Inequity in catastrophic costs among tuberculosis-affected households in China
Analytical cross-sectional study using data from national TB patient cost survey carried out in 22 counties from 6 provinces in 2017
Abstract
Background
There are limited nationally representative studies globally in the post-2015 END tuberculosis (TB) era regarding wealth related inequity in the distribution of catastrophic costs due to TB care. Under the Chinese national tuberculosis programme setting, we aimed to assess extent of equity in distribution of total TB care costs (pre-treatment, treatment and overall) and costs as a proportion of annual household income (AHI), and describe and compare equity in distribution of catastrophic costs (pre-treatment, treatment and overall) across population sub-groups.
Methods
Analytical cross-sectional study using data from national TB patient cost survey carried out in 22 counties from 6 provinces in China in 2017. Drug-susceptible pulmonary TB registered under programme, who had received at least 2 weeks of intensive phase therapy were included. Equity was depicted using concentration curves and concentration indices were compared using dominance test.
This research was supported by the UK Department for International Development’s Operational Research Capacity Building Programme led by the International Union Against TB and Lung Disease (The Union)
Citation
Xu C-H, Jeyashree K, Shewade HD, Xia Y-Y, Wang L-X, Liu Y, Zhang H, Wang L. Inequity in catastrophic costs among tuberculosis-affected households in China. Infectious Diseases of Poverty. 2019;8(1):46.
Links
Inequity in catastrophic costs among tuberculosis-affected households in China