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

Digital

Autores:
Murphy, Adrianna
Palafox, Benjamin
Walli-Attaei, Marjan
Powell-Jackson, Timothy
Rangarajan, Sumathy
Alhabib, Khalid F.
Avezum, Alvaro
Tumerdem Calik, Kevser Burcu
Chifamba, Jephat
Choudhury, Tarzia
Dagenais, Gilles
Dans, Antonio
Gupta, Rajeev
Iqbal, Romaina
Kaur, Manmeet
Kelishadi, Roya
Khatib, Rasha
Kruger, Iolanthe Marike
Raman Kutty, Vellappillil
Lear, Scott A.
Li, Wei
Lopez-Jaramillo, Patricio
Mohan, Viswanathan
Mony, Prem K.
Orlandin, Andres
Rosengren, Annika
Rosnah, Ismail
Seron, Pamela
Teo, Koon
Tse, Lap Ah
Tsolekile, Lungiswa
Wang, Yang
Wielgosz, Andreas
Yan, Ruohua
Yeates, Karen
Yusoff, Khalid
Zatonska, Katarzyna
Hanson, Kara
Yusuf, Salim
McKee, Martin
Tipo de recurso:
Article of journal
Fecha de publicación:
2020
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/5727
Acceso en línea:
https://repositorio.udes.edu.co/handle/001/5727
Palabra clave:
Rights
openAccess
License
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
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dc.title.spa.fl_str_mv The household economic burden of non-communicable diseases in 18 countries
title The household economic burden of non-communicable diseases in 18 countries
spellingShingle The household economic burden of non-communicable diseases in 18 countries
title_short The household economic burden of non-communicable diseases in 18 countries
title_full The household economic burden of non-communicable diseases in 18 countries
title_fullStr The household economic burden of non-communicable diseases in 18 countries
title_full_unstemmed The household economic burden of non-communicable diseases in 18 countries
title_sort The household economic burden of non-communicable diseases in 18 countries
dc.creator.fl_str_mv Murphy, Adrianna
Palafox, Benjamin
Walli-Attaei, Marjan
Powell-Jackson, Timothy
Rangarajan, Sumathy
Alhabib, Khalid F.
Avezum, Alvaro
Tumerdem Calik, Kevser Burcu
Chifamba, Jephat
Choudhury, Tarzia
Dagenais, Gilles
Dans, Antonio
Gupta, Rajeev
Iqbal, Romaina
Kaur, Manmeet
Kelishadi, Roya
Khatib, Rasha
Kruger, Iolanthe Marike
Raman Kutty, Vellappillil
Lear, Scott A.
Li, Wei
Lopez-Jaramillo, Patricio
Mohan, Viswanathan
Mony, Prem K.
Orlandin, Andres
Rosengren, Annika
Rosnah, Ismail
Seron, Pamela
Teo, Koon
Tse, Lap Ah
Tsolekile, Lungiswa
Wang, Yang
Wielgosz, Andreas
Yan, Ruohua
Yeates, Karen
Yusoff, Khalid
Zatonska, Katarzyna
Hanson, Kara
Yusuf, Salim
McKee, Martin
dc.contributor.author.none.fl_str_mv Murphy, Adrianna
Palafox, Benjamin
Walli-Attaei, Marjan
Powell-Jackson, Timothy
Rangarajan, Sumathy
Alhabib, Khalid F.
Avezum, Alvaro
Tumerdem Calik, Kevser Burcu
Chifamba, Jephat
Choudhury, Tarzia
Dagenais, Gilles
Dans, Antonio
Gupta, Rajeev
Iqbal, Romaina
Kaur, Manmeet
Kelishadi, Roya
Khatib, Rasha
Kruger, Iolanthe Marike
Raman Kutty, Vellappillil
Lear, Scott A.
Li, Wei
Lopez-Jaramillo, Patricio
Mohan, Viswanathan
Mony, Prem K.
