Treatment costs and loss of work time to individuals with chronic lymphatic filariasis in rural communities in south India.
Identifieur interne : 00A957 ( Main/Exploration ); précédent : 00A956; suivant : 00A958Treatment costs and loss of work time to individuals with chronic lymphatic filariasis in rural communities in south India.
Auteurs : K D Ramaiah [Inde] ; H. Guyatt ; K. Ramu ; P. Vanamail ; S P Pani ; P K DasSource :
- Tropical medicine & international health : TM & IH [ 1360-2276 ] ; 1999.
Descripteurs français
- KwdFr :
- Absentéisme, Acceptation des soins par le patient (), Adolescent, Adulte, Analyse de régression, Animaux, Coûts des soins de santé (), Dépenses de santé (), Enquêtes et questionnaires, Facteurs temps, Femelle, Filariose lymphatique (), Filariose lymphatique (économie), Humains, Inde, Maladie chronique, Mâle, Revenu (), Services de santé ruraux (économie), Wuchereria bancrofti, Études cas-témoins.
- MESH :
- économie : Filariose lymphatique, Services de santé ruraux.
- Absentéisme, Acceptation des soins par le patient, Adolescent, Adulte, Analyse de régression, Animaux, Coûts des soins de santé, Dépenses de santé, Enquêtes et questionnaires, Facteurs temps, Femelle, Filariose lymphatique, Humains, Inde, Maladie chronique, Mâle, Revenu, Wuchereria bancrofti, Études cas-témoins.
- Wicri :
- geographic : Inde.
English descriptors
- KwdEn :
- Absenteeism, Adolescent, Adult, Animals, Case-Control Studies, Chronic Disease, Elephantiasis, Filarial (economics), Elephantiasis, Filarial (therapy), Female, Health Care Costs (statistics & numerical data), Health Expenditures (statistics & numerical data), Humans, Income (statistics & numerical data), India, Male, Patient Acceptance of Health Care (statistics & numerical data), Regression Analysis, Rural Health Services (economics), Surveys and Questionnaires, Time Factors, Wuchereria bancrofti.
- MESH :
- geographic : India.
- economics : Elephantiasis, Filarial, Rural Health Services.
- statistics & numerical data : Health Care Costs, Health Expenditures, Income, Patient Acceptance of Health Care.
- therapy : Elephantiasis, Filarial.
- Absenteeism, Adolescent, Adult, Animals, Case-Control Studies, Chronic Disease, Female, Humans, Male, Regression Analysis, Surveys and Questionnaires, Time Factors, Wuchereria bancrofti.
Abstract
This year-round case-control study investigated treatment costs and work time loss to people affected by chronic lymphatic filariasis in two rural communities in south India. About three-quarters of the patients sought treatment for filariasis at least once and 52% of them paid for treatment, incurring a mean annual expenditure of Rs. 72 (US $2.1; range Rs. 0-1360 (US $39.0)). Doctor's fees and medicines constituted 57% and 23% of treatment costs. The proportion of people seeking treatment was smaller and treatment costs constituted a higher proportion of household income in lower income groups. Most patients did not leave work, but spent only 4.36+/-3.41 h per day on economic activity compared to 5.25+/-3.52 h worked by controls; the mean difference of 0.89+/-4.20 h per day was highly significant (P<0.01). This loss of work time is perpetual, as chronic disease manifestations are mostly irreversible. An estimated 8% of potential male labour input is lost due to the disease. Regression analyses revealed that lymphatic filariasis has a significant effect on work time allotted to economic activity (P<0.05) but not on absenteeism from work (P>0.05). Female patients spent 0.31+/-1.42 h less on domestic activity compared to their matched controls (P<0.05). The results clearly show that the chronic form of lymphatic filariasis inflicts a considerable economic burden on affected individuals.
