Out of pocket expenditure on hypertension and diabetes mellitus among people residing in the rural field practice area of a medical college: a community based cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20261410Keywords:
AR-GWR, Bandwidth selection, COVID-19, γ-divergence, GWR, OLS, Predictive modelling, Spatial regressionAbstract
Background: Out-of-pocket expenditure (OOPE) on health care especially with non-communicable diseases forces households into poverty. The study was conducted with the aim of understanding the out-of-pocket health expenditure and their coping mechanisms in patients suffering from hypertension and diabetes mellitus in the rural field practice area.
Methods: A community-based cross-sectional study was conducted among 230 study participants suffering from hypertension or diabetes mellitus or both in the rural field practice area of Andhra Medical College, Visakhapatnam.
Results: The total mean OOPE among hypertensives was ₹ 501.69, among diabetics it was ₹ 1522.27, and among both hypertensives and diabetics, it was ₹1352.93. Age<50 years, being literate, belonging to upper-middle and lower-middle socioeconomic status, being married, suffering from diabetes mellitus and receiving treatment from a private hospital were associated with the presence of OOPE.
Conclusions: The current study highlights the rising economic burden of hypertension and diabetes mellitus. There is a significant impact of OOPE on household finances. Many households resort to coping mechanisms such as family members providing the money, borrowing money, selling assets or spending from savings or pension.
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