The Economic Burden of Cancers on Indian Households

We assessed the burden of cancer on households’ out-of-pocket health spending, non-medical consumption, workforce participation, and debt and asset sales using data from a nationally representative health and morbidity survey in India for 2004 of nearly 74 thousand households. Propensity scores were...

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Main Authors:	Mahal, Ajay, Karan, Anup, Fan, Victoria Y., Engelgau, Michael
Format:	Journal Article
Language:	en_US
Published:	Public Library of Science 2015
Subjects:	cancer Global Burden of Disease non-communicable chronic diseases NCDs economic shocks
Online Access:	http://hdl.handle.net/10986/23204

id	okr-10986-23204
recordtype	oai_dc
spelling	okr-10986-232042021-04-23T14:04:13Z The Economic Burden of Cancers on Indian Households Mahal, Ajay Karan, Anup Fan, Victoria Y. Engelgau, Michael cancer Global Burden of Disease non-communicable chronic diseases NCDs economic shocks We assessed the burden of cancer on households’ out-of-pocket health spending, non-medical consumption, workforce participation, and debt and asset sales using data from a nationally representative health and morbidity survey in India for 2004 of nearly 74 thousand households. Propensity scores were used to match households containing a member diagnosed with cancer (i.e. cancer-affected households) to households with similar socioeconomic and demographic characteristics (controls). Our estimates are based on data from 1,645 households chosen through matching. Cancer-affected households experienced higher levels of outpatient visits and hospital admissions and increased out-of-pocket health expenditures per member, relative to controls. Cancer-affected households spent between Indian Rupees (INR) 66 and INR 85 more per member on healthcare over a 15-day reference period, than controls and additional expenditures (per member) incurred on inpatient care by cancer-affected households annually is equivalent to 36% to 44% of annual household expenditures of matched controls. Members without cancer in cancer-affected households used less health-care and spent less on healthcare. Overall, adult workforce participation rates were lower by between 2.4 and 3.2 percentage points compared to controls; whereas workforce participation rates among adult members without cancer were higher than in control households. Cancer-affected households also had significantly higher rates of borrowing and asset sales for financing outpatient care that were 3.3% to 4.0% higher compared to control households; and even higher for inpatient care. 2015-12-03T21:28:21Z 2015-12-03T21:28:21Z 2013-08-12 Journal Article PLoS ONE http://hdl.handle.net/10986/23204 en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Public Library of Science Publications & Research :: Journal Article Publications & Research
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	cancer Global Burden of Disease non-communicable chronic diseases NCDs economic shocks
spellingShingle	cancer Global Burden of Disease non-communicable chronic diseases NCDs economic shocks Mahal, Ajay Karan, Anup Fan, Victoria Y. Engelgau, Michael The Economic Burden of Cancers on Indian Households
description	We assessed the burden of cancer on households’ out-of-pocket health spending, non-medical consumption, workforce participation, and debt and asset sales using data from a nationally representative health and morbidity survey in India for 2004 of nearly 74 thousand households. Propensity scores were used to match households containing a member diagnosed with cancer (i.e. cancer-affected households) to households with similar socioeconomic and demographic characteristics (controls). Our estimates are based on data from 1,645 households chosen through matching. Cancer-affected households experienced higher levels of outpatient visits and hospital admissions and increased out-of-pocket health expenditures per member, relative to controls. Cancer-affected households spent between Indian Rupees (INR) 66 and INR 85 more per member on healthcare over a 15-day reference period, than controls and additional expenditures (per member) incurred on inpatient care by cancer-affected households annually is equivalent to 36% to 44% of annual household expenditures of matched controls. Members without cancer in cancer-affected households used less health-care and spent less on healthcare. Overall, adult workforce participation rates were lower by between 2.4 and 3.2 percentage points compared to controls; whereas workforce participation rates among adult members without cancer were higher than in control households. Cancer-affected households also had significantly higher rates of borrowing and asset sales for financing outpatient care that were 3.3% to 4.0% higher compared to control households; and even higher for inpatient care.
format	Journal Article
author	Mahal, Ajay Karan, Anup Fan, Victoria Y. Engelgau, Michael
author_facet	Mahal, Ajay Karan, Anup Fan, Victoria Y. Engelgau, Michael
author_sort	Mahal, Ajay
title	The Economic Burden of Cancers on Indian Households
title_short	The Economic Burden of Cancers on Indian Households
title_full	The Economic Burden of Cancers on Indian Households
title_fullStr	The Economic Burden of Cancers on Indian Households
title_full_unstemmed	The Economic Burden of Cancers on Indian Households
title_sort	economic burden of cancers on indian households
publisher	Public Library of Science
publishDate	2015
url	http://hdl.handle.net/10986/23204
_version_	1764453195029938176

The Economic Burden of Cancers on Indian Households

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