ArticleGlobal health research and policy2022
Does disability increase households' health financial risk: evidence from the Uganda demographic and health survey.
Article in Global health research and policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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
- The Impact of Telehealth on Cost and Time Efficiency for Patients With Disabilities During Nonemergency Encounters: A Scoping Review.The Permanente journal · 2026Article
- Use of modern contraceptives on the basis of disability severity in Uganda: analysis of the 2016 demographic and health survey.Frontiers in reproductive health · 2025Article
- Article
- Analysis of health risk factors for older adults living alone in China and establishment and evaluation of a nomogram prediction model.Frontiers in public health · 2024Article
- Disability and labour market participation among smallholder farmers in Western Kenya.PloS one · 2024Article
- Luxury or normal goods? Evidence from the utilization of institutional care services for the disabled older adults in China.Frontiers in public health · 2023Article
- Out-of-pocket expenditure and catastrophic costs due to COVID-19 in Indonesia: A rapid online survey.Frontiers in public health · 2023Article
- Does home and community-based services use reduce hospital utilization and hospital expenditure among disabled elders? Evidence from China.Frontiers in public health · 2023Article
- Impact of intergenerational support and medical expenditures on depression: Evidence from rural older adults in China.Frontiers in public health · 2022Article
- Regional maldistribution of human resources of rehabilitation institutions in China Mainland based on spatial analysis.Frontiers in public health · 2022Article
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the last few years, there has been a worldwide commitment to protect the vulnerable individuals from higher financial risk through out-of-pocket (OOP) health expenditure. This study examines the influence of disability and socio-demographic factors on households' health financial risks in Uganda.
methodsWe used nationally representative cross-sectional data from the Uganda Demographic and Health Survey (UDHS) collected in 2016 by the Uganda Bureau of Statistics (UBOS) in Uganda. We measured financial risk (households' health expenditure) by money paid for health care services. We estimated the "probit" model to investigate the effect of disability on health financial risk.
resultsA total of 19,305 households were included in this study. Almost 32% of households paid money for health care services access, among which 32% paid through out-of-pocket. Almost 41% of household heads were affected by disability. The majority (73%) of families went to the public sector for health care services. The mean age was 45 years (SD ± 15). We find that disability is significantly associated with the household financial risk (p < 0.01). The private sector's choice for health care services is likely to positively affect the financial risk compared to the public sector (p < 0.01). The wealthier the household was, the more money paid for health service was (p < 0.01).
conclusionOur results indicated that disability and household socio-demographic characteristics were associated with health financial risk in Uganda. Identifying families with disability and experiencing difficult living conditions constitute an entry point for health authorities to enhance health coverage progress in low and middle-income countries.
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