Estimating State-Specific Potential Annual Healthcare Cost Savings from Reducing


Principal Investigator: YUNHSIN CLAIRE WANG
Abstract: DESCRIPTION (provided by applicant): Rising obesity rates across the United States have become not only a public health concern, but also a fiscal one. In an era with constrained healthcare resources both at the federal and state levels, reducing obesity and its negative consequences are prominent on the policy agenda. Experiences in tobacco control have greatly shaped the design and evaluation of policies aimed to change consumer behavior at the population level. Tax to discourage unhealthy food and beverages is one of many policy initiatives being discussed nationwide. While a wide range of obesity policies-many of them at the state level-highlight the potential to reduce the downstream health and economic burdens of obesity, analytical tools to estimate their magnitude are lacking. Public health researchers and legislators across the country intensely seek concrete, evidence-based tools to enumerate the value of obesity prevention policies especially at the state level. The overarching goal of this proposal is to establish the data and methods repertoire within an analytical model for estimating state-level healthcare cost savings and productivity gains from reducing obesity. We aim to: (1) Estimate 10-year healthcare cost savings from obesity reduction by state. By linking existing state-level surveillance systems, we aim to create a tool that estimates the monetary values of obesity-attributable diseases prevented under given reductions in BMI for the whole or a segment of the population. We will also assess the monetary values of the productivity gained (in the forms of reduced absenteeism and presenteeism) in an exploratory analysis. (2) Investigate the potential downstream impact on obesity levels, healthcare costs, and productivity gain from a state-level excise tax on SSBs, a case study of a state-level tax-based policy. The proposed research capitalizes our team's collective research portfolio and the unique assembly of expertise in economics, epidemiology, and nutrition policy. The innovation of this proposed research is three- fold: (1) for the first time we will critically compare two commonly-used approaches (incidence-based and prevalence-based) to tally the economic burden of obesity;(2) we will incorporate an extensive list of state- level data to reflect importnt regional variations on population composition, dietary consumption, employment and wage, and healthcare costs;and (3) we will design a user-friendly, web-based tool to engage stakeholders and facilitate the dissemination of results and methods. Data gaps, uncertainties, and methodological challenges revealed in the proposed activities will contribute to the existing evidence base. The recent political climate indicates that more state-level legislatures will tackl obesity in the years to come, with taxation as a potential vehicle to influence behavior. The proposed research will provide evidence-based tools and anchor points for researchers to assess potential public health benefits. Going forward, the flexibility of the model constructed allows subsequent updates with new data and/or customization with local (e.g. city- level) data. It may also pave the way for designing potential natural experiments.
Funding Period: 2013-07-01 - 2015-06-30
more information: NIH RePORT

Detail Information

Research Grants62

  1. Alzheimer's Disease Core Center
    John Q Trojanowski; Fiscal Year: 2013
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    WILLIAM HATFIELD DOW; Fiscal Year: 2013
    CLAUDIA RITA VALEGGIA; Fiscal Year: 2013
  4. Community Partnering to Encourage Healthy Beverage Intake through Child Care
    ANISHA INDRAVADAN PATEL; Fiscal Year: 2013
    ..At the end of this award, Dr. Patel will be well positioned to translate evidence into practice to prevent childhood obesity. ..
  5. Eliminating Health Disparities Through Multi-Trans-Disciplinary Approaches
    MARINELLE PAYTON; Fiscal Year: 2013
    ..Most significantly, the Center will enhance the quality and quantity of research on minority health and health disparities, provide high quality research career development training, and strengthen community ties. ..
  6. Comparative-Effectiveness of Population Strategies to Improve Diet and Reduce CVD
    Dariush Mozaffarian; Fiscal Year: 2013
    ..Application of that knowledge will be imperative in extending healthy life and reducing enormous and ever-increasing burdens of CVD in the US. ..
  7. Novel Methods to Assess the Effects of Chemicals on Child Development
    Susan L Schantz; Fiscal Year: 2013
    ..This Center's research will fill an important gap in our knowledge by investigating the effects of these chemicals, both alone and combination with a high fat diet on reproductive and neural development. ..
