Pub Date : 2019-11-08DOI: 10.1097/JOM.0000000000001761
A. Ramasamy, F. Laliberté, Shoghag A Aktavoukian, D. Lejeune, M. DerSarkissian, C. Cavanaugh, B. G. Smolarz, R. Ganguly, M. Duh
OBJECTIVE To compare obesity-related costs of employees of the healthcare industry versus other major US industries. METHODS Employees with obesity versus without were identified using the Optum Health Reporting and Insights employer claims database (1/2010-3/2017). Employees working in healthcare with obesity were compared to employees of other industries with obesity for absenteeism/disability and direct cost differences. Multivariate models estimated the association between industries and high costs compared to the healthcare industry. RESULTS Obesity-related absenteeism/disability and direct costs were higher in several US industries compared with the healthcare industry (adjusted cost differences of $-1,220-$5,630). Employees of the government/education/religious services industry (GERS) with obesity (BMI≥30) had significantly higher odds of direct costs ≥80th percentile (odds ratio vs healthcare industry=2.20; P < 0.05). CONCLUSIONS Relative to the healthcare industry, employees of other industries, especially GERS, incurred higher obesity-related costs.
目的比较医疗保健行业与美国其他主要行业员工的肥胖相关成本。方法使用Optum Health Reporting and Insights雇主索赔数据库(2010年1月至2017年3月)识别肥胖和非肥胖员工。在医疗保健行业工作的肥胖员工与其他行业的肥胖员工进行了旷工/残疾和直接成本差异的比较。与医疗保健行业相比，多变量模型估计了行业与高成本之间的关联。结果与医疗保健行业相比，美国几个行业与肥胖相关的缺勤/残疾和直接成本更高(调整后的成本差异为-1,220- 5,630美元)。肥胖(BMI≥30)的政府/教育/宗教服务行业(GERS)雇员直接成本(≥80百分位数)的比值显著高于其他行业(与医疗保健行业的比值比=2.20;p < 0.05)。结论与医疗保健行业相比，其他行业员工的肥胖相关成本更高，尤其是ger。
{"title":"Direct, Absenteeism, and Disability Cost Burden of Obesity Among Privately Insured Employees: A Comparison of Healthcare Industry Versus Other Major Industries in the United States.","authors":"A. Ramasamy, F. Laliberté, Shoghag A Aktavoukian, D. Lejeune, M. DerSarkissian, C. Cavanaugh, B. G. Smolarz, R. Ganguly, M. Duh","doi":"10.1097/JOM.0000000000001761","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001761","url":null,"abstract":"OBJECTIVE\u0000To compare obesity-related costs of employees of the healthcare industry versus other major US industries.\u0000\u0000\u0000METHODS\u0000Employees with obesity versus without were identified using the Optum Health Reporting and Insights employer claims database (1/2010-3/2017). Employees working in healthcare with obesity were compared to employees of other industries with obesity for absenteeism/disability and direct cost differences. Multivariate models estimated the association between industries and high costs compared to the healthcare industry.\u0000\u0000\u0000RESULTS\u0000Obesity-related absenteeism/disability and direct costs were higher in several US industries compared with the healthcare industry (adjusted cost differences of $-1,220-$5,630). Employees of the government/education/religious services industry (GERS) with obesity (BMI≥30) had significantly higher odds of direct costs ≥80th percentile (odds ratio vs healthcare industry=2.20; P < 0.05).\u0000\u0000\u0000CONCLUSIONS\u0000Relative to the healthcare industry, employees of other industries, especially GERS, incurred higher obesity-related costs.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86142319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OBJECTIVE This study evaluated the relationship of the number of previous episodes due to common mental disorders (CMDs) with long-term outcomes and sustainability of attendance after return-to-work (RTW). METHODS Participants were assigned to the following three groups: workers having one (Group 1), two (Group 2), and three or more (Group 3) previous episodes. Outcomes were a recurrent absence and the sustainability rate of attendance after RTW. RESULTS The sustainability rate in Group 1 was significantly higher than that in Group 3 throughout the observation period. The sustainability rates for Group 2 were significantly higher than for Group 3 at 30 and 36 months. CONCLUSIONS The number of previous episodes was shown to affect sustainability of attendance after RTW due to CMDs, indicating that repeated previous absences are a significant prognostic factor.
{"title":"Number of Previous Absences Is a Predictor of Sustained Attendance After Return to Work in Workers With Absence due to Common Mental Disorders: A Cohort 3-year Study.","authors":"Masayoshi Mishima, Hiroyoshi Adachi, Chieko Mishima","doi":"10.1097/JOM.0000000000001763","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001763","url":null,"abstract":"OBJECTIVE\u0000This study evaluated the relationship of the number of previous episodes due to common mental disorders (CMDs) with long-term outcomes and sustainability of attendance after return-to-work (RTW).\u0000\u0000\u0000METHODS\u0000Participants were assigned to the following three groups: workers having one (Group 1), two (Group 2), and three or more (Group 3) previous episodes. Outcomes were a recurrent absence and the sustainability rate of attendance after RTW.\u0000\u0000\u0000RESULTS\u0000The sustainability rate in Group 1 was significantly higher than that in Group 3 throughout the observation period. The sustainability rates for Group 2 were significantly higher than for Group 3 at 30 and 36 months.\u0000\u0000\u0000CONCLUSIONS\u0000The number of previous episodes was shown to affect sustainability of attendance after RTW due to CMDs, indicating that repeated previous absences are a significant prognostic factor.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90077856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-01DOI: 10.1097/JOM.0000000000001686
María Andrée López Gómez, Emily Sparer-Fine, Glorian Sorensen, G. Wagner
OBJECTIVE To review the publications of a Total Worker Health® Center of Excellence, the Harvard T.H. Chan School of Public Health Center for Work, Health, and Wellbeing, in order to identify research findings relevant to either organizational or public policies. METHODS Two researchers independently reviewed 57 publications from 2011 to 2019 to identify cross-cutting themes that focus on working conditions or related health outcomes and their organizational and public policy implications. RESULTS Twelve cross-cutting themes were identified with their respective organizational and public policy implications. Several policy implications cut across work-related themes. CONCLUSIONS Policy implications of TWH® research will aid in setting priorities to translate this from research into practice in future studies and help identify gaps that we and others can use to plan future TWH® research.
{"title":"Literature Review of Policy Implications from Findings of the Center for Work, Health and Well-being.","authors":"María Andrée López Gómez, Emily Sparer-Fine, Glorian Sorensen, G. Wagner","doi":"10.1097/JOM.0000000000001686","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001686","url":null,"abstract":"OBJECTIVE\u0000To review the publications of a Total Worker Health® Center of Excellence, the Harvard T.H. Chan School of Public Health Center for Work, Health, and Wellbeing, in order to identify research findings relevant to either organizational or public policies.\u0000\u0000\u0000METHODS\u0000Two researchers independently reviewed 57 publications from 2011 to 2019 to identify cross-cutting themes that focus on working conditions or related health outcomes and their organizational and public policy implications.\u0000\u0000\u0000RESULTS\u0000Twelve cross-cutting themes were identified with their respective organizational and public policy implications. Several policy implications cut across work-related themes.\u0000\u0000\u0000CONCLUSIONS\u0000Policy implications of TWH® research will aid in setting priorities to translate this from research into practice in future studies and help identify gaps that we and others can use to plan future TWH® research.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"137 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77443066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-01DOI: 10.1097/JOM.0000000000001718
Yanzhi Li, F. Cheng, Runze Ye, Yakun Zhu, L. Tian, Han Zheng, C. Jia
OBJECTIVE The aim of this paper was to identify shapes of the curves between weekly working hours (WWH) and mental health status (MHS) and determine WWH for the best MHS in 13 occupations. METHODS This cross-sectional study applied public data of the 2015-2016 California Health Interview Survey. Restricted cubic spline regression was used to determine non-linear trends. RESULTS A statistically significant nearly V-shaped curve was demonstrated between WWH and MHS in total population, male and management, business and finance occupations. WWH for the best MHS were 42 hours, 45 hours and 46 hours, respectively. CONCLUSION These results suggest MHS be susceptible to WWH in total population, male and management, business and finance occupations. WWH for the best MHS for relevant populations could provide evidence for better work hours regulations in California.
{"title":"Weekly Working Hours and Mental Health Status in Different Occupations: Evidence From the 2015-2016 California Health Interview Survey.","authors":"Yanzhi Li, F. Cheng, Runze Ye, Yakun Zhu, L. Tian, Han Zheng, C. Jia","doi":"10.1097/JOM.0000000000001718","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001718","url":null,"abstract":"OBJECTIVE\u0000The aim of this paper was to identify shapes of the curves between weekly working hours (WWH) and mental health status (MHS) and determine WWH for the best MHS in 13 occupations.\u0000\u0000\u0000METHODS\u0000This cross-sectional study applied public data of the 2015-2016 California Health Interview Survey. Restricted cubic spline regression was used to determine non-linear trends.\u0000\u0000\u0000RESULTS\u0000A statistically significant nearly V-shaped curve was demonstrated between WWH and MHS in total population, male and management, business and finance occupations. WWH for the best MHS were 42 hours, 45 hours and 46 hours, respectively.\u0000\u0000\u0000CONCLUSION\u0000These results suggest MHS be susceptible to WWH in total population, male and management, business and finance occupations. WWH for the best MHS for relevant populations could provide evidence for better work hours regulations in California.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86757763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-01DOI: 10.1097/JOM.0000000000001697
Rita Seith, A. Arain, K. Nambunmee, S. Adar, R. Neitzel
OBJECTIVE This study aims to summarize e-waste worker health; examine associations between health and sociodemographic characteristics; and metal body burden. METHODS In 2016, 131 e-waste recycling workers were enrolled in the study, completed a questionnaire, and gave blood and urine samples for heavy metal concentration assessment (lead, cadmium, copper, zinc, nickel). The relationship between symptoms, general health, and metals is assessed via generalized estimating equation models (adjusted for age, education, sex, and village). RESULTS Cadmium in blood and copper in serum were most consistently associated with higher odds of poor health and prevalence of symptoms. We found inconsistent results between general health, symptom severity and urinary nickel. Higher blood lead levels (BLL) were associated with fewer self-reported symptoms. CONCLUSIONS Exposure to certain metals in e-waste recycling communities may adversely impact health status.
{"title":"Self-Reported Health and Metal Body Burden in an Electronic Waste Recycling Community in Northeastern Thailand.","authors":"Rita Seith, A. Arain, K. Nambunmee, S. Adar, R. Neitzel","doi":"10.1097/JOM.0000000000001697","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001697","url":null,"abstract":"OBJECTIVE\u0000This study aims to summarize e-waste worker health; examine associations between health and sociodemographic characteristics; and metal body burden.\u0000\u0000\u0000METHODS\u0000In 2016, 131 e-waste recycling workers were enrolled in the study, completed a questionnaire, and gave blood and urine samples for heavy metal concentration assessment (lead, cadmium, copper, zinc, nickel). The relationship between symptoms, general health, and metals is assessed via generalized estimating equation models (adjusted for age, education, sex, and village).\u0000\u0000\u0000RESULTS\u0000Cadmium in blood and copper in serum were most consistently associated with higher odds of poor health and prevalence of symptoms. We found inconsistent results between general health, symptom severity and urinary nickel. Higher blood lead levels (BLL) were associated with fewer self-reported symptoms.\u0000\u0000\u0000CONCLUSIONS\u0000Exposure to certain metals in e-waste recycling communities may adversely impact health status.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80818103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-01DOI: 10.1097/JOM.0000000000001704
Amanda H. Wilkerson, Christina N. Bridges, Cindy Wu, Megan McClendon, Shana M. Walsh, M. Patterson, Renée M. Umstattd Meyer
OBJECTIVE Describe the process evaluation of the behavioral intervention group of a multi-component workplace intervention, BearStand, to reduce employees' sitting time using sit-stand workstations and behavioral strategies. METHODS Process evaluation metrics: dose delivered, dose-received exposure, dose-received satisfaction, and context were collected using an online survey. Participants included employees of a U.S. university. RESULTS Overall, 38 of 52 participants completed the process evaluation. The majority were satisfied (53%) with the intervention. Participants' interactions with intervention materials decreased over time (73.7%, week 1, to 52.6%, week 13), and 42% and 33% of participants used suggested videos and apps, respectively. Participants found goal setting and self-regulation strategies to be the most helpful and identified workplace-related contextual barriers that impacted intervention engagement. CONCLUSIONS Future interventions should incorporate more engaging materials for participants, reduce contextual barriers, and facilitate use of apps and videos.
{"title":"Process Evaluation of the BearStand Behavioral Intervention: A Social Cognitive Theory-Based Approach To Reduce Occupational Sedentary Behavior.","authors":"Amanda H. Wilkerson, Christina N. Bridges, Cindy Wu, Megan McClendon, Shana M. Walsh, M. Patterson, Renée M. Umstattd Meyer","doi":"10.1097/JOM.0000000000001704","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001704","url":null,"abstract":"OBJECTIVE\u0000Describe the process evaluation of the behavioral intervention group of a multi-component workplace intervention, BearStand, to reduce employees' sitting time using sit-stand workstations and behavioral strategies.\u0000\u0000\u0000METHODS\u0000Process evaluation metrics: dose delivered, dose-received exposure, dose-received satisfaction, and context were collected using an online survey. Participants included employees of a U.S. university.\u0000\u0000\u0000RESULTS\u0000Overall, 38 of 52 participants completed the process evaluation. The majority were satisfied (53%) with the intervention. Participants' interactions with intervention materials decreased over time (73.7%, week 1, to 52.6%, week 13), and 42% and 33% of participants used suggested videos and apps, respectively. Participants found goal setting and self-regulation strategies to be the most helpful and identified workplace-related contextual barriers that impacted intervention engagement.\u0000\u0000\u0000CONCLUSIONS\u0000Future interventions should incorporate more engaging materials for participants, reduce contextual barriers, and facilitate use of apps and videos.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"234 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86975130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-01DOI: 10.1097/JOM.0000000000001702
Maricel Dela Cruz, Muhammed Ershad, A. Mostafa, R. Mckeever, D. Vearrier
OBJECTIVE Minimal research exists evaluating respiratory-related occupational hazards associated with dentistry in the United States. The purpose of this study was to evaluate the pulmonary function of dentists as compared with controls. METHODS This is a case-control study evaluating pulmonary function in dentists versus controls. Outcomes included measurements of FEV1%, FVC%, and FEV1/FVC. RESULTS Our findings indicate that dentists had a statistically significant lower percent predicted FEV1% (p < 0.05) and FVC% (p < 0.05) compared to controls. The prevalence of abnormal FVC% and FEV1% was greater among dentists, but only the increase in abnormal FEV1% approached significance. CONCLUSIONS Dentists had lower percent predicted values for FVC% and FEV1% versus controls. More research is required to further investigate the association between the dental profession and pulmonary function in dentists.
{"title":"Pulmonary Function Testing in Dentists versus Controls: A Pilot Study Exploring the Potential Respiratory-Related Occupational Hazards of Dentistry.","authors":"Maricel Dela Cruz, Muhammed Ershad, A. Mostafa, R. Mckeever, D. Vearrier","doi":"10.1097/JOM.0000000000001702","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001702","url":null,"abstract":"OBJECTIVE\u0000Minimal research exists evaluating respiratory-related occupational hazards associated with dentistry in the United States. The purpose of this study was to evaluate the pulmonary function of dentists as compared with controls.\u0000\u0000\u0000METHODS\u0000This is a case-control study evaluating pulmonary function in dentists versus controls. Outcomes included measurements of FEV1%, FVC%, and FEV1/FVC.\u0000\u0000\u0000RESULTS\u0000Our findings indicate that dentists had a statistically significant lower percent predicted FEV1% (p < 0.05) and FVC% (p < 0.05) compared to controls. The prevalence of abnormal FVC% and FEV1% was greater among dentists, but only the increase in abnormal FEV1% approached significance.\u0000\u0000\u0000CONCLUSIONS\u0000Dentists had lower percent predicted values for FVC% and FEV1% versus controls. More research is required to further investigate the association between the dental profession and pulmonary function in dentists.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82682319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-01DOI: 10.1097/JOM.0000000000001705
Amal Harrati, P. Hepburn, Valerie Meausonne, M. Cullen
OBJECTIVE This paper characterizes trajectories of work and disability leave across the tenure of a cohort of 49,595 employees in a large American manufacturing firm. METHODS We employ sequence and cluster analysis to group workers who share similar trajectories of work and disability leave. We then use multinomial logistic regression models to describe the demographic, health, and job-specific correlates of these trajectories. RESULTS All workers were clustered into one of eight trajectories. Female workers (RR 1.3 - 2.1), those experiencing musculoskeletal disease (RR 1.3 - 1.5), and those whose jobs entailed exposure to high levels of air pollution (Total Particulate Matter; RR 1.9 - 2.4) were more likely to experience at least one disability episode. CONCLUSIONS These trajectories and their correlates provide insight into disability processes and their relationship to demographic characteristics, health, and working conditions of employees.