Orlandin, Andres
Rosengren, Annika
Rosnah, Ismail
Seron, Pamela
Teo, Koon
Tse, Lap Ah
Tsolekile, Lungiswa
Wang, Yang
Wielgosz, Andreas
Yan, Ruohua
Yeates, Karen
Yusoff, Khalid
Zatonska, Katarzyna
Hanson, Kara
Yusuf, Salim
McKee, Martin
dc.contributor.researchgroup.spa.fl_str_mv Everest
description Digital
publishDate 2020
dc.date.issued.none.fl_str_mv 2020-02-11
dc.date.accessioned.none.fl_str_mv 2021-11-23T22:54:22Z
dc.date.available.none.fl_str_mv 2021-11-23T22:54:22Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.doi.none.fl_str_mv 10.1136/ bmjgh-2019-002040
dc.identifier.uri.none.fl_str_mv https://repositorio.udes.edu.co/handle/001/5727
identifier_str_mv 10.1136/ bmjgh-2019-002040
url https://repositorio.udes.edu.co/handle/001/5727
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationvolume.spa.fl_str_mv 5
dc.relation.cites.none.fl_str_mv Murphy A, et al. BMJ Global Health 2020;5:e002040. doi:10.1136/bmjgh-2019-002040
dc.relation.indexed.spa.fl_str_mv Scopus
dc.relation.ispartofjournal.spa.fl_str_mv BMJ Global Health
dc.rights.spa.fl_str_mv © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.creativecommons.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0/
rights_invalid_str_mv © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
https://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.extent.spa.fl_str_mv 13 p
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dc.publisher.spa.fl_str_mv BMJ Global Health
dc.publisher.place.spa.fl_str_mv Australia
dc.source.spa.fl_str_mv https://gh.bmj.com/content/bmjgh/5/2/e002040.full.pdf
institution Universidad de Santander
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spelling Murphy, Adrianna4dd47240-baf1-41d2-9f32-4937fe231f61-1Palafox, Benjaminf1096ca5-9ff5-4086-807e-61db6381d33e-1Walli-Attaei, Marjan4ff4c54b-a113-4b6b-a198-8d0b1802f596-1Powell-Jackson, Timothy6c98e68a-42aa-48ba-b82f-2c156869cd38-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Alhabib, Khalid F.e4f1522a-5a72-4a8a-ba9e-96c458d47be6-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Tumerdem Calik, Kevser Burcua16ea129-ed4e-4da4-87ef-d27585583f9a-1Chifamba, Jephatf2496279-e934-40b8-8f61-0039a09f03f8-1Choudhury, Tarzia00ae1e07-fe31-48d7-91f4-10eb31e50992-1Dagenais, Gillesc865f015-4dc7-483d-9dae-132288d901f8-1Dans, Antoniof365ef5a-7610-4022-8485-31d6d3879cd6-1Gupta, Rajeevde1826df-aac8-4d9f-9b84-f21ba704686c-1Iqbal, Romaina015cbc16-dd01-4e26-adff-257bb8827f50-1Kaur, Manmeet857257e4-cebb-4bea-8d9b-e134b46dc72b-1Kelishadi, Roya4cdb25d6-6e41-4905-a399-c9d53f250b42-1Khatib, Rasha7beae0a6-cfd5-4272-bf8c-1b5896fed8e5-1Kruger, Iolanthe Marike4a97c272-1f00-4818-9548-1a0909ef3aea-1Raman Kutty, Vellappillil096a62d9-a241-4aa1-9566-75ce7e7095e0-1Lear, Scott A.dc924e5a-246b-40a8-b08f-59610fa89be1-1Li, Wei16f14ef2-1a33-4354-93fe-e8d6d1ae09b7-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Mohan, Viswanathane7246d73-7de3-4d86-9c7b-b9ca011e618b-1Mony, Prem K.3298d501-1bf8-423c-ac81-6a707f162b8b-1Orlandin, Andresa8a46acb-6e0e-4cca-8069-94ad9a3475c8-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Rosnah, Ismail8104171a-2d34-448c-bf17-bede6b6182c3-1Seron, Pamela95c6e76c-9891-4782-a399-b592acec2294-1Teo, Koon60475883-56ab-4acc-833d-b027ad828534-1Tse, Lap