2023-09-28 14:46:10 +00:00
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abstract: 'Background: Tuberculosis (TB) is a disease that disproportionately
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affects the poor. The World Health Organization lists economic factors
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as one of main barriers to tuberculosis management. Aims: This study
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aimed to estimate the household total catastrophic cost of TB and its
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determinants among newly diag-nosed Egyptian tuberculous patients.
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Methods: This was a cohort prospective study covering 257 TB patients
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registered in 2019. The patients were followed up bi-monthly until the
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end of the treatment regimen (4 visits). A standardized questionnaire
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published by the poverty sub-working group of the Stop TB Partnership
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was used after minor modification. The following costs were measured:
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pre-diagnosis, direct and indirect, guardian and coping, as well as
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annual household income. Catastrophic cost (direct plus indirect) was
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considered if the total cost of TB treatment exceeded 20\% of the
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household''s annual income. Sensitivity analyses were conducted using
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different thresholds. Results: The incidence of household total
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catastrophic cost was 24.1\%. The mean total cost of TB treatment was
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US\$ 198. Over 50\% of the total direct cost was incurred during the
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pre-diagnosis period. After adjustment for other determinant variables
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using multivariable logistic regression, we found that age < 30 years,
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living in a house with crowding index > 2, poverty and coping were more
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likely to cause higher total catastrophic cost. Conclusions:
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Catastrophic cost was experienced by 1 out of every 4 new TB patients.
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As the main cost drivers were pover-ty and coping, the Ministry of
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Health and Population should be collaborated with Ministry of Finance
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and NGOs to put a plan of social protection system for poor families
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with TB patients.'
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affiliation: 'Gadallah, M (Corresponding Author), Ain Shams Univ, Dept Community Med,
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Fac Med, Cairo, Egypt.
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Gadallah, Mohsen; Rady, Mervat, Ain Shams Univ, Dept Community Med, Fac Med, Cairo,
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Egypt.
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Amin, Wagdy, Minist Hlth \& Populat, Chest Dept, Cairo, Egypt.'
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author: Gadallah, Mohsen and Amin, Wagdy and Rady, Mervat
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author-email: mohsengadallah@gmail.com
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author_list:
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- family: Gadallah
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given: Mohsen
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- family: Amin
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given: Wagdy
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- family: Rady
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given: Mervat
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da: '2023-09-28'
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doi: 10.26719/emhj.22.049
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eissn: 1687-1634
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files: []
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issn: 1020-3397
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journal: EASTERN MEDITERRANEAN HEALTH JOURNAL
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keywords: catastrophic cost; tuberculosis; economic burden; cohort study; Egypt
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keywords-plus: ECONOMIC BURDEN; DETERMINANTS; COUNTRIES; ILLNESS; CARE
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language: English
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month: JUL
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number: '7'
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number-of-cited-references: '24'
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pages: 489-497
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papis_id: ade1aa6731344d9502fadf88fba99509
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ref: Gadallah2022householdcatastrophi
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times-cited: '1'
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title: 'Household catastrophic total cost due to tuberculosis in Egypt: incidence,
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cost drivers and policy implication'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000835888900004
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '28'
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web-of-science-categories: 'Health Care Sciences \& Services; Health Policy \& Services;
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Public,
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Environmental \& Occupational Health'
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year: '2022'
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