The Effects of Obesity, Smoking and Drinking on Medical Problems and Costs: Obesity Outranks Both Smoking and Drinking in Its Deleterious Effects on Health and Health Costs

Obesity Outranks Both Smoking and Drinking in Its Deleterious Effects on Health and Health Costs

By: Sturm R

In: Health Affairs, 21(2), pp.245-253

Publisher: Project HOPE - The People-to-People Health Foundation, Inc.

Published: March/April 2002

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This paper compares the effects of obesity, overweight, smoking, and problem drinking on health care use and health status based on national survey data. Obesity has roughly the same association with chronic health conditions as does twenty years' aging; this greatly exceeds the associations of smoking or problem drinking. Utilization effects mirrors the health effects. Obesity is associated with a 36 percent increase in inpatient and outpatient spending and a 77 percent increase in medications, compared with a 21 percent increase in inpatient and outpatient spending and a 28 percent increase in medications for current smokers and smaller effects for problem drinkers. Nevertheless, the latter two groups have received more consistent attention in recent decades in clinical practice.

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