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Article
The Benefits of Risk Factor Prevention in Americans Aged 51 Years and Older
American Journal of Public Health (2009)
  • Dana P Goldman, Rand Corporation
  • Yuhui Zheng, Rand Corporation
  • Federico Girosi, Rand Corporation
  • Pierre-Carl Michaud, Rand Corporation
  • S. Jay Olshansky, University of Illinois at Chicago
  • David Cutler, Harvard University
  • John W Rowe, Columbia University
Abstract

Objectives. We assessed the potential health and economic benefits of reducing common risk factors in older Americans.

Methods. A dynamic simulation model tracked a national cohort of persons 51 and 52 years of age to project their health and medical spending in prevention scenarios for diabetes, hypertension, obesity, and smoking.

Results. The gain in life span from successful treatment of a person aged 51 or 52 years for obesity would be 0.85 years; for hypertension, 2.05 years; and for diabetes, 3.17 years. A 51- or 52-year-old person who quit smoking would gain 3.44 years. Despite living longer, those successfully treated for obesity, hypertension, or diabetes would have lower lifetime medical spending, exclusive of prevention costs. Smoking cessation would lead to increased lifetime spending. We used traditional valuations for a life-year to calculate that successful treatments would be worth, per capita, $198018 (diabetes), $137964 (hypertension), $118946 (smoking), and $51750 (obesity).

Conclusions. Effective prevention could substantially improve the health of older Americans, and—despite increases in longevity—such benefits could be achieved with little or no additional lifetime medical spending.

Publication Date
2009
Citation Information
Dana P Goldman, Yuhui Zheng, Federico Girosi, Pierre-Carl Michaud, et al.. "The Benefits of Risk Factor Prevention in Americans Aged 51 Years and Older" American Journal of Public Health Vol. 99 Iss. 11 (2009)
Available at: http://works.bepress.com/yuhui_zheng/4/