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The Effects of Hypertension and Obesity on Total Health Care Expenditures of Diabetes Patients in the United States


  • Simon Condliffe

    () (Department of Economics and Finance, West Chester University)

  • Charles Link

    () (Department of Economics, University of Delaware)

  • Micheal F. Pollack

    (HealthCore, Inc.)

  • Shreekant Parasuraman

    (AstraZeneca LP. Health Economics and Outcomes Research)


We identify a representative sample of U.S. diabetes patients with comorbid hypertension and evaluate health care expenditures in this population across BMI strata. The underlying hypothesis is that the presence of comorbid obesity and hypertension poses an additional burden on patients with diabetes, thus impacting their overall resource utilization. That is, hypertension and obesity in combination have a greater adverse impact on health care expenditures than individually. More than one-third of diabetes patients suffer from comorbid obesity and hypertension, which outnumbers diabetes patients with neither or only one of these comorbidities. The results of multivariate regression clearly show the significant impact these comorbidities can have on the health care expenditures of the diabetes population.

Suggested Citation

  • Simon Condliffe & Charles Link & Micheal F. Pollack & Shreekant Parasuraman, 2012. "The Effects of Hypertension and Obesity on Total Health Care Expenditures of Diabetes Patients in the United States," Working Papers 12-06, University of Delaware, Department of Economics.
  • Handle: RePEc:dlw:wpaper:12-06.

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    References listed on IDEAS

    1. Tim Dall & Plamen Nikolov & Paul Hogan, 2003. "Economic Costs of Diabetes in the U.S. in 2002," HEW 0306001, University Library of Munich, Germany.
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    Cited by:

    1. Till Seuring & Olga Archangelidi & Marc Suhrcke, 2015. "The Economic Costs of Type 2 Diabetes: A Global Systematic Review," PharmacoEconomics, Springer, vol. 33(8), pages 811-831, August.

    More about this item


    diabetes; health care expenditures; hypertension; obesity;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I19 - Health, Education, and Welfare - - Health - - - Other

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