The household economic burden of non-communicable diseases in 18 countries

dc.contributor.authorTsolekile, Lungiswa
dc.contributor.authorMurphy, Adrianna
dc.contributor.authorPalafox, Benjamin
dc.date.accessioned2021-01-19T08:32:56Z
dc.date.available2021-01-19T08:32:56Z
dc.date.issued2020
dc.description.abstractNon-communicable diseases (NCDs) are the leading cause of death globally. In 2014, the United Nations committed to reducing premature mortality from NCDs, including by reducing the burden of healthcare costs. Since 2014, the Prospective Urban and Rural Epidemiology (PURE) Study has been collecting health expenditure data from households with NCDs in 18 countries. Methods Using data from the PURE Study, we estimated risk of catastrophic health spending and impoverishment among households with at least one person with NCDs (cardiovascular disease, diabetes, kidney disease, cancer and respiratory diseases; n=17 435), with hypertension only (a leading risk factor for NCDs; n=11 831) or with neither (n=22 654) by country income group: high-income countries (Canada and Sweden), upper middle income countries (UMICs: Brazil, Chile, Malaysia, Poland, South Africa and Turkey), lower middle income countries (LMICs: the Philippines, Colombia, India, Iran and the Occupied Palestinian Territory) and low-income countries (LICs: Bangladesh, Pakistan, Zimbabwe and Tanzania) and China. Results The prevalence of catastrophic spending and impoverishment is highest among households with NCDs in LMICs and China. After adjusting for covariates that might drive health expenditure, the absolute risk of catastrophic spending is higher in households with NCDs compared with no NCDs in LMICs (risk difference=1.71%; 95% CI 0.75 to 2.67), UMICs (0.82%; 95% CI 0.37 to 1.27) and China (7.52%; 95% CI 5.88 to 9.16).en_US
dc.identifier.citationTsolekile, L. et al. (2020). The household economic burden of non-communicable diseases in 18 countries. BMJ Global Health, 5(2),e002040en_US
dc.identifier.issn2059-7908
dc.identifier.uri10.1136/bmjgh-2019-002040
dc.identifier.urihttp://hdl.handle.net/10566/5675
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.subjectCardiovascular diseaseen_US
dc.subjectDiabetesen_US
dc.subjectHealth economicsen_US
dc.subjectHealth insuranceen_US
dc.subjectHealth systemsen_US
dc.titleThe household economic burden of non-communicable diseases in 18 countriesen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
e002040.full.pdf
Size:
363.51 KB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: