The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample
Background: Indonesia is in the middle of a rapid epidemiological transition with an ageing population and increasing exposure to risk factors for chronic conditions. This study examines the relative impacts of obesity, tobacco consumption, and physical inactivity, on non-communicable diseases mul...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Springer Nature
2022
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| Online Access: | https://repository.ugm.ac.id/283621/1/223.pdf |
| _version_ | 1826050659083878400 |
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| author | Ihyauddin, Zulfikar Marthias, Tiara Anindya, Kanya Ng, Nawi Dewi, Fatwa Sari Tetra Hulse, Emily S. G. Aji, Reza Pandu Putri, Dwi Astuti Dharma Lee, John Tayu |
| author_facet | Ihyauddin, Zulfikar Marthias, Tiara Anindya, Kanya Ng, Nawi Dewi, Fatwa Sari Tetra Hulse, Emily S. G. Aji, Reza Pandu Putri, Dwi Astuti Dharma Lee, John Tayu |
| author_sort | Ihyauddin, Zulfikar |
| collection | UGM |
| description | Background: Indonesia is in the middle of a rapid epidemiological transition with an ageing population and
increasing exposure to risk factors for chronic conditions. This study examines the relative impacts of obesity, tobacco
consumption, and physical inactivity, on non-communicable diseases multimorbidity, health service use, catastrophic
health expenditure (CHE), and loss in employment productivity in Indonesia. Methods: Secondary analyses were conducted of cross-sectional data from adults aged ≥ 40 years (n = 12,081) in the Indonesian Family Life Survey 2014/2015. We used propensity score matching to assess the associations between behavioural risk factors and health service use, CHE, employment productivity, and multimorbidity. Results: Being obese, overweight and a former tobacco user was associated with a higher number of chronic conditions and multimorbidity (p < 0.05). Being a former tobacco user contributed to a higher number of outpatient and inpatient visits as well as CHE incidences and work absenteeism. Physical inactivity relatively increased the number of outpatient visits (30% increase, p < 0.05) and work absenteeism (21% increase, P < 0.06). Although being underweight was associated with an increased outpatient care utilisation (23% increase, p < 0.05), being overweight was negatively associated with CHE incidences (50% decrease, p < 0.05). Conclusion: Combined together, obesity, overweight, physical inactivity and tobacco use contributed to an increased number of NCDs as well as medical costs and productivity loss in Indonesia. Interventions addressing physical and behavioural risk factors are likely to have substantial benefits for individuals and the wider society in Indonesia. |
| first_indexed | 2024-03-14T00:08:04Z |
| format | Article |
| id | oai:generic.eprints.org:283621 |
| institution | Universiti Gadjah Mada |
| language | English |
| last_indexed | 2024-03-14T00:08:04Z |
| publishDate | 2022 |
| publisher | Springer Nature |
| record_format | dspace |
| spelling | oai:generic.eprints.org:2836212023-11-21T07:22:44Z https://repository.ugm.ac.id/283621/ The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample Ihyauddin, Zulfikar Marthias, Tiara Anindya, Kanya Ng, Nawi Dewi, Fatwa Sari Tetra Hulse, Emily S. G. Aji, Reza Pandu Putri, Dwi Astuti Dharma Lee, John Tayu Dietetics and Nutrigenomics Background: Indonesia is in the middle of a rapid epidemiological transition with an ageing population and increasing exposure to risk factors for chronic conditions. This study examines the relative impacts of obesity, tobacco consumption, and physical inactivity, on non-communicable diseases multimorbidity, health service use, catastrophic health expenditure (CHE), and loss in employment productivity in Indonesia. Methods: Secondary analyses were conducted of cross-sectional data from adults aged ≥ 40 years (n = 12,081) in the Indonesian Family Life Survey 2014/2015. We used propensity score matching to assess the associations between behavioural risk factors and health service use, CHE, employment productivity, and multimorbidity. Results: Being obese, overweight and a former tobacco user was associated with a higher number of chronic conditions and multimorbidity (p < 0.05). Being a former tobacco user contributed to a higher number of outpatient and inpatient visits as well as CHE incidences and work absenteeism. Physical inactivity relatively increased the number of outpatient visits (30% increase, p < 0.05) and work absenteeism (21% increase, P < 0.06). Although being underweight was associated with an increased outpatient care utilisation (23% increase, p < 0.05), being overweight was negatively associated with CHE incidences (50% decrease, p < 0.05). Conclusion: Combined together, obesity, overweight, physical inactivity and tobacco use contributed to an increased number of NCDs as well as medical costs and productivity loss in Indonesia. Interventions addressing physical and behavioural risk factors are likely to have substantial benefits for individuals and the wider society in Indonesia. Springer Nature 2022 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/283621/1/223.pdf Ihyauddin, Zulfikar and Marthias, Tiara and Anindya, Kanya and Ng, Nawi and Dewi, Fatwa Sari Tetra and Hulse, Emily S. G. and Aji, Reza Pandu and Putri, Dwi Astuti Dharma and Lee, John Tayu (2022) The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample. BMC Health Services Research, 22 (1). p. 1170. ISSN 1472-6963 https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08546-6 10.1186/s12913-022-08546-6 |
| spellingShingle | Dietetics and Nutrigenomics Ihyauddin, Zulfikar Marthias, Tiara Anindya, Kanya Ng, Nawi Dewi, Fatwa Sari Tetra Hulse, Emily S. G. Aji, Reza Pandu Putri, Dwi Astuti Dharma Lee, John Tayu The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample |
| title | The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample |
| title_full | The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample |
| title_fullStr | The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample |
| title_full_unstemmed | The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample |
| title_short | The relative impact of underweight, overweight, smoking, and physical inactivity on health and associated costs in Indonesia: propensity score matching of a national sample |
| title_sort | relative impact of underweight overweight smoking and physical inactivity on health and associated costs in indonesia propensity score matching of a national sample |
| topic | Dietetics and Nutrigenomics |
| url | https://repository.ugm.ac.id/283621/1/223.pdf |
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