Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey

Objective: The purpose of this study was to investigate the distribution of chronic illness and associated disability, out-of-pocket payment (OOPP), and other related factors using survey data from Bangladesh. Methods: This study analyzed Bangladesh Household Income and Expenditure Survey data that...

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Autores principales:	Marufa Sultana, Rashidul Alam Mahumud, Abdur Razzaque Sarker
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2017
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4d43fadc997b4e96bc39d1a852c900ea
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spelling	oai:doaj.org-article:4d43fadc997b4e96bc39d1a852c900ea2021-12-02T11:51:56ZBurden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey2095-882X10.1016/j.cdtm.2017.02.001https://doaj.org/article/4d43fadc997b4e96bc39d1a852c900ea2017-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X16300895https://doaj.org/toc/2095-882XObjective: The purpose of this study was to investigate the distribution of chronic illness and associated disability, out-of-pocket payment (OOPP), and other related factors using survey data from Bangladesh. Methods: This study analyzed Bangladesh Household Income and Expenditure Survey data that include socio-economic and demographic data, such as consumption, expenditures, and assets, along with information regarding chronic illness and disability. Multiple linear regression models were used to identify factors significantly associated with OOPP. Furthermore, a binary Logistic regression model was employed to assess the association of the explanatory variables with disability status. Results: A higher prevalence of chronic illness was found for those with chronic gastritis (18.70%), and 41.92% of the population had at least one side disability. The average OOPP healthcare expenditure for chronic illness was estimated to be US$7.59. Higher OOPP was found among the upper 2 wealth quintiles. Overall OOPP health expenditure was significantly higher among individuals with an associated disability (PÂ <Â 0.001). The likelihood of having an associated disability was higher among those individuals with a lower education level (ORÂ =Â 2.36, 95% CI: 1.95â4.06), those who not earning an income (ORÂ =Â 2.85, 95% CI: 2.53â3.21), those who did not seek care (ORÂ =Â 1.73, 95% CI: 1.57â1.90), those who sought care from a pharmacy (ORÂ =Â 8.91, 95% CI: 7.38â10.74), and those in the lowest wealth quintile (ORÂ =Â 7.21, 95% CI: 6.41â8.12). Conclusions: The high OOPP illustrates the necessity of financial risk protection for the population at low socio-economic status. Therefore, we recommend that the government strengthen the healthcare system with appropriate support directed to the rural and elderly populations. Keywords: Chronic illness, Disability, Out-of-pocket payments, Burden, BangladeshMarufa SultanaRashidul Alam MahumudAbdur Razzaque SarkerKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 3, Iss 2, Pp 112-122 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Marufa Sultana Rashidul Alam Mahumud Abdur Razzaque Sarker Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey
description	Objective: The purpose of this study was to investigate the distribution of chronic illness and associated disability, out-of-pocket payment (OOPP), and other related factors using survey data from Bangladesh. Methods: This study analyzed Bangladesh Household Income and Expenditure Survey data that include socio-economic and demographic data, such as consumption, expenditures, and assets, along with information regarding chronic illness and disability. Multiple linear regression models were used to identify factors significantly associated with OOPP. Furthermore, a binary Logistic regression model was employed to assess the association of the explanatory variables with disability status. Results: A higher prevalence of chronic illness was found for those with chronic gastritis (18.70%), and 41.92% of the population had at least one side disability. The average OOPP healthcare expenditure for chronic illness was estimated to be US$7.59. Higher OOPP was found among the upper 2 wealth quintiles. Overall OOPP health expenditure was significantly higher among individuals with an associated disability (PÂ <Â 0.001). The likelihood of having an associated disability was higher among those individuals with a lower education level (ORÂ =Â 2.36, 95% CI: 1.95â4.06), those who not earning an income (ORÂ =Â 2.85, 95% CI: 2.53â3.21), those who did not seek care (ORÂ =Â 1.73, 95% CI: 1.57â1.90), those who sought care from a pharmacy (ORÂ =Â 8.91, 95% CI: 7.38â10.74), and those in the lowest wealth quintile (ORÂ =Â 7.21, 95% CI: 6.41â8.12). Conclusions: The high OOPP illustrates the necessity of financial risk protection for the population at low socio-economic status. Therefore, we recommend that the government strengthen the healthcare system with appropriate support directed to the rural and elderly populations. Keywords: Chronic illness, Disability, Out-of-pocket payments, Burden, Bangladesh
format	article
author	Marufa Sultana Rashidul Alam Mahumud Abdur Razzaque Sarker
author_facet	Marufa Sultana Rashidul Alam Mahumud Abdur Razzaque Sarker
author_sort	Marufa Sultana
title	Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey
title_short	Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey
title_full	Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey
title_fullStr	Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey
title_full_unstemmed	Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey
title_sort	burden of chronic illness and associated disabilities in bangladesh: evidence from the household income and expenditure survey
publisher	KeAi Communications Co., Ltd.
publishDate	2017
url	https://doaj.org/article/4d43fadc997b4e96bc39d1a852c900ea
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Burden of chronic illness and associated disabilities in Bangladesh: Evidence from the Household Income and Expenditure Survey

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