Affiliation:
1. Respiratory Health Division, National Institute for Occupational Safety and Health Centers for Disease Control and Prevention Cincinnati Ohio USA
2. Respiratory Health Division, National Institute for Occupational Safety and Health Centers for Disease Control and Prevention Morgantown West Virginia USA
Abstract
AbstractBackgroundAsthma, a chronic respiratory disease, is associated with high economic burden. This study estimates per‐worker medical and incremental medical costs associated with treated asthma by socioeconomic and demographic characteristics, industries, medical events, and sources of payments for workers aged ≥18 years.MethodsWe analyzed Medical Expenditure Panel Survey data from 2018 to 2020 to assess medical costs for treated asthma among workers using the International Classification of Diseases, Tenth Revision, Clinical Modification code for asthma (J45). We used two‐part regression models to estimate medical and incremental medical costs controlling for covariates. All results are adjusted for inflation and presented in 2022 US dollar values.ResultsAn estimated annual average of 8.2 million workers out of 176 million had at least one medical event associated with treated asthma. The annualized estimated per‐worker incremental medical costs for those with treated asthma was $457 and was highest among: those in the age group of 35–44 years ($534), in the western region ($768), of Hispanic ethnicity ($693), employed in the utility and transportation industries ($898), males ($650), and for inpatient admissions ($754). The total annualized medical costs of treated asthma was $21 billion and total of incremental medical costs was $3.8 billion.ConclusionFindings of higher incremental medical costs for treated asthma among workers in certain socioeconomic, demographic, and industry groups highlight the economic benefit of prevention and early intervention to reduce morbidity of asthma in working adults. Our results suggest that the per‐person incremental medical costs of treated asthma among workers are lower than that for all US adults.
Reference51 articles.
1. The Economic Burden of Asthma in the United States, 2008–2013
2. The Occupational Burden of Nonmalignant Respiratory Diseases. An Official American Thoracic Society and European Respiratory Society Statement
3. Asthma Surveillance — United States, 2006–2018
4. Current Asthma Population Estimates — in thousands by Age United States: National Health Interview Survey 2019. Accessed December 10 2023. (https://www.cdc.gov/asthma/nhis/2019/table3–1.htm).
5. Asthma Attack Population Estimates among those with Current Asthma — in thousands by Age United States: National Health Interview Survey 2019. (2019 National Health Interview Survey (NHIS) Data | CDC) Accessed December 10 2023.