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Costs of asthma in the United States: 2002-2007 - 10/08/11

Doi : 10.1016/j.jaci.2010.10.020 
Sarah Beth L. Barnett, MA , Tursynbek A. Nurmagambetov, PhD
Air Pollution and Respiratory Health Branch, Centers for Disease Control and Prevention, Atlanta, Ga 

Reprint requests: Sarah Beth L. Barnett, MA, Air Pollution and Respiratory Health Branch, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Atlanta, GA 30341.

Abstract

Background

The economic burden of asthma is an important measure of the effect of asthma on society. Although asthma is a costly illness, the total cost of asthma to society has not been estimated in more than a decade.

Objective

The purpose of this study is to provide the public with current estimates of the incremental direct medical costs and productivity losses due to morbidity and mortality from asthma at both the individual and national levels for the years 2002-2007.

Methods

Data came from the Medical Expenditure Panel Survey. Two-part models were used to estimate the incremental direct costs of asthma. The incremental number of days lost from work and school was estimated by negative binomial regressions and valued following the human capital approach. Published data were used to value lives lost with an underlying cause of asthma.

Results

Over the years 2002-2007, the incremental direct cost of asthma was $3,259 (2009 dollars) per person per year. The value of additional days lost attributable to asthma per year was approximately $301 for each worker and $93 for each student. For the most recent year available, 2007, the total incremental cost of asthma to society was $56 billion, with productivity losses due to morbidity accounting for $3.8 billion and productivity losses due to mortality accounting for $2.1 billion.

Conclusion

The current study finds that the estimated costs of asthma are substantial, which stresses the necessity for research and policy to work toward reducing the economic burden of asthma.

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Key Words : Asthma, expenditures, Two-part model, direct cost, productivity losses, mortality losses

Abbreviations used : GLM, ICD-9-CM, MEPS


Plan


 Supported by the Air Pollution and Respiratory Health Branch, Centers for Disease Control and Prevention and supported in part by an appointment to the Research Participation Program at the Centers for Disease Control and Prevention, administered by the Oak Ridge Institute for Science and Education through an interagency agreement between the US Department of Energy and the Centers for Disease Control and Prevention.
 The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.
 Disclosure of potential conflict of interest: S. B. L. Barnett has received research support from the OakRidge Institute for Science and Education. T. A. Nurmagambetov has declared no conflict of interest.


© 2010  American Academy of Allergy, Asthma & Immunology. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 127 - N° 1

P. 145-152 - janvier 2011 Retour au numéro
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