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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
A cross-sectional study of the microeconomic impact of cardiovascular disease hospitalization in four low- and middle-income countries
PLoS ONE, Volume 6, No. 6, Article e20821, Year 2011
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Description
Objective: To estimate individual and household economic impact of cardiovascular disease (CVD) in selected low- and middle-income countries (LMIC). Background: Empirical evidence on the microeconomic consequences of CVD in LMIC is scarce. Methods and Findings: We surveyed 1,657 recently hospitalized CVD patients (66% male; mean age 55.8 years) from Argentina, China, India, and Tanzania to evaluate the microeconomic and functional/productivity impact of CVD hospitalization. Respondents were stratified into three income groups. Median out-of-pocket expenditures for CVD treatment over 15 month follow-up ranged from 354 international dollars (2007 INT$, Tanzania, low-income) to INT$2,917 (India, high-income). Catastrophic health spending (CHS) was present in >50% of respondents in China, India, and Tanzania. Distress financing (DF) and lost income were more common in low-income respondents. After adjustment, lack of health insurance was associated with CHS in Argentina (OR 4.73 [2.56, 8.76], India (OR 3.93 [2.23, 6.90], and Tanzania (OR 3.68 [1.86, 7.26] with a marginal association in China (OR 2.05 [0.82, 5.11]). These economic effects were accompanied by substantial decreases in individual functional health and productivity. Conclusions: Individuals in selected LMIC bear significant financial burdens following CVD hospitalization, yet with substantial variation across and within countries. Lack of insurance may drive much of the financial stress of CVD in LMIC patients and their families. © 2011 Huffman et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3114849/bin/pone.0020821.s001.tif
https://efashare.b-cdn.net/share/pmc/articles/PMC3114849/bin/pone.0020821.s002.doc
Authors & Co-Authors
Huffman, Mark D.
United States, Chicago
Northwestern University Feinberg School of Medicine
India, New Delhi
Centre for Chronic Disease Control
Rao, Krishna Dipankar
India, New Delhi
Public Health Foundation of India
Pichón-Rivière, Andrés L.
Argentina, Buenos Aires
Institute for Clinical Effectiveness and Health Policy
India, New Delhi
Initiative for Cardiovascular Health Research in the Developing Countries
Zhao, Dong
India, New Delhi
Initiative for Cardiovascular Health Research in the Developing Countries
China, Beijing
Beijing Anzhen Hospital, Capital Medical University
Harikrishnan, Sivadasanpillai
India, Thiruvananthapuram
Sree Chitra Tirunal Institute for Medical Sciences and Technology
Ramaiya, Kaushik Laxmidas
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Ajay, V. S.
India, New Delhi
Centre for Chronic Disease Control
India, New Delhi
Public Health Foundation of India
India, New Delhi
Initiative for Cardiovascular Health Research in the Developing Countries
Goenka, Shifalika
India, New Delhi
Public Health Foundation of India
India, New Delhi
Initiative for Cardiovascular Health Research in the Developing Countries
Calcagno, Juan I.
Argentina, Buenos Aires
Institute for Clinical Effectiveness and Health Policy
Caporale, Joaquín E.
Argentina, Buenos Aires
Institute for Clinical Effectiveness and Health Policy
Niu, Shaoli
China, Beijing
Navy General Hospital
Li, Yan
China, Beijing
Beijing Anzhen Hospital, Capital Medical University
Liu, Jingshuang Jinglan
China, Beijing
Beijing Anzhen Hospital, Capital Medical University
Thankappan, Kavumpurathu Raman
India, Thiruvananthapuram
Sree Chitra Tirunal Institute for Medical Sciences and Technology
Daivadanam, Meena
India, Thiruvananthapuram
Sree Chitra Tirunal Institute for Medical Sciences and Technology
van Esch, Jan
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Murphy, Adrianna
United States, Boston
Harvard T.h. Chan School of Public Health
Moran, Andrew E.
United States, New York
Columbia University Irving Medical Center
Gaziano, Thomas Andrew
United States, Boston
Brigham and Women's Hospital
Suhrcke, Marc
United Kingdom, Norwich
University of East Anglia, Norwich Medical School
Reddy, K. Srinath
India, New Delhi
Public Health Foundation of India
India, New Delhi
Initiative for Cardiovascular Health Research in the Developing Countries
Leeder, Stephen R.
India, New Delhi
Initiative for Cardiovascular Health Research in the Developing Countries
Australia, Sydney
Faculty of Medicine and Health
Prabhakaran, Dorairaj
India, New Delhi
Centre for Chronic Disease Control
India, New Delhi
Public Health Foundation of India
India, New Delhi
Initiative for Cardiovascular Health Research in the Developing Countries
Statistics
Citations: 174
Authors: 23
Affiliations: 14
Identifiers
Doi:
10.1371/journal.pone.0020821
e-ISSN:
19326203
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Tanzania
Participants Gender
Male