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Chronic diseases: An added burden to income and expenses of chronically-ill people in Sri Lanka
- Source :
- PLoS ONE, Vol 15, Iss 10, p e0239576 (2020), PLoS ONE
- Publication Year :
- 2020
- Publisher :
- Public Library of Science (PLoS), 2020.
-
Abstract
- In the global context, health and the quality of life of people are adversely affected by either one or more types of chronic diseases. This paper investigates the differences in the level of income and expenditure between chronically-ill people and non-chronic population. Data were gathered from a national level survey conducted namely, the Household Income and Expenditure Survey (HIES) by the Department of Census and Statistics (DCS) of Sri Lanka. These data were statistically analysed with one-way and two-way ANOVA, to identify the factors that cause the differences among different groups. For the first time, this study makes an attempt using survey data, to examine the differences in the level of income and expenditure among chronically-ill people in Sri Lanka. Accordingly, the study discovered that married females who do not engage in any type of economic activity (being unemployed due to the disability associated with the respective chronic illness), in the age category of 40–65, having an educational level of tertiary education or below and living in the urban sector have a higher likelihood of suffering from chronic diseases. If workforce population is compelled to lose jobs, it can lead to income insecurity and impair their quality of lives. Under above findings, it is reasonable to assume that most health care expenses are out of pocket. Furthermore, the study infers that chronic illnesses have a statistically proven significant differences towards the income and expenditure level. This has caused due to the interaction of demographic and socio-economic characteristics associated with chronic illnesses. Considering private-public sector partnerships that enable affordable access to health care services for all as well as implementation of commercial insurance and community-based mutual services that help ease burden to the public, are vital when formulating effective policies and strategies related to the healthcare sector. Sri Lanka is making strong efforts to support its healthcare sector and public, which was affected by the coronavirus (COVID-19) in early 2020. Therefore, findings of this paper will be useful to gain insights on the differences of chronic illnesses towards the income and expenditure of chronically-ill patients in Sri Lanka.
- Subjects :
- Male
Economics
Medical Indigency
Social Sciences
Comorbidity
Geographical locations
Cultural Anthropology
Mathematical and Statistical Techniques
Medical Conditions
0302 clinical medicine
Sociology
Surveys and Questionnaires
Health care
Ethnicity
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Child
Family Characteristics
education.field_of_study
Multidisciplinary
Statistics
Middle Aged
Socioeconomic Aspects of Health
Religion
Child, Preschool
Physical Sciences
Workforce
Income
Medicine
Female
Coronavirus Infections
0305 other medical science
Research Article
Adult
Asia
Adolescent
Science
Pneumonia, Viral
Population
Context (language use)
Research and Analysis Methods
Education
Betacoronavirus
Young Adult
03 medical and health sciences
Health Economics
Environmental health
Humans
Disabled Persons
Statistical Methods
Noncommunicable Diseases
education
Developing Countries
Pandemics
Poverty
Educational Attainment
Aged
Sri Lanka
Analysis of Variance
030505 public health
Health economics
SARS-CoV-2
business.industry
Infant, Newborn
COVID-19
Infant
Educational attainment
Health Care
Socioeconomic Factors
Food
Health Care Facilities
Anthropology
Chronic Disease
Household income
Health Expenditures
People and places
business
Mathematics
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 15
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....f0a538d2804cda4c64aae02045c1438b