کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5056767 1476552 2017 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The impact of childhood overweight and obesity on healthcare utilisation
ترجمه فارسی عنوان
تاثیر اضافه وزن کودکان و چاقی در استفاده از مراقبت های بهداشتی
کلمات کلیدی
اضافه وزن و چاقی؛ شاخص توده بدنی ؛ استفاده از خدمات بهداشتی؛ فرزندان؛ متغیرهای ابزاری؛ ایرلند
موضوعات مرتبط
علوم زیستی و بیوفناوری علوم کشاورزی و بیولوژیک علوم کشاورزی و بیولوژیک (عمومی)
چکیده انگلیسی


- A study exploring the impact of child overweight and obesity on healthcare usage.
- Instrumental variable corrects for endogeneity of child BMI status.
- IV estimates show much larger effect of BMI on GP usage and inpatient stays.
- Large differences in effects depending on child's age and duration of BMI status.

Rising levels of childhood overweight and obesity represent a major global public health challenge. A number of studies have explored the association between childhood overweight and obesity and healthcare utilisation and costs. This paper adds to the literature by estimating the causal effect of child overweight and obesity status on use of general practitioner (GP) and hospital inpatient stays at two time points using instrumental variable (IV) methods The paper uses data from two waves of the Growing Up in Ireland survey of children when they are 9 and 13 years respectively and uses the biological mother's body mass index (BMI) as an instrument for the child's BMI. Our results demonstrate that child overweight and obesity status do not have a significant effect on healthcare utilisation for children when they are 9 years, but do have a large and significant effect at 13 years. Across all our models, the effects on both GP and hospital inpatient stays are found to be larger when endogeneity in childhood BMI status is addressed. Previous studies that did not address endogeneity concerns are likely to have significantly underestimated the impact of child overweight and obesity status on healthcare utilisation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Economics & Human Biology - Volume 27, Part A, November 2017, Pages 84-92
نویسندگان
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