  8. Sex Differences and Progesterone Effects on Impulsivity, Smoking &Cocaine Abuse
    Marilyn E Carroll; Fiscal Year: 2013
    ..This SCOR allows for an interdisciplinary and translational approach to accomplishing these aims. It also offers economic efficiency, an opportunity to exchange ideas and approaches with others who are involved with the SCOR. ..
  9. Organizational Capacity to Eliminate Outcome Disparities under Healthcare Reform
    Erick Guerrero; Fiscal Year: 2013
  10. ADHERENCE AND EMPOWERMENT: Service Participation and Meaningful Outcomes
    Patrick W Corrigan; Fiscal Year: 2013
    ..One way in which service participation may be understood is in terms of the number of people who might benefit from psychiatric services but never seek them out. ..
  11. Center for Novel Therapeutics for HIV-Associated Cognitive Disorders
    Justin C McArthur; Fiscal Year: 2013
    ..5. To identify and validate surrogate biomarkers based on proteomics and lipomics. ..
    Elaine M Faustman; Fiscal Year: 2013
    ..The Center also includes junior investigators, new scientists since the 2003 Center renewal, and a Faculty Development Investigator. The Internal Steering Committee in comprised of a number of Center investigators and directors. ..
  13. Mobile Healthy Food Purchasing Intervention for Hispanics
    Dharma E Cortes; Fiscal Year: 2013
  14. Barriers to Effective Tobacco Control Policy Implementation in the US Military
    Ruth E Malone; Fiscal Year: 2013
  15. Center for GI Infection and Injury
    MARY KOLB ESTES; Fiscal Year: 2013
    ..A large, multi-ethnic population of infants and adults with Digestive Diseases emphasizes a need and opportunities for this Center. ..
  16. COBRE Center for Central Nervous System Function
    Jerome N Sanes; Fiscal Year: 2013
    ..The COBRE Center will leverage the administrative resources available through the Brown Institute for Brain Science to ensure efficient operation and coordinate with other brain science research activities at Brown. ..
  17. The Impact of School Food Policy on Childhood Obesity
    Amy Schwartz; Fiscal Year: 2013
    ..This project will determine the influence of school-level policies, one of the most promising approaches to influence obesity, on Body Mass Index (BMI) and a number of other critical outcomes measures. ..
  18. Referral Center-Animal models of human genetic disease
    Mark E Haskins; Fiscal Year: 2013
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  19. Neighborhood Environments and Diet: Evaluating the Fast Food Ban in Los Angeles
    Roland Sturm; Fiscal Year: 2013
    ..g., media attention to local diets). ..
  20. Pacific NorthWest Regional Center of Excellence (PNWRCE)
    Jay A Nelson; Fiscal Year: 2013
    ..pseudomallei host pathogen response during both the septicemic as well as the intracellular phases of the disease. ..
  21. Snacking in young children: parental definitions, goals, and feeding practices
    Jennifer Orlet Fisher; Fiscal Year: 2013
  22. Mumbai Worksite Tobacco Control Study
    GLORIAN C SORENSEN; Fiscal Year: 2013
  23. Food and Beverage Patterns that Predict Weight Gain Among Adolescents
    Alison E Field; Fiscal Year: 2013
    ..Overweight, obesity, and hypertension are serious public health problems in the United States, thus understanding modifiable determinants of weight gain and high blood pressure is of extreme importance. ..
  24. Mexican Children of Immigrants Program
    Nancy S Landale; Fiscal Year: 2013
    ..The proposed research will produce essential knowledge for the development of sound public policies and interventions to reduce health disparities. ..
  25. SES and race-ethnic disparities in food purchasing and dietary intake:2000-2015
    Barry M Popkin; Fiscal Year: 2013
    ..private label products, and examine other issues relevant to dynamics of food purchase and diet among race-ethnic, age and income subpopulations. ..
