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  1. Article ; Online: Lifetime costs of overweight and obesity in Italy.

    Atella, Vincenzo / Belotti, Federico / Giaccherini, Matilde / Medea, Gerardo / Nicolucci, Antonio / Sbraccia, Paolo / Mortari, Andrea Piano

    Economics and human biology

    2024  Volume 53, Page(s) 101366

    Abstract: We use longitudinal electronic clinical data on a large representative sample of the Italian population to estimate the lifetime profile costs of different BMI classes - normal weight, overweight, and obese (I, II, and III) - in a primary care setting. ... ...

    Abstract We use longitudinal electronic clinical data on a large representative sample of the Italian population to estimate the lifetime profile costs of different BMI classes - normal weight, overweight, and obese (I, II, and III) - in a primary care setting. Our research reveals that obese patients generate the highest cost differential throughout their lives compared to normal weight patients. Moreover, we show that overweight individuals spend less than those with normal weight, primarily due to reduced expenditures beginning in early middle age. Our estimates could serve as a vital benchmark for policymakers looking to prioritize public interventions that address the obesity pandemic while considering the increasing obesity rates projected by the OECD until 2030.
    MeSH term(s) Humans ; Italy/epidemiology ; Obesity/epidemiology ; Obesity/economics ; Middle Aged ; Female ; Male ; Overweight/epidemiology ; Overweight/economics ; Adult ; Body Mass Index ; Aged ; Young Adult ; Adolescent ; Longitudinal Studies ; Cost of Illness ; Child ; Health Expenditures/statistics & numerical data ; Primary Health Care/economics
    Language English
    Publishing date 2024-02-06
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2099749-8
    ISSN 1873-6130 ; 1570-677X
    ISSN (online) 1873-6130
    ISSN 1570-677X
    DOI 10.1016/j.ehb.2024.101366
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Measuring spatial effects in the presence of institutional constraints

    Atella, Vincenzo / Belotti, Federico / Depalo, Domenico / Mortari, Andrea Piano

    Regional science & urban economics Vol. 49 , p. 232-241

    the case of Italian Local Health Authority expenditure

    2014  Volume 49, Page(s) 232–241

    Author's details Vincenzo Atella; Federico Belotti; Domenico Depalo; Andrea Piano Mortari
    Keywords Spatial ; Health expenditures ; Institutional setting ; Panel data
    Language English
    Publisher Elsevier
    Publishing place Amsterdam [u.a.]
    Document type Article
    ZDB-ID 191791-2
    ISSN 0166-0462
    Database ECONomics Information System

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  3. Article ; Online: Excess body weight increases the burden of age-associated chronic diseases and their associated health care expenditures.

    Atella, Vincenzo / Kopinska, Joanna / Medea, Gerardo / Belotti, Federico / Tosti, Valeria / Mortari, Andrea Piano / Cricelli, Claudio / Fontana, Luigi

    Aging

    2015  Volume 7, Issue 10, Page(s) 882–892

    Abstract: Aging and excessive adiposity are both associated with an increased risk of developing multiple chronic diseases, which drive ever increasing health costs. The main aim of this study was to determine the net (non-estimated) health costs of excessive ... ...

    Abstract Aging and excessive adiposity are both associated with an increased risk of developing multiple chronic diseases, which drive ever increasing health costs. The main aim of this study was to determine the net (non-estimated) health costs of excessive adiposity and associated age-related chronic diseases. We used a prevalence-based approach that combines accurate data from the Health Search CSD-LPD, an observational dataset with patient records collected by Italian general practitioners and up-to-date health care expenditures data from the SiSSI Project. In this very large study, 557,145 men and women older than 18 years were observed at different points in time between 2004 and 2010. The proportion of younger and older adults reporting no chronic disease decreased with increasing BMI. After adjustment for age, sex, geographic residence, and GPs heterogeneity, a strong J-shaped association was found between BMI and total health care costs, more pronounced in middle-aged and older adults. Relative to normal weight, in the 45-64 age group, the per-capita total cost was 10% higher in overweight individuals, and 27 to 68% greater in patients with obesity and very severe obesity, respectively. The association between BMI and diabetes, hypertension and cardiovascular disease largely explained these elevated costs.
    MeSH term(s) Adiposity ; Adult ; Aged ; Body Mass Index ; Chronic Disease/economics ; Female ; Health Care Costs/statistics & numerical data ; Health Expenditures/statistics & numerical data ; Humans ; Male ; Middle Aged ; Obesity/economics ; Young Adult
    Language English
    Publishing date 2015-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1945-4589
    ISSN (online) 1945-4589
    DOI 10.18632/aging.100833
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Conference proceedings ; Online: Welfare Impacts of Climate Shocks

    Asfaw, Solomon / Mortari, Andrea Piano / Arslan, Aslihan / Karfakis, Panagiotis / Lipper, Leslie

    Evidence from Uganda

    2015  

    Abstract: This paper evaluates the effects of weather/climate shocks on household welfare using a nationally representative panel data from Uganda together with a set of novel climate variation indicators. Where the effect of climate/weather variability has a ... ...

    Abstract This paper evaluates the effects of weather/climate shocks on household welfare using a nationally representative panel data from Uganda together with a set of novel climate variation indicators. Where the effect of climate/weather variability has a significantly negative effect on household welfare, we further test the hypotheses that policy-relevant mechanisms can be effective means of mitigating the negative welfare effects. In general we obtain very few significant results with respect to climate/weather shock variables which might point towards a consumption and income smoothing behavior by the households, whose welfare level is not affected by the weather shocks. With regards to the different shocks definition, the reference period used to define the shock does not matter since the coefficients and the signs do not change with the reference period. Different policy action variables have also heterogeneous impact across different outcome variables in terms of mitigating the negative impact of climate/weather shocks.
    Keywords Climate shock ; welfare ; Uganda ; Africa ; Environmental Economics and Policy ; International Development ; Q01 ; Q12 ; Q16 ; Q18
    Subject code 339
    Language English
    Publishing country us
    Document type Conference proceedings ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Conference proceedings ; Online: Welfare Impacts of Climate Shocks

    Asfaw, Solomon / Mortari, Andrea Piano / Arslan, Aslihan / Karfakis, Panagiotis / Lipper, Leslie

    Evidence from Uganda

    2015  

    Abstract: This paper evaluates the effects of weather/climate shocks on household welfare using a nationally representative panel data from Uganda together with a set of novel climate variation indicators. Where the effect of climate/weather variability has a ... ...

    Abstract This paper evaluates the effects of weather/climate shocks on household welfare using a nationally representative panel data from Uganda together with a set of novel climate variation indicators. Where the effect of climate/weather variability has a significantly negative effect on household welfare, we further test the hypotheses that policy-relevant mechanisms can be effective means of mitigating the negative welfare effects. In general we obtain very few significant results with respect to climate/weather shock variables which might point towards a consumption and income smoothing behavior by the households, whose welfare level is not affected by the weather shocks. With regards to the different shocks definition, the reference period used to define the shock does not matter since the coefficients and the signs do not change with the reference period. Different policy action variables have also heterogeneous impact across different outcome variables in terms of mitigating the negative impact of climate/weather shocks.
    Keywords Climate shock ; welfare ; Uganda ; Africa ; Environmental Economics and Policy ; International Development ; Q01 ; Q12 ; Q16 ; Q18
    Subject code 339
    Language English
    Publishing country us
    Document type Conference proceedings ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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