IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0099572.html
   My bibliography  Save this article

The Economic Burden of Self-Reported and Undiagnosed Cardiovascular Diseases and Diabetes on Indonesian Households

Author

Listed:
  • Eric A Finkelstein
  • Junxing Chay
  • Shailendra Bajpai

Abstract

Objectives: The goal of this study is: (1) to estimate the current direct out-of-pocket (OOP) and indirect non-communicable diseases (NCD) burden on Indonesian households and (2) to project NCD prevalence and burden in 2020 focusing specifically on hypertension, diabetes, heart problems and stroke. Methods: This study relies on econometric analyses based on four waves of the Indonesian Family Life Survey (IFLS). Results: In aggregate, of the NCDs studied, heart problems exert the greatest economic burden on households, costing Int$1.56 billion in OOP and indirect burden in 2010. This was followed by hypertension (Int$1.36 billion), diabetes (Int$0.81 billion) and stroke (Int$0.29 billion). The OOP and indirect burden of these conditions is estimated to be Int$4.02 billion. Diabetes and stroke are expected to have the largest proportional increases in burden by 2020; 56.0% for diabetes and 56.9% for stroke to total Int$1.27 billion and Int$0.45 billion respectively. The burden of heart problems in 2020 is expected to increase by 34.4% to total Int$2.09 billion and hypertension burden will increase by 46.1% to Int$1.99 billion. In 2020, these conditions are expected to impose an economic burden of Int$5.80 billion. Conclusion: In conclusion, this study demonstrates the significant burden of 4 primary NCDs on Indonesian households. In addition to the indirect burden, hypertension, diabetes, heart problems and stroke account for 8% of the nation's OOP healthcare expenditure, and due to rising disease prevalence and an aging population, this figure is expected to increase to 12% by 2020 without a significant health intervention.

Suggested Citation

  • Eric A Finkelstein & Junxing Chay & Shailendra Bajpai, 2014. "The Economic Burden of Self-Reported and Undiagnosed Cardiovascular Diseases and Diabetes on Indonesian Households," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-8, June.
    • Handle: RePEc:plo:pone00:0099572
    DOI: 10.1371/journal.pone.0099572
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0099572
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0099572&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0099572?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. Linda J Cobiac & Theo Vos & Jan J Barendregt, 2009. "Cost-Effectiveness of Interventions to Promote Physical Activity: A Modelling Study," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-11, July.
    2. Lightwood, J. & Bibbins-Domingo, K. & Coxson, P. & Wang, Y.C. & Williams, L. & Goldman, L., 2009. "Forecasting the future economic burden of current adolescent overweight: An estimate of the coronary heart disease policy model," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2230-2237.
    3. Henry Zheng & Fred Ehrlich & Janaki Amin, 2010. "Productivity loss resulting from coronary heart disease in Australia," Applied Health Economics and Health Policy, Springer, vol. 8(3), pages 179-189, May.
    4. Hatziandreu, E.I. & Koplan, J.P. & Weinstein, M.C. & Caspersen, C.J. & Warner, K.E., 1988. "A cost-effectiveness analysis of exercise as a health promotion activity," American Journal of Public Health, American Public Health Association, vol. 78(11), pages 1417-1421.
    5. Mark D Huffman & Krishna D Rao & Andres Pichon-Riviere & Dong Zhao & S Harikrishnan & Kaushik Ramaiya & V S Ajay & Shifalika Goenka & Juan I Calcagno & Joaquín E Caporale & Shaoli Niu & Yan Li & Jing , 2011. "A Cross-Sectional Study of the Microeconomic Impact of Cardiovascular Disease Hospitalization in Four Low- and Middle-Income Countries," PLOS ONE, Public Library of Science, vol. 6(6), pages 1-10, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Qun Wang & Alex Z Fu & Stephan Brenner & Olivier Kalmus & Hastings Thomas Banda & Manuela De Allegri, 2015. "Out-of-Pocket Expenditure on Chronic Non-Communicable Diseases in Sub-Saharan Africa: The Case of Rural Malawi," PLOS ONE, Public Library of Science, vol. 10(1), pages 1-15, January.
    2. Yi-Ching Lynn Ho & Vivian Shu Yi Lee & Moon-Ho Ringo Ho & Gladis Jing Lin & Julian Thumboo, 2021. "Towards a Parsimonious Pathway Model of Modifiable and Mediating Risk Factors Leading to Diabetes Risk," IJERPH, MDPI, vol. 18(20), pages 1-20, October.
    3. Lim, Sung Soo, 2020. "Parental chronic illness and child education: Evidence from children in Indonesia," International Journal of Educational Development, Elsevier, vol. 73(C).
    4. Da Feng & Ray Serrano & Ting Ye & Shangfeng Tang & Lei Duan & Yuan Xu & Jian Yang & Yuan Liang & Shanquan Chen & Zhanchun Feng & Liang Zhang, 2016. "What Contributes to the Regularity of Patients with Hypertension or Diabetes Seeking Health Services? A Pilot Follow-Up, Observational Study in Two Sites in Hubei Province, China," IJERPH, MDPI, vol. 13(12), pages 1-14, December.