  26. Parenting regarding TV viewing and overweight in Latino preschool children
    DARCY ANN THOMPSON; Fiscal Year: 2013
    ..This proposed work will inform the design of overweight interventions targeting Latino preschoolers by enhancing our understanding of the role of parental mediation of TV viewing in the development of overweight. ..
  27. SCHS, mitochondria, healthy aging and longevity
    Gino A Cortopassi; Fiscal Year: 2013
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  28. Randomized Trial of a Postpartum Diabetes Prevention Program for Hispanic Women
    Lisa Chasan-Taber; Fiscal Year: 2013
    ..Measures of adherence will include accelerometers and dietary recalls. ..
  29. Evaluating Coordinated Care Organizations
    KENNETH JOHN MCCONNELL; Fiscal Year: 2013
    ..The proposed research will provide crucial knowledge for the development and design of innovations necessary to improve the long term value and affordability of health care. ..
  30. Impact of a Public-Private Mobile Market to Improve Fruit &Vegetable Access
    Lucia A Leone; Fiscal Year: 2013
  31. Impact of NYC Sugar Sweetened Beverage Policy on Calories Purchased and Consumed
    Brian Elbel; Fiscal Year: 2013
    ..The 1st year of data collection post-policy implementation will measure the short-term impact of the SSB policy, while the 2nd and 3rd years will address the longer-term impact on beverage calories. ..
    Thomas K Greenfield; Fiscal Year: 2013
    ..We plan to build research capacity in the Center and other organizations, enhance careers of new investigators, and make key findings accessible to researchers, policy makers, practitioners, and the public. ..
  33. Physician Level Analysis of Medical Technology Diffusion: Coronary Stents Study
    Pinar Karaca-Mandic; Fiscal Year: 2013
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  34. The impact of natural experiments on child obesity: A systems science approach
    May C Wang; Fiscal Year: 2013
  35. Intersection of Local and State Alcohol Policy: The Case of Malt Liquor
    RHONDA J JONES-WEBB; Fiscal Year: 2013
    ..Results will also help local policymakers in other cities. ..
  36. Beryllium: Exposure Immune and Genetic Mechanisms
    Lee S Newman; Fiscal Year: 2013
    ..The productivity and continuance demonstrate quality, commitment and ability to work together. PROGRAM AS INTERGRATED EFFORT ..
  37. Hopkins Center for Eliminate Cardiovascular Health Disparities
    Lisa A Cooper; Fiscal Year: 2013
    ..abstract_text> ..
  38. Exploring voluntary tobacco-related initiatives by businesses
    Ruth E Malone; Fiscal Year: 2013
    ..This innovative study will provide knowledge essential for shaping how public health advocates'work with businesses on their tobacco policies. ..
  39. A User-Friendly Epidemic-Economic Model of Diagnostic Tests for Tuberculosis
    DAVID WESLEY DOWDY; Fiscal Year: 2013
  40. CDART - Center for Drug Abuse Research Translation
    Michael T Bardo; Fiscal Year: 2013
    ..The long-range goal is to improve the design and implementation of targeted anti-drug preventive interventions. ..
  41. Center for the Study of Complex Malaria in India
    Jane M Carlton; Fiscal Year: 2013
    ..CSCMi projects will be supported by Administrative, Data Management, and Genomics Cores to be located at the NIMR's new facility in Dwarka, New Delhi. ..
  42. Bridging Research, Innovation, Training &Education Solutions for Minority Health
    Vickie M Mays; Fiscal Year: 2013
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  43. Family and Neighborhood Interventions to Reduce Heart Disease Risk in East L.A.
    Alexander N Ortega; Fiscal Year: 2013
  44. RU: Daily Diary Evaluation of the Health Benefits of a Workplace Intervention
    David M Almeida; Fiscal Year: 2013
    ..As a whole, this study holds great promise for informing the implementation of evidence-based family-friendly policies, and therefore improving the health and well-being of employees and their families nationwide. ..
    John V Fahy; Fiscal Year: 2013
    ..Including studies in human biospecimens in a PPG that promises to advance understanding of airway TH2 inflammation in ways that are highly relevant to patients with asthma. ..