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首页> 外文期刊>Asia-Pacific journal of public health >Inequalities in Household Catastrophic Health Expenditure and Impoverishment Associated With Noncommunicable Diseases in Chi Linh, Hai Duong, Vietnam
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Inequalities in Household Catastrophic Health Expenditure and Impoverishment Associated With Noncommunicable Diseases in Chi Linh, Hai Duong, Vietnam

机译：家庭灾难性健康支出和贫困人士的不平等，与朱林，海顿，越南有关的非传染性疾病相关

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>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.
机译：>昂贵的现代双重负担，非传染性疾病（NCD）的费用正在成为毁灭性的流行病。世界卫生组织估计2011 - 2012年度NCD的经济损失7万亿美元。虽然被视为富裕的疾病，但NCD的负担正在转变为较贫穷的群体。在这项研究中，我们评估了与越南北部的灾难性健康支出和贫困人士的社会经济不等式。我们还确定了灾难性健康支出和贫困的相关因素。家庭自我报告的NCD诊断与灾难性的健康支出和贫困人士的结合最高，其次是城市地区的贫困。根据我们的计算估算社会经济不平等，这些家庭可能较差。至少有1名超过60岁的成员的家庭也更有可能遭受灾难性的保健支出。这些调查结果表明，有针对性的政策，以防止或补贴对NCD的关怀可以防止灾难性的健康支出和贫困人群中已经处于最弱势群体。

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