ArticleRevista de saude publica2020
Catastrophic health expenditure and multimorbidity among older adults in Brazil.
Article in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- The bidirectional relationships among multimorbidity, depression, and catastrophic health expenditures in middle-aged and older Chinese adults: random-intercept, cross-lagged panel model.BMC public health · 2026Article
- Out-of-pocket cost and financial catastrophe of patients with cancer: the alarming cost-of-illness in Bangladesh.International journal for equity in health · 2025Article
- Multimorbidity in the elderly of an educational program in Brazilian capital: A cross-sectional study.Medicine · 2024Observational
- Lifestyle and Cardiometabolic Risk Factors Associated with Impoverishment Due to Out-of-Pocket Health Expenditure in São Paulo City, Brazil.International journal of environmental research and public health · 2024Article
- Prevalence of functional dependence and chronic diseases in the community-dwelling Brazilian older adults: an analysis by dependence severity and multimorbidity pattern.BMC public health · 2024Article
- Effects of physical multimorbidity on cognitive decline trajectories among adults aged 50 years and older with different wealth status: a 17-year population-based cohort study.Global mental health (Cambridge, England) · 2024Article
- Non-communicable diseases related multimorbidity, catastrophic health expenditure, and associated factors in Ernakulam district.Frontiers in public health · 2024Article
- Out-of-pocket expenditure among patients with diabetes in Bangladesh: A nation-wide population-based study.Health policy OPEN · 2023Article
- What are the factors associated with catastrophic health expenditure in Colombia? A multi-level analysis.PloS one · 2023Article
- Effects of multimorbidity patterns and socioeconomic status on catastrophic health expenditure of widowed older adults in China.Frontiers in public health · 2023Article
- Water, land, and air: how do residents of Brazilian remote rural territories travel to access health services?Archives of public health = Archives belges de sante publique · 2022Article
- Family-Level Multimorbidity among Older Adults in India: Looking through a Syndemic Lens.International journal of environmental research and public health · 2022Article
- Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature.Health research policy and systems · 2022Article
- Multimorbidity and catastrophic health expenditure among patients with diabetes in China: a nationwide population-based study.BMJ global health · 2022Article
- Identifying multimorbidity clusters among Brazilian older adults using network analysis: Findings and perspectives.PloS one · 2022Article
- Multimorbidity and catastrophic health expenditure: Evidence from the China Health and Retirement Longitudinal Study.Frontiers in public health · 2022Article
- [Comprehensive clinical diagnosis of older adults attended in PeruDiagnóstico clínico integral de idosos atendidos no Peru].Revista CuidarteArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the relation between catastrophic health expenditure (CHE) and multimorbidity in a national representative sample of the Brazilian population aged 50 year or older.
methodsThis study used data from 8,347 participants of the Estudo Longitudinal de Saúde dos Idosos Brasileiros (ELSI - Brazilian Longitudinal Study of Aging) conducted in 2015-2016. The dependent variable was CHE, defined by the ratio between the health expenses of the adult aged 50 years or older and the household income. The variable of interest was multimorbidity (two or more chronic diseases) and the variable used for stratification was the wealth score. The main analyses were based on multivariate logistic regression.
resultsThe prevalence of CHE was 17.9% and 7.5%, for expenditures corresponding to 10 and 25% of the household income, respectively. The prevalence of multimorbidity was 63.2%. Multimorbidity showed positive and independent associations with CHE (OR = 1.95, 95%CI 1.67-2.28, and OR = 1.40, 95%CI 1.11-1.76 for expenditures corresponding to 10% and 25%, respectively). Expenditures associated with multimorbidity were higher among those with lower wealth scores.
conclusionsThe results draw attention to the need for an integrated approach of multimorbidity in health services, in order to avoid CHE, particularly among older adults with worse socioeconomic conditions.
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