ArticleBJPsych open2019
Household economic costs associated with mental, neurological and substance use disorders: a cross-sectional survey in six low- and middle-income countries.
Article in BJPsych open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Access to health insurance amongst people with disabilities and its association with healthcare use, health status and financial protection in low- and middle-income countries: a systematic review.International journal for equity in health · 2024Pooled it
- Healthcare use and costs among individuals receiving mental health services for depression within primary care in Nepal.BMC health services research · 2022Trial
- Efficacy and cost-effectiveness of task-shared care for people with severe mental disorders in Ethiopia (TaSCS): a single-blind, randomised, controlled, phase 3 non-inferiority trial.The lancet. Psychiatry · 2022Trial
- Psychological barriers to participation in the labor market: Evidence from rural Ghana.Journal of development economics · 2026Article
- Mental wellbeing of family caregivers of people living with mental illness in Kenya: Who cares? A cross-sectional study.BMC psychiatry · 2026Article
- Income, depressive symptoms, and anxiety symptoms in Indonesia: a two-year cross-lagged panel analysis of socioeconomic gradients.Frontiers in public health · 2026Article
- Economic well-being and its association with family caregiving experiences of households affected by schizophrenia in China.Schizophrenia (Heidelberg, Germany) · 2025Article
- The effect of expanded access to mental health care on economic status of households with a person with a mental disorder in rural Ethiopia: a controlled before-after study.International journal of mental health systems · 2025Article
- Examining the burden of mental disorders in Jordan: an ecological study over three decades.BMC psychiatry · 2025Article
- Global health 2050: the path to halving premature death by mid-century.Lancet (London, England) · 2024Review
- Alcohol use disorder research in India: An update.Indian journal of psychiatry · 2024Review
- The Economic Burden of Chronic Diseases with Co-Occurring Depression and Alcohol Use Disorder for People in the Western Cape, South Africa.SSM. Mental health · 2023Article
- Reimagining Community Mental Health Care Services: Case Study of a Need Based Biopsychosocial Response Initiated During Pandemic.Frontiers in psychiatry · 2021Article
- Health service costs and their association with functional impairment among adults receiving integrated mental health care in five low- and middle-income countries: the PRIME cohort study.Health policy and planning · 2020Article
- Healthcare utilization and out-of-pocket expenditures associated with depression in adults: a cross-sectional analysis in Nepal.BMC health services research · 2020Article
- Socio-economic factors associated with mental health disorders in Fort Portal, western Uganda.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2020Article
- The household economic burden of non-communicable diseases in 18 countries.BMJ global health · 2020Article
- Mental health financing challenges, opportunities and strategies in low- and middle-income countries: findings from the Emerald project.BJPsych open · 2019Article
- Sustainable financing options for mental health care in South Africa: findings from a situation analysis and key informant interviews.International journal of mental health systems · 2019Article
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Corrections and comments
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Authors and funding
18 authors at 9 institutions in 8 countries.
Funding
Abstract
backgroundLittle is known about the household economic costs associated with mental, neurological and substance use (MNS) disorders in low- and middle-income countries.
aimsTo assess the association between MNS disorders and household education, consumption, production, assets and financial coping strategies in Ethiopia, India, Nepal, Nigeria, South Africa and Uganda.
methodWe conducted an exploratory cross-sectional household survey in one district in each country, comparing the economic circumstances of households with an MNS disorder (alcohol-use disorder, depression, epilepsy or psychosis) (n = 2339) and control households (n = 1982).
resultsDespite some heterogeneity between MNS disorder groups and countries, households with a member with an MNS disorder had generally lower levels of adult education; lower housing standards, total household income, effective income and non-health consumption; less asset-based wealth; higher healthcare expenditure; and greater use of deleterious financial coping strategies.
conclusionsHouseholds living with a member who has an MNS disorder constitute an economically vulnerable group who are susceptible to chronic poverty and intergenerational poverty transmission. DECLARATION OF INTEREST: D.C. is a staff member of the World Health Organization. The authors alone are responsible for the views expressed in this publication and they do not necessarily represent the decisions, policy or views of the World Health Organization.
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