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. 2022 Aug 8;19(15):9736.
doi: 10.3390/ijerph19159736.

Households' Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia

Ziyad S Almalki  1 , Abdullah K Alahmari  1 , Nasser Alqahtani  2 , Abdulaziz Ibrahim Alzarea  3 , Ahmed M Alshehri  1 , Abdulrahman M Alruwaybiah  1 , Bader A Alanazi  1 , Abdulhadi M Alqahtani  4 , Nehad J Ahmed  1
Affiliations

Households' Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia

Ziyad S Almalki et al. Int J Environ Res Public Health. .

Abstract

Households' economic burden associated with chronic non-communicable diseases (NCDs) is a deterrent to healthcare access, adversely impacting patients' health. Therefore, we investigated the extent of out-of-pocket (OOP) spending among individuals diagnosed with chronic NCDs among household members in Riyadh, Saudi Arabia. Face-to-face interviews were conducted among households in Riyadh Province from the beginning of January 2021 to the end of June 2021. The respondents were asked to record OOP spending throughout the past three months in their health. A generalized linear regression model was used to determine the effects of several factors on the level of OOP spending. A total of 39.6% of the households studied had at least one member with a chronic NCD. Diabetes patients spent an average of SAR 932 (USD 248), hypertension patients SAR 606 (USD 162), and hypothyroid patients SAR 402 (USD 107). It was shown that households with older and more educated members had greater OOP spending. Households with an employed head of household, more family members, higher SES status, health insurance coverage, and urban residency had significantly higher OOP expenditure. The burden of OOP spending for chronic NCD households remains high, with some disparities. The research offers important information for decision making to lower OOP cost among NCD households.

Keywords: NCDs; Saudi Arabia; healthcare burden; out-of-pocket.

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
Distribution of individuals by NCDs and rank order in the sample.
Figure 2
Figure 2
Box-and-whisker plots of OOP spending per individual with NCDs per month.
See this image and copyright information in PMC

References

    1. Islam S.M.S., Purnat T.D., Phuong N.T.A., Mwingira U., Schacht K., Fröschl G. Non Communicable Diseases (NCDs) in developing countries: A symposium report. Glob. Health. 2014;10:81. doi: 10.1186/s12992-014-0081-9. - DOI - PMC - PubMed
    1. Tyrovolas S., El Bcheraoui C., Alghnam S.A., Alhabib K.F., Almadi M.A.H., Al-Raddadi R.M., Bedi N., El Tantawi M., Krish V.S., Memish Z.A., et al. The burden of disease in Saudi Arabia 1990–2017: Results from the Global Burden of Disease Study 2017. Lancet Planet. Health. 2020;4:e195–e208. doi: 10.1016/S2542-5196(20)30075-9. - DOI - PMC - PubMed
    1. World Health Organization Noncommunicable Diseases Progress Monitor 2015. [(accessed on 11 January 2022)]. Available online: https://apps.who.int/iris/bitstream/handle/10665/184688/9789241509459_en....
    1. Rahman R. The Privatization of Health Care System in Saudi Arabia. Health Serv. Insights. 2020;13:1178632920934497. doi: 10.1177/1178632920934497. - DOI - PMC - PubMed
    1. Essue B.M., Laba T.L., Knaul F., Chu A., Minh H.V., Nguyen T., Jan S. Disease Control Priorities: Improving Health and Reducing Poverty. 3rd ed. Volume 9. The World Bank; Washington, DC, USA: 2017. Economic Burden of Chronic Ill Health and Injuries for Households in Low- and Middle-Income Countries; pp. 121–143.

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