Cost effectiveness of childhood obesity interventions: Evidence and methods for CHOICES

Gortmaker, Steven L., Long, Michael W., Resch, Stephen C., Ward, Zachary J., Cradock, Angie L., Barrett, Jessica L., Wright, Davene R., Sonneville, Kendrin R., Giles, Catherine M., Carter, Rob C., Moodie, Marj L., Sacks, Gary, Swinburn, Boyd A., Hsiao, Amber, Vine, Seanna, Barendregt, Jan, Vos, Theo and Wang, Y. Claire 2015, Cost effectiveness of childhood obesity interventions: Evidence and methods for CHOICES, American Journal of Preventive Medicine, vol. 49, no. 1, pp. 102-111, doi: 10.1016/j.amepre.2015.03.032.

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Title Cost effectiveness of childhood obesity interventions: Evidence and methods for CHOICES
Author(s) Gortmaker, Steven L.
Long, Michael W.
Resch, Stephen C.
Ward, Zachary J.
Cradock, Angie L.
Barrett, Jessica L.
Wright, Davene R.
Sonneville, Kendrin R.
Giles, Catherine M.
Carter, Rob C.ORCID iD for Carter, Rob C.
Moodie, Marj L.ORCID iD for Moodie, Marj L.
Sacks, GaryORCID iD for Sacks, Gary
Swinburn, Boyd A.
Hsiao, Amber
Vine, Seanna
Barendregt, Jan
Vos, Theo
Wang, Y. Claire
Journal name American Journal of Preventive Medicine
Volume number 49
Issue number 1
Start page 102
End page 111
Total pages 10
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-07
ISSN 1873-2607
Summary INTRODUCTION: The childhood obesity epidemic continues in the U.S., and fiscal crises are leading policymakers to ask not only whether an intervention works but also whether it offers value for money. However, cost-effectiveness analyses have been limited. This paper discusses methods and outcomes of four childhood obesity interventions: (1) sugar-sweetened beverage excise tax (SSB); (2) eliminating tax subsidy of TV advertising to children (TV AD); (3) early care and education policy change (ECE); and (4) active physical education (Active PE). METHODS: Cost-effectiveness models of nationwide implementation of interventions were estimated for a simulated cohort representative of the 2015 U.S. population over 10 years (2015-2025). A societal perspective was used; future outcomes were discounted at 3%. Data were analyzed in 2014. Effectiveness, implementation, and equity issues were reviewed. RESULTS: Population reach varied widely, and cost per BMI change ranged from $1.16 (TV AD) to $401 (Active PE). At 10 years, assuming maintenance of the intervention effect, three interventions would save net costs, with SSB and TV AD saving $55 and $38 for every dollar spent. The SSB intervention would avert disability-adjusted life years, and both SSB and TV AD would increase quality-adjusted life years. Both SSB ($12.5 billion) and TV AD ($80 million) would produce yearly tax revenue. CONCLUSIONS: The cost effectiveness of these preventive interventions is greater than that seen for published clinical interventions to treat obesity. Cost-effectiveness evaluations of childhood obesity interventions can provide decision makers with information demonstrating best value for the money.
Language eng
DOI 10.1016/j.amepre.2015.03.032
Field of Research 160508 Health Policy
111712 Health Promotion
Socio Economic Objective 920207 Health Policy Economic Outcomes
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Grant ID NHMRC 1041020
Copyright notice ©2015, Elsevier
Persistent URL

Document type: Journal Article
Collections: Faculty of Health
Population Health
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