    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. Sarma, Sisira & Zaric, Gregory S. & Campbell, M. Karen & Gilliland, Jason, 2014. "The effect of physical activity on adult obesity: Evidence from the Canadian NPHS panel," Economics & Human Biology, Elsevier, vol. 14(C), pages 1-21.
    2. Kim Edmunds & Penny Reeves & Paul Scuffham & Daniel A. Galvão & Robert U. Newton & Mark Jones & Nigel Spry & Dennis R. Taaffe & David Joseph & Suzanne K. Chambers & Haitham Tuffaha, 2020. "Cost-Effectiveness Analysis of Supervised Exercise Training in Men with Prostate Cancer Previously Treated with Radiation Therapy and Androgen-Deprivation Therapy," Applied Health Economics and Health Policy, Springer, vol. 18(5), pages 727-737, October.
    3. Dorte Gyrd‐Hansen & Ivar Sønbø Kristiansen, 2008. "Preferences for ‘life‐saving’ programmes: Small for all or gambling for the prize?," Health Economics, John Wiley & Sons, Ltd., vol. 17(6), pages 709-720, June.
    4. Holger Möller & Fiona Haigh & Rema Hayek & Lennert Veerman, 2020. "What Is the Best Practice Method for Quantifying the Health and Economic Benefits of Active Transport?," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    5. Norwood, Patricia & Eberth, Barbara & Farrar, Shelley & Anable, Jillian & Ludbrook, Anne, 2014. "Active travel intervention and physical activity behaviour: An evaluation," Social Science & Medicine, Elsevier, vol. 113(C), pages 50-58.
    6. J Lennert Veerman & Jan J Barendregt & Megan Forster & Theo Vos, 2011. "Cost-Effectiveness of Pharmacotherapy to Reduce Obesity," PLOS ONE, Public Library of Science, vol. 6(10), pages 1-8, October.
    7. Amir Marashi & Shima Ghassem Pour & Vincy Li & Chris Rissel & Federico Girosi, 2019. "The association between physical activity and hospital payments for acute admissions in the Australian population aged 45 and over," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-16, June.
    8. Ina Rissanen & Leena Ala-Mursula & Iiro Nerg & Marko Korhonen, 2021. "Adjusted productivity costs of stroke by human capital and friction cost methods: a Northern Finland Birth Cohort 1966 study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(4), pages 531-545, June.
    9. Denis Fougère & Arthur Heim, 2019. "L'évaluation socioéconomique de l'investissement social," Working Papers hal-03456048, HAL.
    10. Shankar Prinja & Jagnoor Jagnoor & Akashdeep Singh Chauhan & Sameer Aggarwal & Ha Nguyen & Rebecca Ivers, 2016. "Economic Burden of Hospitalization Due to Injuries in North India: A Cohort Study," IJERPH, MDPI, vol. 13(7), pages 1-15, July.
    11. Giulio Mela & Pierpaolo Girardi, 2024. "Is Active Mobility Really a Sustainable Way of Travelling in Italian Cities? When and Where Injury Risk Offsets the Benefits of Riding or Walking," Sustainability, MDPI, vol. 16(17), pages 1-18, August.
    12. Umer Mansoor & Mohammad Tamim Kashifi & Fazal Rehman Safi & Syed Masiur Rahman, 2022. "A review of factors and benefits of non-motorized transport: a way forward for developing countries," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 24(2), pages 1560-1582, February.
    13. Matilde Alonso Pérez & Elies Furio Blasco, 2018. "Los costes económicos de la obesidad y el sobrepeso," Working Papers halshs-01764899, HAL.
    14. Brown, Vicki & Diomedi, Belen Zapata & Moodie, Marj & Veerman, J. Lennert & Carter, Rob, 2016. "A systematic review of economic analyses of active transport interventions that include physical activity benefits," Transport Policy, Elsevier, vol. 45(C), pages 190-208.
    15. Edward Cox & Simon Walker & Charlotte L. Edwardson & Stuart J. H. Biddle & Alexandra M. Clarke-Cornwell & Stacy A. Clemes & Melanie J. Davies & David W. Dunstan & Helen Eborall & Malcolm H. Granat & L, 2022. "The Cost-Effectiveness of the SMART Work & Life Intervention for Reducing Sitting Time," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    16. Nicholas Graves & Adrian G Barnett & Kate A Halton & Jacob L Veerman & Elisabeth Winkler & Neville Owen & Marina M Reeves & Alison Marshall & Elizabeth Eakin, 2009. "Cost-Effectiveness of a Telephone-Delivered Intervention for Physical Activity and Diet," PLOS ONE, Public Library of Science, vol. 4(9), pages 1-8, September.
    17. Ericsson, Asa, 1997. "The importance of lifestyle to self-assessed health," Health Policy, Elsevier, vol. 42(2), pages 145-155, November.
    18. Afschin Gandjour & Amiram Gafni, 2013. "Internal validation of models with several interventions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(6), pages 901-909, December.
    19. Tekeshe A Mekonnen & Michelle C Odden & Pamela G Coxson & David Guzman & James Lightwood & Y Claire Wang & Kirsten Bibbins-Domingo, 2013. "Health Benefits of Reducing Sugar-Sweetened Beverage Intake in High Risk Populations of California: Results from the Cardiovascular Disease (CVD) Policy Model," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-9, December.
    20. Gabe, Todd, 2012. "Medical Costs of Childhood Obesity in Maine," MPRA Paper 65917, University Library of Munich, Germany.

    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:plo:pone00:0099572. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.