Background: Cancer is currently one of the main public health problems all over the world and its economic burden is substantial both for health systems and for society as a whole. To inform priorities for cancer control, we here estimated years of potential life lost (YPLL) and productivity losses due to cancer-related premature mortality in Iran from 2006 to 2010. Materials and Methods: The number of cancer deaths by sex and age groups for top ten leading cancers in Iran were obtained from the Ministry of Health and Medical Education. To estimate the YPLL and the cost of productivity loss due to cancer-related premature mortality, the life expectancy method and the human capital approach were used, respectively. Results: There were 138,228 cancer-related deaths in Iran (without Tehran province) of which 76 % (106,954) were attributable to the top 10 ranked cancers. Some 63 % of total cancer-related deaths were of males. The top 10 ranked cancers resulted in 106,766,942 YPLL in total, 64,171,529 (60 %) in males and 42,595,412 (40%) in females. The estimated YPPLL due to top 10 ranked cancers was 58,581,737 during the period studied of which 32,214,524 (54%) was accounted for in males. The total cost of lost productivity caused by premature deaths because of top 10 cancers was 1.68 billion dollars (US$) from 2006 to 2010, ranging from 251 million dollars in 2006 to 283 million dollars in 2010. Conclusions: This study showed that the economic burden of premature mortality attributable to cancer is significant for Iranian society. The findings provide useful information about the economic impact of cancer for health system policy/decision makers and should facilitate planning of preventive intervention and effective resource allocation.
Journal of Family Resource Management and Policy Review
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v.20
no.1
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pp.159-182
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2016
The purpose of this study was to investigate the relationship between household income, consumption wants for education, private education expenses, and old-age economic preparation behaviors in mothers with school-aged children. The participants in this study comprised 393 mothers living with children aged 8.19 in Daegu. All participants had wage-earning husbands. A questionnaire was used to collect the data. Factor analysis was conducted using SPSS and structural regression analysis was performed using AMOS. The main results of this study were as follows: The participants' old-age economic preparation behaviors were influenced by their household income, the proportion of private education expenditures they paid, and the perceived burden the participants had of these private education expenditures. The consumption wants for education in mothers with school-aged children had no significant impact on the proportion of private education expenditures paid by the participants. Household income, proportion of private education expenditures, and perceived burden of the private education expenditures had a direct effect on the old-age economic preparation behaviors of the participants. When the perceived burden of the private education expenditures was mediated, the consumption wants for education in mothers with school-aged children had an indirect effect on their old-age economic preparation behaviors.
The purpose of this study was to compare the caregiver burden and rewards in new generation and middle-aged couples. Data were collected from 207 new generation couples and 196 middle-aged couples who had either of older parents and lived in Seoul. Major findings are as fallows; 1. The burden were constituted with restriction of privacy physical burden strain psychological burden economic cost and guilt. The rewards were constituted with recognition pride maturity improving relationship and assistance of household and childcare. 2. The caregiver burden of new generation and middle-aged wives were hgiher than husbands. Hwever the caregiver rewards of new generation and middle-aged husbands were higher than wives. 3. The caregiver burden of middle-aged husbands were higher than new generation husbands bur there was no significant difference between new generation and middle-aged wives. 4. The caregiver rewards of middle-aged wives were higher than new generation wives but there was no significant difference between new generation and middle-aged husbands.
The purpose of this study is to examine current situations about and factors related to expenditures of private education among pre-school children and to provide policy implications useful for future pre-school children education. The subjects of the study were parents of pre-school children under seven years of age, who lived in Seoul and Incheon area. The survey was conducted using parent questionnaire. The major findings of the study are: First, 86.8% of parents of pre-school children use private education and the average expenditure on it was 154, 446 won. Second, major factors determining their private education expenditure are educational level of parents, parents' job characteristics, household income, and region. Third, the most important reason for using private education among parents is to improve and excel in academic performance of their children. Forth, the higher the parents' expected returns from private education are, the higher the expenditure level of private education is. Fitth, the results of the logistic regressions showed that parents' attitudes toward private education was the most important factor in determining household economic burden associated with private education. The odds were 5 times greater for the parent group with strong desire for private education than for the parent group without it and 1.2 times greater for the parent group with high-expected returns from private education than the parent group without it. In conclusion, systematic, universal educational policies need to be developed to provide and support all the parents with pre-school children, given that their current economic burden is substantial. By providing such support, we can help parents focus on public education. This study examining current situations about and determining factors related to private education expenditures among pre-school children collected data limiting only Seoul and Inchoen area, therefore, future studies need to include data collected nationwide for generalizability of the findings. As well, development of more elaborated survey instruments and analytical methods would advance our understanding in the field.
Using the data from the Family Income & Expenditure Survey, this study investigated (1)the factors determining the level of burden of the private educational expenditure in households; (2) the influences of the level of the burden of private educational expenditure on the other household expenditures. For the analysis of data Chi-square, GLM, Multinomial legit, and Seemingly Unrelated Regression were applied. The major findings were: (1) The factors associated with the burden of private educational expenditure were the number of students by each of the school levels, housing tenure, location of residence, educational attainment of householder; (2) Households with the lower level of burden of the private educational expenditure adjusted the allocation of the expenditure shares of food, utility, and transportation and did not reduce the levels of consumption. Households with the higher level of burden of the private educational expenditure adjusted the extensive ranges of the household expenditure shares and reduced the levels of consumption.
Kim, Tae Eung;Lee, Ru-Gyeom;Park, So-Youn;Oh, In-Hwan
Journal of Preventive Medicine and Public Health
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v.55
no.1
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pp.19-27
/
2022
This study estimated the direct and indirect socioeconomic costs of 238 diseases and 22 injuries from a social perspective in Korea from 2007 to 2015. The socioeconomic cost of each disease group was calculated based on the Korean Standard Disease Classification System. Direct costs were estimated using health insurance claims data provided by the National Health Insurance Service. The numbers of outpatients and inpatients with the main diagnostic codes for each disease were selected as a proxy indicator for estimating patients' medical use behavior by disease. The economic burden of disease from 2007 to 2015 showed an approximately 20% increase in total costs. From 2007 to 2015, communicable diseases (including infectious, maternal, pediatric, and nutritional diseases) accounted for 8.9-12.2% of the socioeconomic burden, while non-infectious diseases accounted for 65.7-70.7% and injuries accounted for 19.1-22.8%. The top 5 diseases in terms of the socioeconomic burden were self-harm (which took the top spot for 8 years), followed by cirrhosis of the liver, liver cancer, ischemic heart disease, and upper respiratory infections in 2007. Since 2010, the economic burden of conditions such as low back pain, falls, and acute bronchitis has been included in this ranking. This study expanded the scope of calculating the burden of disease at the national level by calculating the burden of disease in Koreans by gender and disease. These findings can be used as indicators of health equality and as useful data for establishing community-centered (or customized) health promotion policies, projects, and national health policy goals.
The purposes of the study were to investigate the effects of the debt burden which was measured objectively, the types of debts and socio-economic characteristics on the subjective debt burden of households. The questionaires for 457 households who hold some debts were analyzed using t-test, ANOVA and Duncan’s multiple range teat. The major finding are summarized as follows: (1) the objective debt burdens which were measured by three variables, that is monthly debt repayment, the ratio of debt repayment to household income and total debt amount, affected the subjective debt burden. The households in which the monthly debt repayment was over 200 thousand won, the debt repayment was over 20% of the household income and the total debt amount was over 15 minion won felt higher debt burden. (2) the types of debts, which were classified into four groups such as debts from financial institutes, debts from private sources, credit card debts and debt from retailers, influenced differently the subjective debt burden. Holding debts from financial institutes and debts from private sources increased the subjective debt burden whereas holding credit card debts and debt from retailers did not. (3) the level of subjective debt burden were different according to household income, change in income due to IMF crisis, financial assets, home ownership, residence, householder’s age, job and educational levee. Based on the results, criterion for household’s debt management were suggested.
Purpose: This study tried to identify changes in family burden after the introduction of the long-term care insurance and to examine the factors influencing subjective and objective caring burden and depression of family caregivers of elders receiving home-based long-term care. Methods: Data were collected from 203 family caregivers of elders from August 1 to 31, 2015 using questionnaires. They were analyzed in descriptive statistics, t test, ANOVA test, and multiple regression analysis. Results: The mean score of depression was 7.24, which suggested mild depression level. The subjective family burden was 2.71 and the objective burden 3.04. The factors affecting depression included subjective burden (t=5.08, p<.001), objective burden (t=2.80, p=.006), time of elderly care per day (t=-3.61, p< .001), caregiving duration (t=3.33, p=.001), age (t=3.13, p=.002), family relationship (t=2.48, p=.014), and economic status (t=1.99, p=.047). Conclusion: The family burden was most important influencing factor on caregiver's depression. Therefore, services and supports to alleviate caregivers' burden in the home-based care should be added to long-term care.
Purpose: This comparative descriptive study was conducted to determine differences in maternal health related characteristics, child rearing burden, and social support depending on economic status. Method: Using home visits, data were collected from 100 poverty stricken mothers, 51 in the extremely poor group and 49 in the low income group, and 200 mothers of a general group being seen in one public health center. The instrument used for this study was a self-report questionnaire to identify maternal health variables including child rearing burden and social support. Results: Parent's education level, marital status, and primary caregiver were significantly different according to socioeconomic status. Poverty stricken groups showed poor rates for prenatal checkups, lower Fe supplementation, and more artificial abortions and history of cesarean section. Continuing breast feeding as planned was significantly lower for mothers with low economic status. Present health problems of the mother, child-rearing burden, and social support were not significantly different among the three groups. Conclusion: These findings suggest that special attention and interventions for the poverty stricken groups is important to improve maternal and child health status.
Purpose: This study of this study was to identify factors influencing the burden of main family caregivers who take care of elderly patients with brain and spinal diseases. Methods: This was conducted as descriptive research and data were collected from 255 main family caregivers who were taking care of elderly patients with brain and spinal diseases from 4 hospitals in Daegu and Gyeongbuk Province. Stepwise-multiple regression was used to identify the influencing factors of burden felt. Results: As the score of burden felt by the main family, economic, social, physical, interdependent and emotional burdens were high in order. Factors influencing burden felt by main family care givers taking care of elderly patients with brain and spinal diseases were changed relation with patient after hospitalization, daily life ability, marital status, education and family caregiver's personality (explanatory power of 24.6%). Family caregivers felt a heavier burden when their relation with the patient was changed negatively or when the patient's activity of daily living was low. Conclusion: Based on these results, we need to develop coping measures and interventional programs for reducing the burden felt by the main family caregivers of elderly patients with brain and spinal diseases.
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