Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015

Akissi Régine Attia-Konan, A. Oga, K. Koffi, J. Kouamé, A. Touré, L. Kouadio
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引用次数: 5

Abstract

Catastrophic healthcare expenditure (CHE) occurs in all countries and is responsible for inequalities in access to health care, particularly in low- and middle-income countries. The objective of this work is to analyse the determinants of CHEs in households living in Cote d'Ivoire. The data for the study are from the national household living standards survey conducted from January 23 to March 25, 2015 by the National Statistics Institute of Cote d’Ivoire (Institut National de la Statistique de Cote d'Ivoire). A one-way analysis and logistic regression were conducted to measure the association between CHEs and the socio-demographic, economic and health characteristics of households. The sample consisted of 12,899 households. Nearly 4% of households had experienced CHEs after completing OOPs. CHEs were more frequent in households including people over 65 years of age (OR: 4.75; 95% CI: 1.66-13.58), with chronic disease (OR: 2.10; 95% CI: 1.43-3.08), with more comfortable living conditions. Households without health insurance experienced fewer CHEs (OR: 0.29; 95% CI: 0.09-0.85) with large households including people over 65 years of age (OR: 0.60 95% CI: 0.40-0.91). This work highlighted socio-demographic and health determinants of CHEs. The reduction of CHEs involves considering social and individual factors.
评估Côte科特迪瓦灾难性医疗支出相关因素:来自2015年家庭生活水平调查的证据
灾难性卫生保健支出在所有国家都存在,并造成获得卫生保健方面的不平等,特别是在低收入和中等收入国家。这项工作的目的是分析科特迪瓦家庭中chs的决定因素。该研究的数据来自科特迪瓦国家统计局于2015年1月23日至3月25日进行的全国家庭生活水平调查。通过单向分析和逻辑回归来衡量家庭的社会人口、经济和健康特征之间的相关性。样本包括12899户家庭。近4%的家庭在完成ops后经历了ch。65岁以上人群的家庭更常发生冠心病(OR: 4.75;95% CI: 1.66-13.58),慢性疾病(OR: 2.10;95% CI: 1.43-3.08),生活条件更舒适。没有医疗保险的家庭经历了更少的ch (OR: 0.29;95% CI: 0.09-0.85),包括65岁以上老人在内的大家庭(OR: 0.60 95% CI: 0.40-0.91)。这项工作突出了卫生保健的社会人口和健康决定因素。减少健康照护需要考虑社会和个人因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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