What Affects the Direct Economic Burden of Non-communicable Diseases on Middle-aged and Older Adult People in Shaanxi Province?

Overview

Journal Front Public Health

Specialty Public Health

Date 2024 Jan 8

PMID 38186709

Authors

Xiaowei Yang

Jue Yan

Sha Lai

Chi Shen

Ning Duan

Affiliations

Soon will be listed here.

Abstract

Non-communicable diseases (NCDs) are the leading cause of death worldwide. NCDs affect the health status and the quality of life. In addition, continuous NCDs treatment expenses place a heavy economic burden on families and cause huge economic losses to the society. The prevention and treatment of NCDs and reduction of their economic burden are key public health issues. Considering middle-aged and older adult people as the focus, their basic socio-demographic characteristics and health behavior status of this group, and a pooled cross-sections regression model was then used to analyze the main factors affecting the direct economic burden. The results showed that from 2013 to 2018, the prevalence of NCDs among the middle-aged and older adult people in Shaanxi province as well as the direct economic burden of NCDs increased. The effect factors primarily included sex, age, employment status, income level, type of medical insurance, urban or rural residency, level of the health care-providing institutions, visiting times of 2-week, and length of hospital stay. Several measures can be taken to control the onset of NCDs and reduce their direct economic burden.

References

He A, Tang V . Integration of health services for the elderly in Asia: A scoping review of Hong Kong, Singapore, Malaysia, Indonesia. Health Policy. 2021; 125(3):351-362. DOI: 10.1016/j.healthpol.2020.12.020. View

Murphy A, Palafox B, Walli-Attaei M, Powell-Jackson T, Rangarajan S, Alhabib K . The household economic burden of non-communicable diseases in 18 countries. BMJ Glob Health. 2020; 5(2):e002040. PMC: 7042605. DOI: 10.1136/bmjgh-2019-002040. View

Hanratty B, Holland P, Jacoby A, Whitehead M . Financial stress and strain associated with terminal cancer--a review of the evidence. Palliat Med. 2007; 21(7):595-607. DOI: 10.1177/0269216307082476. View

Pallegedara A . Impacts of chronic non-communicable diseases on households' out-of-pocket healthcare expenditures in Sri Lanka. Int J Health Econ Manag. 2018; 18(3):301-319. DOI: 10.1007/s10754-018-9235-2. View

Wang W, Zhang Y, Lin B, Mei Y, Ping Z, Zhang Z . The Urban-Rural Disparity in the Status and Risk Factors of Health Literacy: A Cross-Sectional Survey in Central China. Int J Environ Res Public Health. 2020; 17(11). PMC: 7312746. DOI: 10.3390/ijerph17113848. View

Dugee O, Sugar B, Dorjsuren B, Mahal A . Economic impacts of chronic conditions in a country with high levels of population health coverage: lessons from Mongolia. Trop Med Int Health. 2019; 24(6):715-726. DOI: 10.1111/tmi.13231. View

Gheorghe A, Griffiths U, Murphy A, Legido-Quigley H, Lamptey P, Perel P . The economic burden of cardiovascular disease and hypertension in low- and middle-income countries: a systematic review. BMC Public Health. 2018; 18(1):975. PMC: 6090747. DOI: 10.1186/s12889-018-5806-x. View

Huang C, Yu H, Koplan J . Can China diminish its burden of non-communicable diseases and injuries by promoting health in its policies, practices, and incentives?. Lancet. 2014; 384(9945):783-92. DOI: 10.1016/S0140-6736(14)61214-9. View

Londono Agudelo E, Farinas A, Perez Ospina V, Taborda Perez C, Villacres Landeta T, Battaglioli T . Out-of-pocket expenditure for hypertension care: a population-based study in low-income urban Medellin, Colombia. Glob Health Action. 2020; 13(1):1806527. PMC: 7480425. DOI: 10.1080/16549716.2020.1806527. View

10.

Deng X, Dong P, Zhang L, Tian D, Zhang L, Zhang W . Health-related quality of life in residents aged 18 years and older with and without disease: findings from the First Provincial Health Services Survey of Hunan, China. BMJ Open. 2017; 7(9):e015880. PMC: 5588974. DOI: 10.1136/bmjopen-2017-015880. View

11.

. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020; 396(10258):1204-1222. PMC: 7567026. DOI: 10.1016/S0140-6736(20)30925-9. View

12.

Luppa M, Heinrich S, Angermeyer M, Konig H, Riedel-Heller S . Cost-of-illness studies of depression: a systematic review. J Affect Disord. 2006; 98(1-2):29-43. DOI: 10.1016/j.jad.2006.07.017. View

13.

Lehnert T, Heider D, Leicht H, Heinrich S, Corrieri S, Luppa M . Review: health care utilization and costs of elderly persons with multiple chronic conditions. Med Care Res Rev. 2011; 68(4):387-420. DOI: 10.1177/1077558711399580. View

14.

Zhao W . [A new chapter in noncommunicable diseases prevention and control in China: a comment on"National Medium and Long-term Plan on Prevention and Control of Noncommunicable Diseases (2017-2025)"]. Zhonghua Yu Fang Yi Xue Za Zhi. 2017; 51(8):667-669. DOI: 10.3760/cma.j.issn.0253-9624.2017.08.002. View

15.

Larrimore J . Does a higher income have positive health effects? Using the earned income tax credit to explore the income-health gradient. Milbank Q. 2011; 89(4):694-727. PMC: 3250638. DOI: 10.1111/j.1468-0009.2011.00647.x. View

16.

Beaglehole R, Bonita R, Alleyne G, Horton R, Li L, Lincoln P . UN High-Level Meeting on Non-Communicable Diseases: addressing four questions. Lancet. 2011; 378(9789):449-55. DOI: 10.1016/S0140-6736(11)60879-9. View