{"title":"Characterizing Long-Term Trajectories of Work and Disability Leave: The Role of Occupational Exposures, Health, and Personal Demographics.","authors":"Amal Harrati, P. Hepburn, Valerie Meausonne, M. Cullen","doi":"10.1097/JOM.0000000000001705","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001705","url":null,"abstract":"OBJECTIVE\u0000This paper characterizes trajectories of work and disability leave across the tenure of a cohort of 49,595 employees in a large American manufacturing firm.\u0000\u0000\u0000METHODS\u0000We employ sequence and cluster analysis to group workers who share similar trajectories of work and disability leave. We then use multinomial logistic regression models to describe the demographic, health, and job-specific correlates of these trajectories.\u0000\u0000\u0000RESULTS\u0000All workers were clustered into one of eight trajectories. Female workers (RR 1.3 - 2.1), those experiencing musculoskeletal disease (RR 1.3 - 1.5), and those whose jobs entailed exposure to high levels of air pollution (Total Particulate Matter; RR 1.9 - 2.4) were more likely to experience at least one disability episode.\u0000\u0000\u0000CONCLUSIONS\u0000These trajectories and their correlates provide insight into disability processes and their relationship to demographic characteristics, health, and working conditions of employees.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83396916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-01DOI: 10.1097/JOM.0000000000001693
A. Ramasamy, F. Laliberté, Shoghag A Aktavoukian, D. Lejeune, M. DerSarkissian, C. Cavanaugh, B. G. Smolarz, R. Ganguly, M. Duh
OBJECTIVE To evaluate obesity-related costs and body mass index (BMI) as a cost predictor among privately insured employees by industry. METHODS Individuals with/without obesity were identified using the Optum Health Reporting and Insights employer claims database (1/2010-3/2017). Direct/indirect costs were reported per-patient-per-year (PPPY). Multivariate models were used to estimate the association between obesity and high costs (≥80th percentile) by industry. RESULTS Overall (N = 86,221), direct and absenteeism/disability cost differences between class I obesity (BMI 30.0-34.9) and reference were $1,775 and $617 PPPY, respectively (P < 0.05). Among employees with obesity (BMI≥30), highest total costs were observed in the government/education/religious services, food/entertainment services, and technology industries. Class I obesity increased the odds of high costs (≥80th percentile) within each industry (odds ratios vs reference = 1.09-5.17). CONCLUSIONS Obesity (BMI≥30) was associated with high costs among employees of major US industries.
目的评价不同行业私人保险雇员的肥胖相关成本和体重指数(BMI)对成本的预测作用。方法使用Optum Health Reporting and Insights雇主索赔数据库(2010年1月至2017年3月)识别有/没有肥胖的个体。报告了每位患者每年(PPPY)的直接/间接成本。采用多变量模型估计肥胖与行业高成本(≥80百分位数)之间的关系。结果总体(N = 86,221)， I类肥胖(BMI 30.0 ~ 34.9)与参照组的直接和旷工/残疾成本差异分别为1,775美元和617美元PPPY (P < 0.05)。在肥胖员工(BMI≥30)中，政府/教育/宗教服务、食品/娱乐服务和技术行业的总成本最高。I类肥胖增加了每个行业内高成本(≥80百分位数)的几率(比值比与参考值= 1.09-5.17)。结论在美国主要行业中，肥胖(BMI≥30)与高成本相关。
{"title":"Direct and Indirect Cost of Obesity Among the Privately Insured in the United States: A Focus on the Impact by Type of Industry.","authors":"A. Ramasamy, F. Laliberté, Shoghag A Aktavoukian, D. Lejeune, M. DerSarkissian, C. Cavanaugh, B. G. Smolarz, R. Ganguly, M. Duh","doi":"10.1097/JOM.0000000000001693","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001693","url":null,"abstract":"OBJECTIVE\u0000To evaluate obesity-related costs and body mass index (BMI) as a cost predictor among privately insured employees by industry.\u0000\u0000\u0000METHODS\u0000Individuals with/without obesity were identified using the Optum Health Reporting and Insights employer claims database (1/2010-3/2017). Direct/indirect costs were reported per-patient-per-year (PPPY). Multivariate models were used to estimate the association between obesity and high costs (≥80th percentile) by industry.\u0000\u0000\u0000RESULTS\u0000Overall (N = 86,221), direct and absenteeism/disability cost differences between class I obesity (BMI 30.0-34.9) and reference were $1,775 and $617 PPPY, respectively (P < 0.05). Among employees with obesity (BMI≥30), highest total costs were observed in the government/education/religious services, food/entertainment services, and technology industries. Class I obesity increased the odds of high costs (≥80th percentile) within each industry (odds ratios vs reference = 1.09-5.17).\u0000\u0000\u0000CONCLUSIONS\u0000Obesity (BMI≥30) was associated with high costs among employees of major US industries.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75836419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：