Differences in health care costs and utilization among adults with selected lifestyle-related risk factors

American Journal of Health Promotion : AJHP
Larry A Tucker, Alan G Clegg

Abstract

This study examined the relationship between lifestyle-related health risks and health care costs and utilization in adults. A 2-year prospective study with no intervention was used to compare health care utilization and costs in employees with different levels of health risks. Data were collected at a primarily white-collar worksite during 1994 and 1995. Subjects included 982 employees and spouses, mean age 32.1 +/- 10.1 years. Employee medical claims obtained from a third-party administrator were analyzed with respect to health care expenses and utilization. Exercise habits, stress, and overall wellness were assessed by self-report and obesity by the body mass index (BMI). Regression, regression with outliers removed, and odds ratios were used to analyze the associations. Employees who were at high risk for overall wellness (2.4 times), stress (1.9 times), and obesity (1.7 times) were more likely to have high health care costs (> $5,000) than subjects not at high risk. Mean total medical costs also were greater for high-risk subjects compared to lower risk subjects for overall wellness (difference = $1,973; F = 10.65, p = .001), stress (difference = $1,137; F = 7.35, p = .007), and obesity (difference = $1,092; F = 9.09, p = ...Continue Reading

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Citations

Jul 8, 2010·Health Promotion International·L MakridesP Veinot
Sep 14, 2013·Sports Medicine·Matthew A Stults-Kolehmainen, Rajita Sinha
Sep 11, 2007·Public Health·Mónica Bécue-BertautSilvije Vuletic
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Apr 30, 2004·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Donald Fetterolf, Rebecca West
Jan 29, 2005·American Journal of Health Promotion : AJHP·Yumiko NishimuraHideaki Arima
Nov 14, 2008·American Journal of Health Promotion : AJHP·Larry A TuckerTroy B Adams
Oct 12, 2017·Obesity Facts·Jakob KjellbergBetina Højgaard
Feb 28, 2008·Journal of Occupational and Environmental Medicine·Ruth PetersenDee W Edington
Jul 25, 2017·Obesity Surgery·Arendse Tange LarsenJakob Kjellberg
May 26, 2017·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Seamus KentBorislava Mihaylova

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