The economic burden of non-communicable diseases on households and their coping mechanisms: Evidence from rural Vietnam
The economic burden of non-communicable diseases on households and their coping mechanisms: Evidence from rural Vietnam
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DOI：
10.1016/j.worlddev.2021.105758
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发表时间：
2022-03-01
影响因子：
6.9
通讯作者：
Pham Bao Duong，Bao
中科院分区：
文献类型：
--
作者：
Pham Tien Thanh，Tien Thanh;Pham Bao Duong，Bao
在发展中国家，非传染性疾病给家庭造成的经济负担可能非常沉重，特别是在农村地区，那里的社会保障和公共保健系统不足且不发达。然而，关于非传染性疾病给农村地区家庭造成的经济负担的研究很少。我们使用了越南农村的两轮面板数据来研究非传染性疾病对家庭的经济负担，并确定受影响家庭采取了哪些应对机制来减轻这些负担。我们采用了差异中的差异结合倾向评分匹配方法来解释选择性偏倚。我们的研究结果表明，非传染性疾病与劳动天数损失增加和劳动收入减少（特别是来自非农自营职业和工资活动的收入）有关。我们还发现，受非传染性疾病影响的家庭求助于汇款、出售资产和贷款来应对非传染性疾病。此外，与老年人或儿童非传染性疾病家庭相比，成年人非传染性疾病家庭往往承受更大的经济负担，并采取更多的应对机制。我们的研究强调了旨在保护农村家庭免受非传染性疾病经济负担的措施和政策的重要性。
In developing countries, the economic burden of non-communicable diseases (NCDs) on households may be very high, especially in rural areas where the social protection and public health care systems are inadequate and underdeveloped. However, there has been very little research on the economic burden of NCDs on households in rural areas. We used two rounds of panel data from rural Vietnam to examine the economic burden of NCDs on households and determine which coping mechanisms the affected households adopted to mitigate these burdens. We employed a difference-in-difference combined with propensity score matching method to account for selectivity bias. Our results revealed that NCDs are associated with higher numbers of labor days lost and lower earned income (particularly, income from non-farm self-employment and wage activities). We also found that the NCD-affected households resort to remittances, sales of assets, and loans in response to NCDs. In addition, households with NCDs in adults tended to experience greater economic burden and adopted more coping mechanisms than households with NCDs in the elderly or children. Our research underscores the importance of measures and policies designed to protect rural households against the economic burden of NCDs.