Economic burden and psycho-social implications of Non- Communicable Diseases on adults and their households in South-west Nigeria
| Autor: | Temitope Akintunde, Adeleye Adeomi, Adeseye Akintunde |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Annals of Health Research, Vol 4, Iss 2, Pp 97-107 (2018) |
| Druh dokumentu: | article |
| ISSN: | 2476-8642 2536-6149 |
| DOI: | 10.30442/ahr.0402-2-13 |
| Popis: | Background: Non-communicable diseases (NCDs), are associated with significant economic and psycho-social burden on sufferers. Objective: To compare the economic burden of disease management on adults with NCDs and control subjects in Ogbomoso, Nigeria. Method: A total of 322 participants consisting of 165 adults with at least one of two NCDs - hypertension and diabetes mellitus- and 157 controls (without NCDs) were recruited by stratified random sampling method. The participants were evaluated for the economic burden and psycho-social implications of NCDs on them and on their households. Results: The presence of NCDs was associated with significantly higher psycho-social implication on the subjects including poorer patient-reported personal health assessment, higher frequency of hospital visits and longer average total hours of hospital visits compared to the controls. A significant proportion of subjects with NCDs depended on family supports for their hospital bills (32.7% vs. 7.6%). The total average monthly health expenditure among subjects with NCDs was significantly higher. Catastrophic health expenditure was found in 12.1% of subjects with NCDs who indicated their hospital bills were far higher than their total monthly wages. Conclusion: The management of NCDs is associated with significantly higher psycho-social and economic impact on affected individuals. There is a need for appropriate health insurance scheme and health system financing programs to reduce economic and psycho-social burdens, minimise long-term complications and improve quality of life. |
| Databáze: | Directory of Open Access Journals |
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