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Sökning: WFRF:(Murphy Adrianna) > Rao Krishna D > A cross-sectional s...

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FältnamnIndikatorerMetadata
00003705naa a2200553 4500
001oai:DiVA.org:uu-402350
003SwePub
008200114s2011 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4023502 URI
0247 a https://doi.org/10.1371/journal.pone.00208212 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Huffman, Mark D4 aut
2451 0a A cross-sectional study of the microeconomic impact of cardiovascular disease hospitalization in four low- and middle-income countries.
264 c 2011-06-14
264 1b Public Library of Science (PLoS),c 2011
338 a print2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
7001 a Rao, Krishna D4 aut
7001 a Pichon-Riviere, Andres4 aut
7001 a Zhao, Dong4 aut
7001 a Harikrishnan, S4 aut
7001 a Ramaiya, Kaushik4 aut
7001 a Ajay, V S4 aut
7001 a Goenka, Shifalika4 aut
7001 a Calcagno, Juan I4 aut
7001 a Caporale, Joaquín E4 aut
7001 a Niu, Shaoli4 aut
7001 a Li, Yan4 aut
7001 a Liu, Jing4 aut
7001 a Thankappan, K R4 aut
7001 a Daivadanam, Meena4 aut
7001 a van Esch, Jan4 aut
7001 a Murphy, Adrianna4 aut
7001 a Moran, Andrew E4 aut
7001 a Gaziano, Thomas A4 aut
7001 a Suhrcke, Marc4 aut
7001 a Reddy, K Srinath4 aut
7001 a Leeder, Stephen4 aut
7001 a Prabhakaran, Dorairaj4 aut
7730 t PLOS ONEd : Public Library of Science (PLoS)g 6:6q 6:6x 1932-6203
8564 u https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0020821&type=printable
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-402350
8564 8u https://doi.org/10.1371/journal.pone.0020821

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