ArticleCanadian journal of public health = Revue canadienne de sante publique2018
Effects of behavioural risk factors on high-cost users of healthcare: a population-based study.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed.
- Characterizing Cross-Provincial High-Cost Patients in Rural China: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
- Healthcare utilisation patterns and contributory factors among middle-aged adults: a scoping review.Journal of health, population, and nutrition · 2024Article
- High-cost users after sepsis: a population-based observational cohort study.Critical care (London, England) · 2024Observational
- Predicting high health-cost users among people with cardiovascular disease using machine learning and nationwide linked social administrative datasets.Health economics review · 2023Article
- Novel integration of governmental data sources using machine learning to identify super-utilization among U.S. counties.Intelligence-based medicine · 2023Article
- Can diverse population characteristics be leveraged in a machine learning pipeline to predict resource intensive healthcare utilization among hospital service areas?BMC health services research · 2022Article
- Structured presurgery prehabilitation for aged patients undergoing elective surgery significantly improves surgical outcomes and reduces cost: A nonrandomized sequential comparative prospective cohort study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2022Article
- Production losses due to mortality associated with modifiable health risk factors in Poland.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Voluntary private health insurance, health-related behaviours and health outcomes: evidence from Russia.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Estimating Population Benefits of Prevention Approaches Using a Risk Tool: High Resource Users in Ontario, Canada.Healthcare policy = Politiques de sante · 2021Article
- A Critical Review on New Approaches for Chronic Disease Prevention in Brazil and Canada: From Wholistic Dietary Guidelines to Physical Activity Security.Frontiers in cardiovascular medicine · 2021Review
- Social Determinants of Breast Cancer Screening among Married Women: A Cross-Sectional Study.Journal of research in health sciences · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectivesHigh-cost users (HCUs) are known to disproportionally incur the majority of healthcare utilization costs relative to their counterparts. A number of studies have highlighted the detrimental effects of risky health behaviours; however, only a few have demonstrated the link to HCUs, a meaningful endpoint for program and policy decision-makers. We investigated the association between health behaviour risks and downstream high-cost healthcare utilization.
methodsA combined cohort of participants from the Canadian Community Health Survey (CCHS) cycles 2005-2009 was linked to future population-based health administrative data in Ontario. Using person-centered costing methodology, CCHS respondents were ranked according to healthcare utilization costs and categorized as ever having HCU status in the 4 years following interview. Logistic regression models were used to estimate the association between various health behaviours on future HCU status.
resultsModels estimated that smoking and physical inactivity were associated with a significant increase in the odds of becoming an HCU. Compared to individual behaviours, increasing the number of health behaviour risks significantly strengthened the odds of becoming an HCU in subsequent years.
conclusionThe analyses provide evidence that upstream health behaviours affect high-cost healthcare utilization. Health behaviours are a meaningful target for health promotion programs and policies. These findings can inform decision-makers on appropriate behavioural targets for those on an HCU trajectory and promote public health efforts to support healthcare system sustainability.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.