title: Community-Based Interventions to Decrease Obesity and Tobacco Exposure and Reduce Health Care Costs: Outcome Estimates From Communities Putting Prevention to Work for 2010-2020.
abstract: BACKGROUND
  In 2010, the Centers for Disease Control and Prevention (CDC) launched Communities Putting Prevention to Work (CPPW), a $485 million program to reduce obesity, tobacco use, and exposure to secondhand smoke. CPPW awardees implemented evidence-based policy, systems, and environmental changes to sustain reductions in chronic disease risk factors. This article describes short-term and potential long-term benefits of the CPPW investment.
  
  
  METHODS
  We used a mixed-methods approach to estimate population reach and to simulate the effects of completed CPPW interventions through 2020. Each awardee developed a community action plan. We linked plan objectives to a common set of interventions across awardees and estimated population reach as an early indicator of impact. We used the Prevention Impacts Simulation Model (PRISM), a systems dynamics model of cardiovascular disease prevention, to simulate premature deaths, health care costs, and productivity losses averted from 2010 through 2020 attributable to CPPW.
  
  
  RESULTS
  Awardees completed 73% of their planned objectives. Sustained CPPW improvements may avert 14,000 premature deaths, $2.4 billion (in 2010 dollars) in discounted direct medical costs, and $9.5 billion (in 2010 dollars) in discounted lifetime and annual productivity losses through 2020.
  
  
  CONCLUSIONS
  PRISM results suggest that large investments in community preventive interventions, if sustained, could yield cost savings many times greater than the original investment over 10 to 20 years and avert 14,000 premature deaths.
authors.affiliation: Division of Community Health, Centers for Disease Control and Prevention, CDC Warehouse, 3719 N. Peachtree Rd, Bldg 100, Atlanta, GA 30341. Email: dqx4@cdc.gov.
authors.forename: Robin
authors.initials: R
authors.lastname: Soler
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Diane
authors.initials: D
authors.lastname: Orenstein
authors.affiliation: RTI International, Research Triangle Park, North Carolina.
authors.forename: Amanda
authors.initials: A
authors.lastname: Honeycutt
authors.affiliation: RTI International, Research Triangle Park, North Carolina.
authors.forename: Christina
authors.initials: C
authors.lastname: Bradley
authors.affiliation: University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Justin
authors.initials: J
authors.lastname: Trogdon
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Charlotte K
authors.initials: CK
authors.lastname: Kent
authors.affiliation: Systems Thinking Collaborative, Bedford, Massachusetts.
authors.forename: Kristina
authors.initials: K
authors.lastname: Wile
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Anne
authors.initials: A
authors.lastname: Haddix
authors.affiliation: ICF International, Atlanta, Georgia.
authors.forename: Dara
authors.initials: D
authors.lastname: O'Neil
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Bunnell
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D017046:Cost Savings; D017048:Health Care Costs; D006293:Health Promotion / Q000191:economics / Q000379:methods*; D006801:Humans; D061213:Mortality, Premature / Q000639:trends; D009765:Obesity / Q000517:prevention & control*; D015397:Program Evaluation; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*; D064424:Tobacco Use / Q000517:prevention & control*; D014481:United States
chemical_list: D014028:Tobacco Smoke Pollution