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The Economic Burden of Obesity in North Macedonia: A Cost-Of-Illness Analysis of Healthcare and Productivity Losses

In: Economic Resilience and Sustainability—Vol. 1

Author

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  • Irena Gjerasimovska

    (South East European University, Business and Economics)

Abstract

Obesity is a growing global epidemic with significant economic impacts, and in North Macedonia, limited local data have hindered economic evaluations. This study presents a cost-of-illness (COI) analysis of obesity in the country. Using a top-down, population-based approach, we estimated obesity-attributable costs in 2021, applying the Population Attributable Fraction (PAF) method to stroke, ischemic heart disease, and diabetes mellitus. Direct costs were derived from healthcare expenditures, while indirect costs covered productivity losses. Obesity-related costs totaled €97.5 million, with 38.25% from healthcare and 61.74% from productivity losses. Diabetes mellitus had the highest cost sensitivity. This paper estimates the economic burden of obesity-related illness in North Macedonia to estimate its financial burden, promote rising awareness, and stimulate policy action.

Suggested Citation

  • Irena Gjerasimovska, 2025. "The Economic Burden of Obesity in North Macedonia: A Cost-Of-Illness Analysis of Healthcare and Productivity Losses," Springer Proceedings in Business and Economics, in: Veland Ramadani & Abdylmenaf Bexheti & Hyrije Abazi-Alili & Christina Theodoraki & Gadaf Rexhepi & B (ed.), Economic Resilience and Sustainability—Vol. 1, chapter 0, pages 633-647, Springer.
  • Handle: RePEc:spr:prbchp:978-3-032-04218-7_37
    DOI: 10.1007/978-3-032-04218-7_37
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