Factors that determine catastrophic expenditure for tuberculosis care: a patient survey in China

Infectious Diseases of Poverty
Chengchao ZhouHenry Lucas

Abstract

Tuberculosis (TB) often causes catastrophic economic effects on both the individual suffering the disease and their households. A number of studies have analyzed patient and household expenditure on TB care, but there does not appear to be any that have assessed the incidence, intensity and determinants of catastrophic health expenditure (CHE) relating to TB care in China. That will be the objective of this paper. The data used for this study were derived from the baseline survey of the China Government - Gates Foundation TB Phase II program. Our analysis included 747 TB cases. Catastrophic health expenditure for TB care was estimated using two approaches, with households defined as experiencing CHE if their annual expenditure on TB care: (a) exceeded 10 % of total household income; and (b) exceeded 40 % of their non-food expenditure (capacity to pay). Chi-square tests were used to identify associated factors and logistic regression analysis to identify the determinants of CHE. The incidence of CHE was 66.8 % using the household income measure and 54.7 % using non-food expenditure (capacity to pay). An inverse association was observed between CHE rates and household income level. Significant determinants of CHE were: age, house...Continue Reading

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Citations

Jan 30, 2016·Infectious Diseases of Poverty·Shenglan TangDaniel P Chin
Jul 26, 2018·Journal of Diabetes Investigation·Zhengyue JingChengchao Zhou
Apr 19, 2019·PLoS Neglected Tropical Diseases·Jin ChenMen-Bao Qian
Jul 13, 2019·Tropical Medicine & International Health : TM & IH·Wenhui MaoShenglan Tang
Jul 17, 2019·The International Journal of Health Planning and Management·Ijeoma Nkem Okedo-AlexChigozie Jesse Uneke
Jun 20, 2019·Infectious Diseases of Poverty·Cai-Hong XuLi Wang
May 27, 2020·Tuberculosis Research and Treatment·M P PoornimaAkshaya Kibballi Madhukeshwar
Sep 6, 2020·BMC Health Services Research·Liping LuChongguang Yang
Nov 2, 2016·Infectious Diseases of Poverty·Belete GetahunTsegahun Manyazewal
Nov 12, 2020·Risk Management and Healthcare Policy·Peize ZhangGuofang Deng
Feb 12, 2021·ClinicoEconomics and Outcomes Research : CEOR·Yohannes ShumetBirhanu Demeke

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Software Mentioned

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