Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition.

IF 2.5 Q1 Multidisciplinary

Epidemiologia e Servicos de Saude Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.1590/S2237-96222024v33e20231358.en

Pedro Henrique Alves Santos, Theo da Fonseca Torres, Letícia Xander Russo, Everton Nunes da Silva

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Abstract

Objective: To investigate the evolution of prevalence of catastrophic health expenditure in the Brazilian Federal District at three different times (2003, 2009 and 2018), as well, to identify the composition of outof- pocket expenditure in the respective years.

Method: Time series study, using descriptive data from the Family Budget Survey. Prevalence was stratified by consumption quintiles.

Results: 754 households were selected as a sample in 2003, 695 in 2009 and 1,000 in 2018. Taking a 10% consumption threshold, prevalence of catastrophic expenditure was 12.3% (95%CI 9.6;14.9) in 2003, 15.3% (95%CI 12.1;18.3) in 2009 and 14.1% (95CI% 11.8;16.2) in 2018. Households with lower income had higher prevalence of catastrophic expenditure. Medicines have a greater burden on expenditure of low-income families.

Conclusions: There was an increase in prevalence of catastrophic expenditure in the Federal District. Medicines were the main expense for the poorest families.

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