Influência do excesso de peso e da obesidade nos gastos em saúde nos domicílios brasileiros

Abstract

O objetivo deste estudo foi avaliar a influência do excesso de peso e da obesidade sobre os gastos em saúde nos domicílios brasileiros. Dados da Pesquisa de Orçamentos Familiares de 2008-2009 foram utilizados para estimar os gastos familiares privados em saúde, que compreendem os gastos por desembolso direto, incluindo a aquisição de medicamentos e o pagamento por serviços de assistência à saúde, e avaliar o estado nutricional dos moradores dos 55.970 domicílios. Os gastos mensais em saúde e seus componentes foram analisados segundo o número de indivíduos com excesso de peso e obesidade nos domicílios (nenhum, um, dois ou três, ou mais indivíduos). A presença e o aumento do número de indivíduos com excesso de peso e obesidade resultaram em maiores gastos em saúde, com destaque para as despesas com medicamentos e planos de saúde. Tais resultados foram mantidos após ajuste (renda, região, área, presença de idosos e número de moradores nos domicílios). O excesso de peso e a obesidade influenciaram positivamente os gastos privados em saúde das famílias brasileiras.

The objective of this study was to evaluate the influence of excess weight and obesity on health spending in Brazilian households. Data from the Household Budget Survey 2008-2009 were used to estimate monetary health spending, corresponding to out-of-pocket spending, including purchase of medicines and payment for healthcare services, and to evaluate the nutritional status of the 55,970 household residents. Monthly spending on health and its components were analyzed according to the number of excess weight and obese individuals in households (none, one, two, or three or more individuals). The presence and increasing number of excess weight and obese individuals has resulted in greater spending on health, especially on medicines and health insurance. The results were maintained after adjusting for income, region, area, and presence of elderly and number of residents in the household. Excess weight and obesity had a direct impact on out-of-pocket health spending by Brazilian families.

The objective of this study was to evaluate the influence of excess weight and obesity on health spending in Brazilian households. Data from the Household Budget Survey 2008-2009 were used to estimate monetary health spending, corresponding to out-of-pocket spending, including purchase of medicines and payment for healthcare services, and to evaluate the nutritional status of the 55,970 household residents. Monthly spending on health and its components were analyzed according to the number of excess weight and obese individuals in households (none, one, two, or three or more individuals). The presence and increasing number of excess weight and obese individuals has resulted in greater spending on health, especially on medicines and health insurance. The results were maintained after adjusting for income, region, area, and presence of elderly and number of residents in the household. Excess weight and obesity had a direct impact on out-of-pocket health spending by Brazilian families.