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 | ||
| مراجع | ||
|
| ||
|
آمار تعداد مشاهده مقاله: 4,142 تعداد دریافت فایل اصل مقاله: 2,324 |
||