Inequalities in Household Catastrophic Health Expenditure and Impoverishment Associated With Noncommunicable Diseases in Chi Linh, Hai Duong, Vietnam

Vu Duy Kien, Hoang Van Minh, Nguyen Bao Ngoc, Tran Bich Phuong, Tran Thu Ngan, Mikkel B Quam

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A costly modern-day double burden, the expenses of noncommunicable diseases (NCDs) are becoming a devastating epidemic. The World Health Organization estimates $7 trillion in economic losses from NCDs in 2011-2025. Although regarded as affluent diseases, the burden of NCDs is shifting into poorer groups. In this study, we assessed the socioeconomic inequalities in catastrophic health expenditure and impoverishment associated with NCDs in Northern Vietnam. We also identified associated factors for catastrophic health expenditure and impoverishment. Households self-reporting NCD diagnoses had the highest association with both catastrophic health expenditure and impoverishment, followed by those in urban areas. Such households were likely poorer according to our calculations estimating socioeconomic inequalities. Households with at least 1 member older than 60 years were also more likely to suffer catastrophic health expenditures. These findings suggest that targeted policy to prevent or subsidize care for NCDs could prevent catastrophic health expenditure and impoverishment among those already most disadvantaged.

Original languageEnglish
Pages (from-to)35S-44S
JournalAsia-Pacific journal of public health
Volume29
Issue number5_suppl
DOIs
Publication statusPublished - 18 Jul 2017
Externally publishedYes

Keywords

  • Catastrophic Illness/economics
  • Chronic Disease/economics
  • Cost of Illness
  • Family Characteristics
  • Health Expenditures/statistics & numerical data
  • Humans
  • Poverty/statistics & numerical data
  • Rural Population/statistics & numerical data
  • Self Report
  • Socioeconomic Factors
  • Urban Population/statistics & numerical data
  • Vietnam/epidemiology

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