Abstract
Objective
To examine the association of overweight/obesity with health, health care utilization,
and expenditures in a national sample of 10- to 17-year-old children and adolescents.
Methods
Secondary analysis of 2005 to 2009 Medical Expenditure Panel Survey data (n = 17,224).
Outcome measures included suboptimal health, emotional/behavioral problems, health
care utilization, and expenditures.
Results
Overweight and obese children and adolescents had greater risk of suboptimal health
(adjusted risk ratio [ARR], 1.4 and 1.7; P < .01), use of prescriptions (ARR, both 1.1; P = .01), and emergency department visits (ARR, 1.2 and 1.1; P = .01); overweight children/adolescents had lower mean out-of-pocket expenditures
(∼$100, P < .01); and obese children/adolescents had greater risk of emotional/behavioral problems
(ARR, 1.2; P < .01) and specialist visits (ARR, 1.1; P = .01). The most common specialty referral among obese children/adolescents was psychiatry.
Overweight and obesity were not associated with office visits or total expenditures.
A greater proportions of children and adolescents with suboptimal health and emotional/behavioral
problems had health care expenditures, and those with suboptimal health were more
likely to have out-of-pocket expenditures.
Conclusions
Pediatric overweight and obesity affect child and adolescent health status, emotional/behavioral
problems, and specific domains of health care utilization, but do not appear to be
associated with total health care expenditures. Out-of-pocket expenditures are lower
among overweight children and adolescents. These findings highlight the need for early
intervention in overweight children/adolescents, when health care expenditures may
not be greater, and suggest that it may prove useful to pay special attention to the
health status and emotional/behavioral problems of overweight and obese children/adolescents
in weight-management interventions.
Keywords
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Article Info
Publication History
Accepted:
February 9,
2013
Received:
November 13,
2012
Identification
Copyright
© 2013 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