PubMed: 10203169
Affiliations:
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Le document en format XML
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Guyatt</name></author><author><name sortKey="Ramu, K" sort="Ramu, K" uniqKey="Ramu K" first="K" last="Ramu">K. Ramu</name></author><author><name sortKey="Vanamail, P" sort="Vanamail, P" uniqKey="Vanamail P" first="P" last="Vanamail">P. Vanamail</name></author><author><name sortKey="Pani, S P" sort="Pani, S P" uniqKey="Pani S" first="S P" last="Pani">S P Pani</name></author><author><name sortKey="Das, P K" sort="Das, P K" uniqKey="Das P" first="P K" last="Das">P K Das</name></author></analytic><series><title level="j">Tropical medicine & international health : TM & IH</title><idno type="ISSN">1360-2276</idno><imprint><date when="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absenteeism</term><term>Adolescent</term><term>Adult</term><term>Animals</term><term>Case-Control Studies</term><term>Chronic Disease</term><term>Elephantiasis, Filarial (economics)</term><term>Elephantiasis, Filarial (therapy)</term><term>Female</term><term>Health Care Costs (statistics & numerical data)</term><term>Health Expenditures (statistics & numerical data)</term><term>Humans</term><term>Income (statistics & numerical data)</term><term>India</term><term>Male</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Regression Analysis</term><term>Rural Health Services (economics)</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Absentéisme</term><term>Acceptation des soins par le patient ()</term><term>Adolescent</term><term>Adulte</term><term>Analyse de régression</term><term>Animaux</term><term>Coûts des soins de santé ()</term><term>Dépenses de santé ()</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (économie)</term><term>Humains</term><term>Inde</term><term>Maladie chronique</term><term>Mâle</term><term>Revenu ()</term><term>Services de santé ruraux (économie)</term><term>Wuchereria bancrofti</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>India</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Rural Health Services</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Care Costs</term><term>Health Expenditures</term><term>Income</term><term>Patient Acceptance of Health Care</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Filariose lymphatique</term><term>Services de santé ruraux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Absenteeism</term><term>Adolescent</term><term>Adult</term><term>Animals</term><term>Case-Control Studies</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Male</term><term>Regression Analysis</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Absentéisme</term><term>Acceptation des soins par le patient</term><term>Adolescent</term><term>Adulte</term><term>Analyse de régression</term><term>Animaux</term><term>Coûts des soins de santé</term><term>Dépenses de santé</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Inde</term><term>Maladie chronique</term><term>Mâle</term><term>Revenu</term><term>Wuchereria bancrofti</term><term>Études cas-témoins</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Inde</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This year-round case-control study investigated treatment costs and work time loss to people affected by chronic lymphatic filariasis in two rural communities in south India. About three-quarters of the patients sought treatment for filariasis at least once and 52% of them paid for treatment, incurring a mean annual expenditure of Rs. 72 (US $2.1; range Rs. 0-1360 (US $39.0)). Doctor's fees and medicines constituted 57% and 23% of treatment costs. The proportion of people seeking treatment was smaller and treatment costs constituted a higher proportion of household income in lower income groups. Most patients did not leave work, but spent only 4.36+/-3.41 h per day on economic activity compared to 5.25+/-3.52 h worked by controls; the mean difference of 0.89+/-4.20 h per day was highly significant (P<0.01). This loss of work time is perpetual, as chronic disease manifestations are mostly irreversible. An estimated 8% of potential male labour input is lost due to the disease. Regression analyses revealed that lymphatic filariasis has a significant effect on work time allotted to economic activity (P<0.05) but not on absenteeism from work (P>0.05). Female patients spent 0.31+/-1.42 h less on domestic activity compared to their matched controls (P<0.05). The results clearly show that the chronic form of lymphatic filariasis inflicts a considerable economic burden on affected individuals.</div></front></TEI><affiliations><list><country><li>Inde</li></country></list><tree><noCountry><name sortKey="Das, P K" sort="Das, P K" uniqKey="Das P" first="P K" last="Das">P K Das</name><name sortKey="Guyatt, H" sort="Guyatt, H" uniqKey="Guyatt H" first="H" last="Guyatt">H. Guyatt</name><name sortKey="Pani, S P" sort="Pani, S P" uniqKey="Pani S" first="S P" last="Pani">S P Pani</name><name sortKey="Ramu, K" sort="Ramu, K" uniqKey="Ramu K" first="K" last="Ramu">K. Ramu</name><name sortKey="Vanamail, P" sort="Vanamail, P" uniqKey="Vanamail P" first="P" last="Vanamail">P. Vanamail</name></noCountry><country name="Inde"><noRegion><name sortKey="Ramaiah, K D" sort="Ramaiah, K D" uniqKey="Ramaiah K" first="K D" last="Ramaiah">K D Ramaiah</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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