Adrianna Murphy|Benjamin Palafox|Marjan Walli-Attaei|Timothy Powell?Jackson|Sumathy Rangarajan|Khalid F Alhabib|Álvaro Avezum|Kevser Burcu Tümerdem Çal?k|Jephat Chifamba|Tarzia Choudhury|Gilles R. Dagenais|Antonio L. Dans|Rajeev Gupta|Romaina Iqbal|Manmeet Kaur|Roya Kelishadi|Rasha Khatib|Iolanthé M. Kruger|V. Raman Kutty|Scott A. Lear|Wei Li|Patricio López?Jaramillo|Viswanathan Mohan|Prem Mony|Andrés Orlandini|Annika Rosengren|Rosnah Ismail|Pamela Serón|Koon Teo|Lap Ah Tse|Lungiswa Tsolekile|Yang Wang|Andreas Wielgosz|Ruohua Yan|Karen Yeates|Khalid Yusoff|Katarzyna Zato?ska|Kara Hanson|Salim Yusuf|Martin McKee
The household economic burden of non-communicable diseases in 18 countries
Faculty of Public Health|London School of Hygiene & Tropical Medicine|Faculty of Public Health|London School of Hygiene & Tropical Medicine|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Faculty of Public Health|London School of Hygiene & Tropical Medicine|Population Health Research Institute|Hamilton Health Sciences|McMaster University|King Saud University|Instituto Dante Pazzanese de Cardiologia|Marmara University|University of Zimbabwe|Independent University|Institut Universitaire de Cardiologie et de Pneumologie de Québec|University of the Philippines Manila|Eternal Hospital|Aga Khan University|Post Graduate Institute of Medical Education and Research|Isfahan University of Medical Sciences|Northwestern University|North-West University|Health Action by People|Simon Fraser University|Fu Wai Hospital|Chinese Academy of Medical Sciences & Peking Union Medical College|University of Santander|Dr. Mohan's Diabetes Specialities Centre|Madras Diabetes Research Foundation|St.John's Medical College Hospital|Estudios Clínicos Latinoamérica|Sahlgrenska University Hospital|University of Gothenburg|University Kebangsaan Malaysia Medical Centre|Universidad de La Frontera|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Chinese University of Hong Kong|University of the Western Cape|Chinese Academy of Medical Sciences & Peking Union Medical College|University of Ottawa|Chinese Academy of Medical Sciences & Peking Union Medical College|Queen's University|UCSI University|Wroclaw Medical University|Faculty of Public Health|London School of Hygiene & Tropical Medicine|Population Health Research Institute|Hamilton Health Sciences|McMaster University|Faculty of Public Health|London School of Hygiene & Tropical Medicine
noncommunicable diseases ncds leading cause death globally 2014 united nations committed reducing premature mortality ncds including reducing burden healthcare costs since 2014 prospective urban rural epidemiology pure study collecting health expenditure data households ncds 18 countriesusing data pure study estimated risk catastrophic health spending impoverishment among households least one person ncds cardiovascular disease diabetes kidney disease cancer respiratory diseases n17 435 hypertension leading risk factor ncds n11 831 neither n22 654 country income group highincome countries canada sweden upper middle income countries umics brazil chile malaysia poland south africa turkey lower middle income countries lmics philippines colombia india iran occupied palestinian territory lowincome countries lics bangladesh pakistan zimbabwe tanzania chinathe prevalence catastrophic spending impoverishment highest among households ncds lmics china adjusting covariates might drive health expenditure absolute risk catastrophic spending higher households ncds compared ncds lmics risk difference171 95 ci 075 267 umics 082 95 ci 037 127 china 752 95 ci 588 916 similar pattern observed umics china impoverishment high proportion ncds lics especially women 387 compared 126 men reported taking medication due costsour findings show financial protection healthcare costs people ncds inadequate particularly lmics china burden ncd care may appear greatest lmics china burden lics may masked care foregone due costs high proportion women reporting foregone care due cost may part explain gender inequality treatment ncds