Using simulation to compare 4 categories of intervention for reducing cardiovascular disease risks

G. Hirsch, J. Homer, J. Trogdon, K. Wile and D. Orenstein

American Journal of Public Health, 2014, vol. 104, issue 7, 1187-1195

Abstract: The Prevention Impacts Simulation Model (PRISM) projects the multiyear impacts of 22 different interventions aimed at reducing risk of cardiovascular disease. We grouped these into 4 categories: clinical, behavioral support, health promotion and access, and taxes and regulation. We simulated impacts for the United States overall and also for a less-advantaged county with a higher death rate. Of the 4 categories of intervention, taxes and regulation reduce costs the most in the short term(through 2020) and long term(through 2040) and reduce deaths the most in the long term; they are second to clinical interventions in reducing deaths in the short term. All 4 categories combined were required to bring costs and deaths in the less-advantaged county down to the national level.

Keywords: lipid, adolescent; adult; aged; article; blood; blood pressure; body mass; cardiovascular disease; computer simulation; female; glucose blood level; health behavior; health promotion; human; male; middle aged; poverty; public health; risk factor; risk reduction; smoking; socioeconomics; tax; United States; young adult, Adolescent; Adult; Aged; Blood Glucose; Blood Pressure; Body Mass Index; Cardiovascular Diseases; Computer Simulation; Female; Health Behavior; Health Promotion; Humans; Lipids; Male; Middle Aged; Poverty Areas; Public Health; Risk Factors; Risk Reduction Behavior; Smoking; Socioeconomic Factors; Taxes; United States; Young Adult (search for similar items in EconPapers)
Date: 2014
References: Add references at CitEc
Citations: View citations in EconPapers (3)

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2013.301816

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301816_8

DOI: 10.2105/AJPH.2013.301816

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().