Community-Based Interventions to Decrease Obesity and Tobacco Exposure and Reduce Health Care Costs: Outcome Estimates From Communities Putting Prevention to Work for 2010–2020

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Soler, Robin ; Orenstein, Diane ; Honeycutt, Amanda ; Bradley, Christina ; Trogdon, Justin ; Kent, Charlotte K. ; Wile, Kristina ; Haddix, Anne ; O’Neil, Dara ; Bunnell, Rebecca
• Corporate Authors:
  Communities Putting Prevention to Work Leadership Team
• Description:
  Introduction
  
  In 2010, the Centers for Disease Control and Prevention (CDC) launched Communities Putting Prevention to Work (CPPW), a $485 million program to reduce obesity, tobacco use, and exposure to secondhand smoke. CPPW awardees implemented evidence-based policy, systems, and environmental changes to sustain reductions in chronic disease risk factors. This article describes short-term and potential long-term benefits of the CPPW investment.
  
  Methods
  
  We used a mixed-methods approach to estimate population reach and to simulate the effects of completed CPPW interventions through 2020. Each awardee developed a community action plan. We linked plan objectives to a common set of interventions across awardees and estimated population reach as an early indicator of impact. We used the Prevention Impacts Simulation Model (PRISM), a systems dynamics model of cardiovascular disease prevention, to simulate premature deaths, health care costs, and productivity losses averted from 2010 through 2020 attributable to CPPW.
  
  Results
  
  Awardees completed 73% of their planned objectives. Sustained CPPW improvements may avert 14,000 premature deaths, $2.4 billion (in 2010 dollars) in discounted direct medical costs, and $9.5 billion (in 2010 dollars) in discounted lifetime and annual productivity losses through 2020.
  
  Conclusion
  
  PRISM results suggest that large investments in community preventive interventions, if sustained, could yield cost savings many times greater than the original investment over 10 to 20 years and avert 14,000 premature deaths.
  
  
• Subjects:
  Cost Savings Health Care Costs Health Promotion Humans Mortality, Premature Obesity Original Research Program Evaluation Tobacco Smoke Pollution Tobacco Use
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.150272
• ISSN:
  1545-1151
• Pubmed ID:
  27055264
• Pubmed Central ID:
  PMC4830258
• Document Type:
  Journal Article
• Funding:
  200-2007-22643 TO 003/PHS HHS/United States ; 200-2010-F-34677/PHS HHS/United States
• Name as Subject:
  Centers for Disease Control and Prevention (U.S.) ; Centers for Disease Control and Prevention (U.S.)
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  13
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:ca9547d848e8d451e0d556a3f375e6e55f36ff59010983f0de821f9652065a214db262bb903145d389fadf0d722313c55e12466b13c018caea233f083b0edf08
• Download URL:
  https://stacks.cdc.gov/view/cdc/39474/cdc_39474_DS1.pdf
• File Type:
  [PDF - 300.52 KB ]