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Seyedrezazadeh, Ensiyeh, Gilani, Neda, Ansarin, Khalil, Yousefi, Mahmood, Sharifi, Akbar, Jafari Rouhi, Amir Hossein, Aftabi, Younes, Najmi, Mehdi, Dastan, Ilker, Pour Moghaddam, Masoud. (1401). Economic Burden of Asthma in Northwest Iran. سامانه مدیریت نشریات علمی, 48(2), 156-166. doi: 10.30476/ijms.2022.92421.2373
Ensiyeh Seyedrezazadeh; Neda Gilani; Khalil Ansarin; Mahmood Yousefi; Akbar Sharifi; Amir Hossein Jafari Rouhi; Younes Aftabi; Mehdi Najmi; Ilker Dastan; Masoud Pour Moghaddam. "Economic Burden of Asthma in Northwest Iran". سامانه مدیریت نشریات علمی, 48, 2, 1401, 156-166. doi: 10.30476/ijms.2022.92421.2373
Seyedrezazadeh, Ensiyeh, Gilani, Neda, Ansarin, Khalil, Yousefi, Mahmood, Sharifi, Akbar, Jafari Rouhi, Amir Hossein, Aftabi, Younes, Najmi, Mehdi, Dastan, Ilker, Pour Moghaddam, Masoud. (1401). 'Economic Burden of Asthma in Northwest Iran', سامانه مدیریت نشریات علمی, 48(2), pp. 156-166. doi: 10.30476/ijms.2022.92421.2373
Seyedrezazadeh, Ensiyeh, Gilani, Neda, Ansarin, Khalil, Yousefi, Mahmood, Sharifi, Akbar, Jafari Rouhi, Amir Hossein, Aftabi, Younes, Najmi, Mehdi, Dastan, Ilker, Pour Moghaddam, Masoud. Economic Burden of Asthma in Northwest Iran. سامانه مدیریت نشریات علمی, 1401; 48(2): 156-166. doi: 10.30476/ijms.2022.92421.2373

Economic Burden of Asthma in Northwest Iran

Iranian Journal of Medical Sciences
مقاله 7، دوره 48، شماره 2، خرداد 2023، صفحه 156-166    اصل مقاله (522.74 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2022.92421.2373
نویسندگان
Ensiyeh Seyedrezazadeh* 1؛ Neda Gilani2، 3؛ Khalil Ansarin1؛ Mahmood Yousefi4؛ Akbar Sharifi1؛ Amir Hossein Jafari Rouhi1؛ Younes Aftabi1؛ Mehdi Najmi5؛ Ilker Dastan6؛ Masoud Pour Moghaddam7
1Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2Department of Statistics and Epidemiology, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
3Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
4School of Management and Medical Information science, Tabriz University of Medical Sciences, Tabriz, Iran
5Department of Non-Communicable Disease, Ministry of Health and Medical Education of the Islamic Republic of Iran, Tehran, Iran
6Advisor for Health Policy, WHO, Dushanbe, Tajikistan
7New South Wales Rural Doctors Network, NSW Rural Doctors Network, Mt Kuring-Gai Clinical Centre, NSW 2080, Australia
چکیده
Background: The economic burden of asthma is a major public health concern. This study estimates the economic burden of asthma in Northwest of Iran.
Methods: A longitudinal study was conducted between 2017 and 2018 in Tabriz, Iran using the Persian version of the Work Productivity and Activity Impairment (WPAI) questionnaire. Direct and indirect costs associated with asthma were estimated based on the societal perspective, prevalence-based approach, and bottom-up method. Annual indirect costs were estimated using the human capital (HC) method. The structural equation model was used to evaluate the relationship between costs, sex, and asthma severity. 
Results: A total of 621 patients with asthma were enrolled in the study. Significant differences were found between female and male patients for the mean cost of radiology (P=0.006), laboratory (P=0.028), and diagnostic (P=0.017) tests at baseline, and for laboratory (P=0.012), and diagnostic (P=0.027) tests at one-year follow-up. The more severe asthma, the more significant the costs for annual physician office visits (P=0.040) and medications (P=0.013). As asthma severity increased, significantly higher expenditures were observed in women for days lost from work at baseline (P=0.009) and one-year follow-up (P=0.001), and in men for productivity loss at work due to impairment at baseline (P=0.045). A significant association between indirect costs and the cost of impairment-related lost productivity at work (β=3.29, P<0.001), and between severe asthma and indirect costs (β=32.36, P<0.001) was observed. 
Conclusion: High costs are incurred by Iranian asthma patients, especially because of impairment-related productivity loss at work associated with asthma exacerbation.
کلیدواژه‌ها
Asthma؛ Economic burden؛ Cost of illness؛ Socioeconomic factors؛ Work performance
سایر فایل های مرتبط با مقاله
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