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Publikationstyp: Beitrag in wissenschaftlicher Zeitschrift
Art der Begutachtung: Peer review (Publikation)
Titel: Burden of micronutrient deficiencies by socio-economic strata in children aged 6 months to 5 years in the Philippines
Autor/-in: Wieser, Simon
Plessow, Rafael
Eichler, Klaus
Malek, Olivia
Capanzana, Mario V.
Agdeppa, Imelda
Brügger, Urs
DOI: 10.21256/zhaw-3953
Erschienen in: BMC Public Health
Band(Heft): 2013
Heft: 13
Seite(n): 1167
Seiten bis: 1181
Erscheinungsdatum: 2013
Verlag / Hrsg. Institution: BioMed Central
ISSN: 1471-2458
Sprache: Englisch
Schlagwörter: Age factor; Child; Cost of illness; Health care cost; Human; Infant; Iron; Micronutrient; Philippines; Prevalence; Quality-adjusted life year; Socioeconomic factor; Vitamin A deficiency; Zinc; Nutrition; Health economics; Micronutrient deficiency; Preschool
Fachgebiet (DDC): 616: Innere Medizin und Krankheiten
618.92: Pädiatrie
Zusammenfassung: Background: Micronutrient deficiencies (MNDs) are a chronic lack of vitamins and minerals and constitute a huge public health problem. MNDs have severe health consequences and are particularly harmful during early childhood due to their impact on the physical and cognitive development. We estimate the costs of illness due to iron deficiency (IDA), vitamin A deficiency (VAD) and zinc deficiency (ZnD) in 2 age groups (6-23 and 24-59 months) of Filipino children by socio-economic strata in 2008. Methods: We build a health economic model simulating the consequences of MNDs in childhood over the entire lifetime. The model is based on a health survey and a nutrition survey carried out in 2008. The sample populations are first structured into 10 socio-economic strata (SES) and 2 age groups. Health consequences of MNDs are modelled based on information extracted from literature. Direct medical costs, production losses and intangible costs are computed and long term costs are discounted to present value. Results: Total lifetime costs of IDA, VAD and ZnD amounted to direct medical costs of 30 million dollars, production losses of 618 million dollars and intangible costs of 122,138 disability adjusted life years (DALYs). These costs can be interpreted as the lifetime costs of a 1-year cohort affected by MNDs between the age of 6–59 months. Direct medical costs are dominated by costs due to ZnD (89% of total), production losses by losses in future lifetime (90% of total) and intangible costs by premature death (47% of total DALY losses) and losses in future lifetime (43%). Costs of MNDs differ considerably between SES as costs in the poorest third of the households are 5 times higher than in the wealthiest third. Conclusions: MNDs lead to substantial costs in 6-59-month-old children in the Philippines. Costs are highly concentrated in the lower SES and in children 6-23 months old. These results may have important implications for the design, evaluation and choice of the most effective and cost-effective policies aimed at the reduction of MNDs.
Volltext Version: Publizierte Version
Lizenz (gemäss Verlagsvertrag): CC BY 2.0: Namensnennung 2.0 Generic
Departement: School of Management and Law
Organisationseinheit: Winterthurer Institut für Gesundheitsökonomie (WIG)
Publiziert im Rahmen des ZHAW-Projekts: Burden of micronutrient deficiencies and cost-effectiveness of interventions with fortified foods
Enthalten in den Sammlungen:Publikationen School of Management and Law

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