Obesity, Health Care Expenditure and Education in Bamenda Municipality-Cameroon: Considerations for Curriculum Innovation

  • Nubonyin Hilda Fokong Faculty of Education, The University of Bamenda, Cameroon
  • Kinga Bertila Mayin Faculty of Business and Management Sciences, Catholic University of Cameroon (CATUC) Bamenda

Abstract

Obesity is a major risk factor to many non-communicable diseases leading to increase health care expenditures and concerns for curriculum innovations in many countries. Thus, the objectives of this study are: to determine the factors influencing health care expenditure, to investigate the effects of obesity on health care expenditure, to examine the relationship between obesity and education and to discuss implications for curriculum innovation on the basis of the findings. The study was conducted in the Bamenda Municipality of Mezam Division in the North West Region of Cameroon. The survey research design was employed. With the use of questionnaire, primary data was collected from 753 obese and non-obese individuals aged 20 and above. The multiple regression and multinomial logit results revealed that, level of monthly expenditure and education had statistically significant effect on health care expenditure in the Bamenda Municipality. There was insignificant effect of obesity on health care expenditures. Gender and age influenced health care expenditure and majority of those who had attained higher levels of education were non obese as opposed to their obese counterparts. The study argued that, curriculum innovation focusing on reducing obesity and health care expenditure via educational attainment remains a long term process. Therefore, educational stakeholders should sensitize the community on the basic rules on weight watching and the Bamenda City Council should create weight loss rehabilitation centers. The adoption of personalized and integrated approaches to innovative curriculum planning and design should be of utmost importance to the government of Cameroon.

Author Biography

Kinga Bertila Mayin, Faculty of Business and Management Sciences, Catholic University of Cameroon (CATUC) Bamenda

Department of Health Economics and Policy Management, Assistant Lecturer

References

1. Ayers CR., Alvin C., Ian JN., Jarett DB., Anand R., Sandeep RD., Amit K., Darren KM., James A. and Aslan TT. (2014). The Relationship of Body Mass and Fat Distribution With Incident Hypertension. Observations from the Dallas Heart Study. Journal of the American College of Cardiology.64 (10). DOI: 10.1016/j.jacc.2014.05.057.
2. Buchmueller T.C. and Johar M. (2015). Obesity and Health Expenditures: Evidence from Australia, Economics and Human Biology, 17(C), 42-58. Doi: 10.1016/j.ehb.2015.01.001.
3. Campbell, D.E. (2006). ‘What is education’s impact on civic and social engagement?’ R. Desjardins and T. Schuller (eds), Measuring the effects of education on health and civic/social engagement, OECD/CERI, Paris, pp. 25-126.
4. Cawley J., Biener A., Meyerhoefer C., Ding Y., Zvenyach T., Smolarz B.G. and Abhilasha Ramasamy A. (2021).Direct medical costs of obesity in the United States and the most populous states. J Manag Care Spec Pharm. 27(3):354-66.
5. Cawley J, Meyerhoefer C, Biener A, Hammer M and Wintfeld N (2015) Saving in Medical Expenditures Associated with Reductions in Body Mass Index Among US Adults with Obesity, by Diabetes Status. Pharmacoeconomics.33 (7) 707-722. Doi:10.1007/s40273-014-0230-2.
6. Cecchini M. (2018). Use of health care services and expenditure in the US in 2025: The effect of obesity and moebid obesity. PLos ONE 13(11):e0206703. Doi: 10.1371/journal.pone.0206703.
7. Cohen AK., Rai M., Rehkopf D.H. Abrams B. (2013). Educational attainment and obesity: A systematic review. Obes Rev. 14(12), 989-1005. Doi: 10.1111/obr.12062.
8. Finkelstein EA., Trogdon JG., Cohen JW. and Dietz W. (2009). Annual Medical Spending Attributable to Obesity. Payer- and Service-specific Estimates. Health Affairs (Millwood). 28.(5); 822-831.
9. Fokong H.F., Fonchamnyo C.D. and Njimanted G. F. (2019), Modelling the effects of maternal fertility on mother educational attainment in Cameroon, Journal of Economics and Management Sciences (JEMS), 1 (2), 6 -26.
10. GESP (2009). Growth and Employment Strategy Paper: Reference Framework for Government Action over the Period 2010-2020. Washington DC: International Monetary Fund
11. Grossman M. (1972). The Concept of Health Capital and the Demand for Health. Journal of Political Economy. 80 (2); 223–255, doi:10.1086/259880.
12. Hsieh TH., Lee JJ., Yu EW., Hu HY., Lin SY. and Ho CY. (2020). Association between obesity and education level among the elderly in Taipel, Taiwan between 2013 and 2015: a cross-sectional study. Sci Rep. 10(1).20285. Doi: 10.1038/s41598-020-77306-5.
13. Huge W. and Marlon G. (2018). America’s obesity crisis: The health and economic costs of excess weight. Milken Institute https: //tinyurl.com/y9hl84p7.
14. Kinga B.M, Sundjo F., Nfor O.N. and Njimanted G.F. (2020). An evaluation of the financial cost-benefit analysis and Acbr of obesity treatment in the Bamenda Municipality. Central African Journal of Public Health. 6(4). 180-191. Doi:10,11648/j.cajph.2020604.11
15. Medical Expenditure Panel Survey (2008). Agency of Healthcare Research and quality www.ahrq.gov.
16. Murakami K., Ohkubo T., and Hashimoto H.(2017). Distinct association between educational attainment and overweight/obesity in unmarried and married women: evidence from a population-based study in Japan. BMC Public Health. 17, 903. Doi: 10.1186/s12889-017-4912-5.
17. OECD (2014), Measuring Innovation in Education: A New Perspective, OECD Publishing, Paris, http://dx.doi.org/10.1787/9789264215696-en.
18. Order No 419/14/MINESEC/IGE 9 DEC 2014 (2014). To outline the syllabus for form III, IV and V of secondary general education. Social science form 3.4 and 5 classes.
19. UNSD. (2020). United Nations Statistics Division data base
20. Ward ZJ. Bleich SN., Long MW. and Gortmaker SL.(2021). Association of body mass index with health care expenditures in the United States by age and sex. PLos ONE 16(3):e0247307. Doi:10.1371/journal.pone.0247307.
21. WHO. (2014). Obesity facts and figures. www.who.int , 311.
22. WHO (2016). Global Report on Diabetes. World Health Organisation.
23. WHO (2021). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Published
2022-06-13
How to Cite
FOKONG, Nubonyin Hilda; MAYIN, Kinga Bertila. Obesity, Health Care Expenditure and Education in Bamenda Municipality-Cameroon: Considerations for Curriculum Innovation. International Journal of Social Sciences, Humanities and Education, [S.l.], v. 6, n. 1, p. 39-53, june 2022. ISSN 2521-0041. Available at: <http://ijsshe.com/index.php/ijsshe/article/view/215>. Date accessed: 27 may 2023.
Section
Articles