ArticleInternational health2021
Vicious cycle of chronic disease and poverty: a qualitative study in present day Nepal.
Article in International health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Body mass index and body composition changes in transgender people undergoing gender-affirming hormone therapy: a systematic review and meta-analysis.Reviews in endocrine & metabolic disorders · 2025Pooled it
- Adverse childhood experiences and risk of diabetes: A systematic review and meta-analysis.Journal of global health · 2022Pooled it
- Challenges and suffering of people with advanced illness in rural Nepal: a mixed method multiple case study in four municipalities.BMC palliative care · 2026Article
- Smoking-Attributable Burden of Chronic Obstructive Pulmonary Disease from 1990 to 2021: Temporal Trends and Evidence from the Global Burden of Disease Study.International journal of chronic obstructive pulmonary disease · 2026Article
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- The Role of Socioeconomic Determinants in Children's Health.Portuguese journal of public health · 2025Article
- Catastrophic expenditure associated with childhood hospitalisation for acute illness in Kenya and Uganda: a cross-sectional study.BMJ public health · 2025Article
- Navigating Nepal's health financing system: A road to universal health coverage amid epidemiological and demographic transitions.PloS one · 2025Article
- Chronic illness experience in the context of resource-limited settings: a concept analysis.International journal of qualitative studies on health and well-being · 2024Review
- Identification and analysis of influencing factors of multidimensional health poverty in rural areas of Northwest China.Scientific reports · 2024Article
- Article
- Health Interventions May Have Divergent Impacts on Health and Economic Equity: A Case Study of the Community-Based Hypertension Improvement Project in Ghana.Applied health economics and health policy · 2024Article
- Use of Health Care Services and Its Associated Factors Among People With Type 2 Diabetes in Nepal.Asia-Pacific journal of public health · 2024Article
- Socioeconomic inequality in health-related quality of life among Korean adults with chronic disease: an analysis of the Korean Community Health Survey.Epidemiology and health · 2024Article
- Do hospitalizations push households into poverty in India: evidence from national data.F1000Research · 2024Article
- Analysis of medical impoverishment and its influencing factors among China's rural near-poor, 2016-2020.Frontiers in public health · 2024Article
- Socio-economic outcomes of COVID-19 on the marginalised: Who have taken the hardest hit?International journal of disaster risk reduction : IJDRR · 2023Article
- The effect gap of hypertension health management services in poverty and non-poverty counties on the hypertension control: evidence from China Chronic Diseases Risk Factors Surveillance.Journal of health, population, and nutrition · 2023Article
- "Honestly, this problem has affected me a lot": a qualitative exploration of the lived experiences of people with chronic respiratory disease in Sudan and Tanzania.BMC public health · 2023Article
- Managing Pain in Low Resource Settings: Healthcare Professionals' Knowledge, Attitude and Practice Regarding Pain Management in Western Nepal.Journal of pain research · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn countries with out-of-pocket (OOP) payment systems for healthcare, the combination of chronic disease and poverty can have damaging socio-economic and health impacts for affected households. Using a life course perspective, this article aims to explore how Nepalese people struggle with, experience and adapt to chronic disease, poverty and their consequences, and how chronic diseases and poverty reinforce each other.
methodsIn-depth semi-structured interviews were conducted with 21 chronically ill Nepalese people with one or more chronic diseases and/or their caretakers. Data were transcribed and analysed thematically.
resultsThe adaptation strategies for the consequences of the huge OOP costs make patients and their households financially disadvantaged. The impoverishment has major social impacts and often persists across generations. The situation forces people to choose between avoiding medical treatment or further impoverishing their families.
conclusionsThis study explored how chronically ill Nepalese people struggle with socio-economic and health consequences of OOP payments for their disease. The article sheds light on circumstances and adaptation strategies that obstruct every attempt to escape from the vicious cycle of the poverty trap. Hence poverty and health adversities accumulate across generations and contribute to greater health expenditures, worse health outcomes and severely compromised social life.
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