Treatment costs and loss of work time to individuals with chronic lymphatic filariasis in rural communities in south India.
Identifieur interne : 004C89 ( PubMed/Corpus ); précédent : 004C88; suivant : 004C90Treatment costs and loss of work time to individuals with chronic lymphatic filariasis in rural communities in south India.
Auteurs : K D Ramaiah ; H. Guyatt ; K. Ramu ; P. Vanamail ; S P Pani ; P K DasSource :
- Tropical medicine & international health : TM & IH [ 1360-2276 ] ; 1999.
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
Links to Exploration step
pubmed:10203169Le document en format XML
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<author><name sortKey="Guyatt, H" sort="Guyatt, H" uniqKey="Guyatt H" first="H" last="Guyatt">H. Guyatt</name>
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<author><name sortKey="Ramu, K" sort="Ramu, K" uniqKey="Ramu K" first="K" last="Ramu">K. Ramu</name>
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<author><name sortKey="Vanamail, P" sort="Vanamail, P" uniqKey="Vanamail P" first="P" last="Vanamail">P. Vanamail</name>
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<author><name sortKey="Pani, S P" sort="Pani, S P" uniqKey="Pani S" first="S P" last="Pani">S P Pani</name>
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<author><name sortKey="Das, P K" sort="Das, P K" uniqKey="Das P" first="P K" last="Das">P K Das</name>
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<author><name sortKey="Ramaiah, K D" sort="Ramaiah, K D" uniqKey="Ramaiah K" first="K D" last="Ramaiah">K D Ramaiah</name>
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<author><name sortKey="Das, P K" sort="Das, P K" uniqKey="Das P" first="P K" last="Das">P K Das</name>
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<series><title level="j">Tropical medicine & international health : TM & IH</title>
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<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>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>India</term>
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<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Rural Health Services</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Care Costs</term>
<term>Health Expenditures</term>
<term>Income</term>
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<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>
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<DateCreated><Year>1999</Year>
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<ArticleTitle>Treatment costs and loss of work time to individuals with chronic lymphatic filariasis in rural communities in south India.</ArticleTitle>
<Pagination><MedlinePgn>19-25</MedlinePgn>
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<Abstract><AbstractText>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.</AbstractText>
</Abstract>
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