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Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder

dc.creatorDiaz-Castro, Linaes_ES
dc.creatorCabello-Rangel, Héctores_ES
dc.creatorPineda-Antúnez, Carloses_ES
dc.creatorPérez de León, Alejandraes_ES
dc.date2021
dc.date.accessioned2024-04-30T18:13:52Z
dc.date.available2024-04-30T18:13:52Z
dc.date.issued2021
dc.identifierJC81DIEP21es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7960
dc.identifier.urihttps://doi.org/10.1017/gmh.2020.29
dc.descriptionBackground There are few studies on the impact of out-of-pocket mental health care expenditures and sociodemographic factors on the probability of Mexican households to incur catastrophic healthcare expenditures (CHE). Objective The goal of the present study was to estimate the incidence of CHE and its main determinants among the households of persons with mental disorders (MD) in Mexico. Methods A cross-sectional survey was conducted, including 387 households of persons with MD. The estimation of the CHE was obtained by the health expenditure distribution method. A Logistic Regression (LR) was used to identify the determinants of probability variation of CHE occurrence. Since we expected a proportion of CHE between 20% and 80%, we assume linearity in the probability function, therefore we additionally used an Ordinary Least Squares (OLS) model. Results In our sample, the incidence of CHE was 34.8%. The two mental illnesses most frequently associated with CHE were schizophrenia and hyperactive disorder (35.5% and 32.6% of CHE cases, respectively). The regression coefficients showed that for each unit (US$53.77) increase in income, the probability of CHE was reduced by 8.6%, while for each unit increase in hospitalization or medication expenditures, the probability of CHE increased by 12.9% or 19%, respectively. For each additional household member, the probability of CHE increased by 3%, and households with a male patient had a 7% greater probability of CHE. Conclusion Household income, household size, hospitalization and medication expenses, and sex of the patient were significant predictors of CHE for households caring for a person with MD.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherCambridge University Presses_ES
dc.relation8: e2
dc.rightsAcceso Cerradoes_ES
dc.titleIncidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorderes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationNational Institute for Psychiatry Ramon de la Fuente Muniz, Direction of Epidemiological and Psychosocial Research, Mexico City, Mexico
dc.contributor.emaildralaindiaz.ld@gmail.com (Lina Diaz-Castro)
dc.relation.jnabreviadoGLOB MENT HEALTH
dc.relation.journalGlobal Mental Health
dc.identifier.placeInglaterra
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn2054-4251
dc.identifier.doi10.1017/gmh.2020.29
dc.subject.kwCatastrophic healthcare expenditure
dc.subject.kwMental disorders
dc.subject.kwOut-of-pocket expenditure


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