Medicine expenses and obesity in Brazil: an analysis based on the household budget survey

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCANELLA, Daniela S.
dc.contributor.authorNOVAES, Hillegonda M. D.
dc.contributor.authorLEVY, Renata B.
dc.date.accessioned2016-03-14T14:27:27Z
dc.date.available2016-03-14T14:27:27Z
dc.date.issued2016
dc.description.abstractBackground: Obesity can be considered a global public health problem that affects virtually all countries worldwide and results in greater use of healthcare services and higher healthcare costs. We aimed to describe average monthly household medicine expenses according to source of funding, public or private, and to estimate the influence of the presence of obese residents in households on total medicine expenses. Methods: This study was based on data from the 2008-2009 Brazilian Household Budget Survey, with a representative population sample of 55,970 households as study units. Information on nutritional status and medicines acquired and their cost in the past 30 days were analyzed. A two-part model was employed to assess the influence of obesity on medicine expenses, with monthly household medicine expenses per capita as outcome, presence of obese in the household as explanatory variable, and adjustment for confounding variables. Results: Out-of-pocket expenses on medicines were always higher than the cost of medicines obtained through the public sector, and 32 % of households had at least one obese as resident. Monthly household expenses on medicines per capita in households with obese was US$ 20.40, 16 % higher than in households with no obese. An adjusted model confirmed that the presence of obese in the households increased medicine expenses. Conclusion: Obesity is associated with additional medicine expenses, increasing the negative impact on household budgets and public expenditure.
dc.description.indexMEDLINE
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2012/1/9//-4]
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
dc.description.sponsorshipdoctoral scholarship
dc.identifier.citationBMC PUBLIC HEALTH, v.16, article ID 54, 8p, 2016
dc.identifier.doi10.1186/s12889-016-2709-6
dc.identifier.issn1471-2458
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/13495
dc.language.isoeng
dc.publisherBIOMED CENTRAL LTD
dc.relation.ispartofBMC Public Health
dc.rightsopenAccess
dc.rights.holderCopyright BIOMED CENTRAL LTD
dc.subjectCosts
dc.subjectObesity
dc.subjectPharmaceuticals
dc.subjectHealth systems
dc.subjectHousehold budget survey
dc.subjectPublic health
dc.subjectEpidemiology
dc.subject.otherhealth-care expenditures
dc.subject.otheroverweight
dc.subject.othercosts
dc.subject.otherburden
dc.subject.othersystem
dc.subject.otherage
dc.subject.wosPublic, Environmental & Occupational Health
dc.titleMedicine expenses and obesity in Brazil: an analysis based on the household budget survey
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalCANELLA, Daniela S.:Univ Sao Paulo, Fac Saude Publ, Programa Posgrad Nutr Saude Publ, BR-01246904 Sao Paulo, SP, Brazil
hcfmusp.citation.scopus10
hcfmusp.contributor.author-fmusphcHILLEGONDA MARIA DUTILH NOVAES
hcfmusp.contributor.author-fmusphcRENATA BERTAZZI LEVY
hcfmusp.description.articlenumber54
hcfmusp.description.volume16
hcfmusp.origemWOS
hcfmusp.origem.pubmed26790622
hcfmusp.origem.scopus2-s2.0-84955068842
hcfmusp.origem.wosWOS:000368396500004
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
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