Economic burden and cost determinants of coronary heart disease in rural southwest China: a multilevel analysis

Economic burden and cost determinants of coronary heart disease in rural southwest China: a multilevel analysis

Abstract Objectives To estimate the economic burden of coronary heart disease (CHD) in a given year (2010), including direct and indirect costs, and examine the impact of contextual and individual socio-economic (SES) predictors on the costs of CHD among adults in rural southwest China. Study design...

Full description

Saved in:
Bibliographic Details
Published in:Public health (London) Vol. 129; no. 1; pp. 68 - 73
Main Authors: Le, C, Fang, Y, Linxiong, W, Shulan, Z, Golden, A.R
Format: Journal Article
Language:English
Published: Netherlands Elsevier Ltd 01-01-2015
Subjects:
Adult
Adults
Associations
China
China (People's Republic)
China - epidemiology
Contextual effect
Coronary Disease - economics
Coronary Disease - epidemiology
Coronary heart disease
Cost
Cost of Illness
Cross-Sectional Studies
Demographics
Economic burden
Education
Female
Heart disease
Humans
Infectious Disease
Internal Medicine
Male
Middle Aged
Multilevel Analysis
Population
Prevalence
Questionnaires
Regression Analysis
Rural Health - economics
Rural Health - statistics & numerical data
Sex Distribution
Socioeconomic Factors
Surveys
Surveys and Questionnaires
China
China, People's Rep
Economic burden
Coronary heart disease
China
Contextual effect
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objectives To estimate the economic burden of coronary heart disease (CHD) in a given year (2010), including direct and indirect costs, and examine the impact of contextual and individual socio-economic (SES) predictors on the costs of CHD among adults in rural southwest China. Study design Cross-sectional community survey. Methods In total, 4595 adults (aged ≥18 years) participated in this study. A prevalence-based cost-of-illness approach was used to estimate the economic burden of CHD. Information on demographic characteristics of the study population and the economic consequences of CHD was obtained using a standard questionnaire. Multilevel linear regression was used to model the variation in costs of CHD. Results In the study population, the overall prevalence of CHD was 2.9% (3.5% for males, 2.3% for females). The total cost of CHD was estimated to be US$17 million. Inpatient hospitalizations represented the main component of direct costs of CHD, and direct costs accounted for the greatest proportion of the economic burden of CHD. Males were more likely to have a higher economic burden of CHD than females. A positive association was found between the individual's level of education and the economic burden of CHD. Residence in a higher-income community was associated with higher costs related to CHD. Conclusions This study found that both contextual and individual SES were closely associated with the costs of CHD. Future strategies for CHD interventions and improved access to affordable medications to treat and control CHD should focus on less-educated individuals and communities with lower SES.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0033-3506
1476-5616
DOI:10.1016/j.puhe.2014.11.002