, Dept Epidemiol & Global Hlth, Utrecht, Netherlands.4 aut |
700 | 1 | a Okoro, Clementina E.u Fed Capital Terr Primary Hlth Care Board, Abuja, Nigeria.4 aut |
700 | 1 | a Adegboye, Abimbolau Natl Agcy Food & Drug Adm & Control, Abuja, Federal Capital, Nigeria.4 aut |
700 | 1 | a Huang, Lipingu George Inst Global Hlth, Food Policy, Newtown, NSW, Australia.4 aut |
700 | 1 | a Veerman, J. Lennertu Griffith Univ, Sch Med & Dent, Gold Coast, Qld, Australia.4 aut |
700 | 1 | a Wu, Jason H. Y.u George Inst Global Hlth, Food Policy, Newtown, NSW, Australia.;Univ New South Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia.4 aut |
700 | 1 | a Huffman, Mark D.u George Inst Global Hlth, Food Policy, Newtown, NSW, Australia.;Washington Univ St Louis, St Louis, MO USA.4 aut |
700 | 1 | a Ojji, Dike B.u Univ Abuja Teaching Hosp, Cardiovasc Res Unit, Gwagwalada, Abuja, Nigeria.;Univ Abuja, Fac Clin Sci, Dept Internal Med, Abuja, Federal Capital, Nigeria.4 aut |
710 | 2 | a Uppsala universitetb Klinisk nutrition och metabolism4 org |
773 | 0 | t BMJ Global Healthd : BMJ Publishing Group Ltdg 9:4q 9:4x 2059-7908 |
856 | 4 | u https://doi.org/10.1136/bmjgh-2023-014294y Fulltext |
856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1855900/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-527499 |
856 | 4 8 | u https://doi.org/10.1136/bmjgh-2023-014294 |
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