IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v36y2021i5p1861-1873.html
   My bibliography  Save this article

Catastrophic health expenditures for children with disabilities in Iran: A national survey

Author

Listed:
  • Ghobad Moradi
  • Amjad Mohamadi Bolbanabad
  • Farman Zahir Abdullah
  • Hossein Safari
  • Satar Rezaei
  • Abbas Aghaei
  • Siros Hematpour
  • Salahaddin Farshadi
  • Nima Naleini
  • Bakhtiar Piroozi

Abstract

Objective The aim of this study was to investigate the percentage of households with disabled children aged 0–8 years who had faced catastrophic health expenditures (CHEs) due to the health costs of these children in Iran. Methods This cross‐sectional study was carried out on 2000 households with disabled children aged 0–8 years in five provinces of Iran in 2020. Data were collected using the World Health Survey questionnaire and face‐to‐face interview. Determinants of CHE were identified using logistic regression. Results 32.7% of households with disabled children had faced CHE. Head of household being female (Adjusted OR = 18.89, 95%CI: 10.88–29.42), poor economic status of the household (Q1: Adjusted OR = 20.26, 95% CI, 11.42–35.94; Q2: Adjusted OR = 8.27, 95%CI, 4.45–15.36; Q3: Adjusted OR = 13.88, 95%CI, 7.89–24.41), lack of supplementary insurance by a child with disabilities (Adjusted OR = 6.13, 95%CI, 3.39–11.26), having a child with mental disability (Adjusted OR = 2.71, 95%CI, 1.60–4.69), and type of basic health insurance (having Iranian Health Insurance: Adjusted OR = 2.20, 95%CI, 1.38–3.49; having Social security insurance: Adjusted OR = 1.66, 95%CI, 1.06–2.61) significantly increased the chances of facing CHE. Conclusion A significant percentage of households with disabled children had faced CHE because of their disabled child's health costs. The key determinants of CHE should be considered by health policy‐makers in order to more financial protection of these households.

Suggested Citation

  • Ghobad Moradi & Amjad Mohamadi Bolbanabad & Farman Zahir Abdullah & Hossein Safari & Satar Rezaei & Abbas Aghaei & Siros Hematpour & Salahaddin Farshadi & Nima Naleini & Bakhtiar Piroozi, 2021. "Catastrophic health expenditures for children with disabilities in Iran: A national survey," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(5), pages 1861-1873, September.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:5:p:1861-1873
    DOI: 10.1002/hpm.3273
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.3273
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.3273?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mithen, Johanna & Aitken, Zoe & Ziersch, Anne & Kavanagh, Anne M., 2015. "Inequalities in social capital and health between people with and without disabilities," Social Science & Medicine, Elsevier, vol. 126(C), pages 26-35.
    2. Simo Fotso, Arlette, 2017. "Child disability and siblings' healthcare expenditures in a context of child fostering," Social Science & Medicine, Elsevier, vol. 182(C), pages 89-96.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Benedicte Deforche & Jasmine Mommen & Anne Hublet & Winnie De Roover & Nele Huys & Els Clays & Lea Maes & Ilse De Bourdeaudhuij & Jelle Van Cauwenberg, 2018. "Evaluation of a Brief Intervention for Promoting Mental Health among Employees in Social Enterprises: A Cluster Randomized Controlled Trial," IJERPH, MDPI, vol. 15(10), pages 1-20, September.
    2. Tess Penne & Irene Cussó Parcerisas & Lauri Mäkinen & Bérénice Storms & Tim Goedemé, 2016. "Can reference budgets be used as a poverty line?," ImPRovE Working Papers 16/05, Herman Deleeck Centre for Social Policy, University of Antwerp.
    3. Takeshi Hamamura & Liman Man Wai Li & Derwin Chan, 2017. "The Association Between Generalized Trust and Physical and Psychological Health Across Societies," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 134(1), pages 277-286, October.
    4. Mandelbaum, Jennifer & Moore, Spencer & Silveira, Patricia P. & Meaney, Michael J. & Levitan, Robert D. & Dubé, Laurette, 2020. "Does social capital moderate the association between children's emotional overeating and parental stress? A cross-sectional study of the stress-buffering hypothesis in a sample of mother-child dyads," Social Science & Medicine, Elsevier, vol. 257(C).
    5. Yi Xu, 2019. "Role of Social Relationship in Predicting Health in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 141(2), pages 669-684, January.
    6. Isabelle Weld-Blundell & Marissa Shields & Alexandra Devine & Helen Dickinson & Anne Kavanagh & Claudia Marck, 2021. "Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-33, November.
    7. Sureshkumar Kamalakannan & Sutanuka Bhattacharjya & Yelena Bogdanova & Christina Papadimitriou & Juan Carlos Arango-Lasprilla & Jacob Bentley & Tiago S. Jesus & Refugee Empowerment Task Force, Interna, 2021. "Health Risks and Consequences of a COVID-19 Infection for People with Disabilities: Scoping Review and Descriptive Thematic Analysis," IJERPH, MDPI, vol. 18(8), pages 1-17, April.
    8. Andrés Martínez-Medina & Sonia Morales-Calvo & Vicenta Rodríguez-Martín & Víctor Meseguer-Sánchez & Valentín Molina-Moreno, 2022. "Sixteen Years since the Convention on the Rights of Persons with Disabilities: What Have We Learned since Then?," IJERPH, MDPI, vol. 19(18), pages 1-21, September.
    9. Bussière, Clémence & Sicsic, Jonathan & Pelletier-Fleury, Nathalie, 2016. "Simultaneous effect of disabling conditions on primary health care use through a capability approach," Social Science & Medicine, Elsevier, vol. 154(C), pages 70-84.
    10. Dahlia Kairy & Mir Abolfazl Mostafavi & Catherine Blanchette-Dallaire & Eva Belanger & Andrea Corbeil & Meena Kandiah & Tian Qiang Wu & Barbara Mazer, 2021. "A Mobile App to Optimize Social Participation for Individuals with Physical Disabilities: Content Validation and Usability Testing," IJERPH, MDPI, vol. 18(4), pages 1-20, February.
    11. Janice Chan & Somayyeh Mohammadi & Elham Esfandiari & Julia Schmidt & W. Ben Mortenson & William C. Miller, 2023. "Living through the Pandemic with a Disability: A Longitudinal Qualitative Study," Disabilities, MDPI, vol. 3(3), pages 1-12, June.
    12. Yahya Shadi & Mohammad Hassan Lotfi & Saharnaz Nedjat & Mostafa Amini Rarani & Esmaeil Khedmati Morasae, 2018. "Explaining Unequal Levels of Social Capital in Tehran," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 140(1), pages 243-265, November.
    13. Aitken, Zoe & Bishop, Glenda M & Disney, George & Emerson, Eric & Kavanagh, Anne M, 2022. "Disability-related inequalities in health and well-being are mediated by barriers to participation faced by people with disability. A causal mediation analysis," Social Science & Medicine, Elsevier, vol. 315(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:36:y:2021:i:5:p:1861-1873. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.