Ahbbb7ed49-6cc3-4a4b-ae80-9d5b44c6f77d-1Tsolekile, Lungiswa45379c8f-584e-4bb6-b609-940c7f3ea699-1Wang, Yang3d12ef78-4761-4145-ae8c-362a8e107c4e-1Wielgosz, Andreasd9d25746-66c4-498e-a328-286412ab8782-1Yan, Ruohua5902afcd-6bd0-4716-b9be-831b3b90732f-1Yeates, Karen79418492-ec06-4cc6-831a-4bf5b245b584-1Yusoff, Khalid933db13d-f5bb-4ea6-91a5-68eea1ca9ffc-1Zatonska, Katarzyna6d84170f-b69c-462b-9d93-3f363491580a-1Hanson, Karac6a4f59a-b4dd-4ce9-a188-d61cdd8faaca-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1McKee, Martin5258b372-6b7d-4e6f-aaa6-0e81538245af-1Everest2021-11-23T22:54:22Z2021-11-23T22:54:22Z2020-02-11DigitalAbstract Background Non-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). A similar pattern is observed in UMICs and China for impoverishment. A high proportion of those with NCDs in LICs, especially women (38.7% compared with 12.6% in men), reported not taking medication due to costs. Conclusions Our findings show that financial protection from healthcare costs for people with NCDs is inadequate, particularly in LMICs and China. While the burden of NCD care may appear greatest in LMICs and China, the burden in LICs may be masked by care foregone due to costs. The high proportion of women reporting foregone care due to cost may in part explain gender inequality in treatment of NCDs.Ciencias Médicas y de la Salud13 papplication/pdf10.1136/ bmjgh-2019-002040https://repositorio.udes.edu.co/handle/001/5727engBMJ Global HealthAustralia5Murphy A, et al. BMJ Global Health 2020;5:e002040. doi:10.1136/bmjgh-2019-002040ScopusBMJ Global Health© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://gh.bmj.com/content/bmjgh/5/2/e002040.full.pdfThe household economic burden of non-communicable diseases in 18 countriesArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALThe household economic burden of non-communicable diseases in 18 countries.pdfThe household economic burden of non-communicable diseases in 18 countries.pdfapplication/pdf167974https://repositorio.udes.edu.co/bitstreams/9a3c4b36-bb54-4e38-a82d-18457ebac120/download2e7a43b4842d59c7edf2a03fc6c271b7MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/93465cd4-d0fd-420e-bfec-c6ae0f236082/download38d94cf55aa1bf2dac1a736ac45c881cMD52TEXTThe household economic burden of non-communicable diseases in 18 countries.pdf.txtThe household economic burden of non-communicable diseases in 18 countries.pdf.txtExtracted texttext/plain5https://repositorio.udes.edu.co/bitstreams/81697507-00eb-46bb-9c6c-031390751f0c/download5dbe86c1111d64f45ba435df98fdc825MD53THUMBNAILThe household economic burden of non-communicable diseases in 18 countries.pdf.jpgThe household economic burden of non-communicable diseases in 18 countries.pdf.jpgGenerated Thumbnailimage/jpeg13638https://repositorio.udes.edu.co/bitstreams/01584c70-b1d4-478c-bdba-a83d5fe05b3d/download8e931afa3d3c7082c43f66c8ea2746ddMD54001/5727oai:repositorio.udes.edu.co:001/57272023-10-10 08:28:49.103https://creativecommons.org/licenses/by-nc/4.0/© Author(s) (or their employer(s)) 2020. 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