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Public health interventions for addressing childhood overweight: Analysis of the business case

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  • Finkelstein, E.A.
  • Trogdon, J.G.

Abstract

We investigated the appropriateness of basing childhood obesity interventions on expectations of return on investment (ROI). We show that excess weight is indeed associated with greater medical expenditures even among children and adolescents. However, under current best practices, it is unlikely that interventions will be able to meet the level of effectiveness required at a low enough implementation cost to show positive ROI. The merits of childhood obesity interventions should be based on their ability to efficiently control weight and improve health compared with alternative uses for available resources. They should not be based on the potential for short-term financial savings.

Suggested Citation

  • Finkelstein, E.A. & Trogdon, J.G., 2008. "Public health interventions for addressing childhood overweight: Analysis of the business case," American Journal of Public Health, American Public Health Association, vol. 98(3), pages 411-415.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.114991_9
    DOI: 10.2105/AJPH.2007.114991
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    Cited by:

    1. Joanne Castonguay, 2012. "Revue de littérature sur les études économiques des interventions auprès des enfants obèses," CIRANO Project Reports 2012rp-15, CIRANO.
    2. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    3. Kinge, Jonas Minet & Morris, Stephan, 2015. "The impact of childhood obesity on health and health service use: an instrumental variable approach," HERO Online Working Paper Series 2015:2, University of Oslo, Health Economics Research Programme.
    4. Christina Wenig, 2012. "The impact of BMI on direct costs in Children and Adolescents: empirical findings for the German Healthcare System based on the KiGGS-study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(1), pages 39-50, February.
    5. Georgia S. Papoutsi & Andreas C. Drichoutis & Rodolfo M. Nayga Jr., 2013. "The Causes Of Childhood Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 27(4), pages 743-767, September.
    6. Stalford, Helen, 2019. "The price is rights!: Cost benefit analysis and the resourcing of children's services," Children and Youth Services Review, Elsevier, vol. 99(C), pages 395-407.
    7. Breitfelder, Ariane & Wenig, Christina M. & Wolfenstetter, Silke B. & Rzehak, Peter & Menn, Petra & John, Jürgen & Leidl, Reiner & Bauer, Carl Peter & Koletzko, Sibylle & Röder, Stefan & Herbarth, Olf, 2011. "Relative weight-related costs of healthcare use by children--Results from the two German birth cohorts, GINI-plus and LISA-plus," Economics & Human Biology, Elsevier, vol. 9(3), pages 302-315, July.
    8. Monheit, Alan C. & Vistnes, Jessica P. & Rogowski, Jeannette A., 2009. "Overweight in adolescents: Implications for health expenditures," Economics & Human Biology, Elsevier, vol. 7(1), pages 55-63, March.

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