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Role of Personal Health Behaviors. Cause Estimated deaths Tobacco 400,000 Diet/activity patterns 300,000 Alcohol 100,000 Microbial agents 90,000 Toxic agents 60,000 Firearms 35,000 Sexual behavior 30,000
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Role of Personal Health Behaviors Cause Estimated deaths Tobacco 400,000 Diet/activity patterns 300,000 Alcohol 100,000 Microbial agents 90,000 Toxic agents 60,000 Firearms 35,000 Sexual behavior 30,000 Motor vehicles 25,000 Illicit use of drugs 20,000 Source: McGinnis and Foege. JAMA 1993;270:2207-12.
The Logic of Prevention • 38% of all U.S. deaths attributable to 4 behaviors*: • Tobacco use • Diet • Physical inactivity • Alcohol misuse *Mokdad et al., 2001
Source: O’Grady MJ, Capretta JC. Health-Care Cost Projections for Diabetes and other Chronic Diseases: The Current Context and Potential Enhancements. Washington, DC: Partnership to Fight Chronic Disease, 2009.
Clinical-Community Collaboration Clinical settings Public health and community organizations
Deaths Prevented And Change In Health Care Costs Plus Program Spending, Three Intervention Scenarios, At Year 10 And Year 25. Milstein B et al. Health Aff 2011;30:823-832 ©2011 by Project HOPE - The People-to-People Health Foundation, Inc.
Annual Costs (Health Care And Program Spending), Three Layered Intervention Scenarios, Year 0 To Year 25. Milstein B et al. Health Aff 2011;30:823-832 ©2011 by Project HOPE - The People-to-People Health Foundation, Inc.
Contact Information • Steven H. Woolf, MD, MPH Department of Family Medicine Virginia Commonwealth University 804-828-9625 • swoolf@vcu.edu