PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to determine the catastrophic healthcare expenditure (CHE) among people living with HIV (PLHIV) in Lagos and to identify factors associated with CHE among them.
UNASSIGNED: The study was a descriptive cross-sectional survey conducted between January and March 2021 among 578 PLHIVs drawn from various healthcare facilities in Lagos where HIV care and treatment services should be provided free of charge. Data were collected through pretested questionnaires and analyzed using Stata SE 12.
UNASSIGNED: The mean monthly expenditure on food was N29,282 ($53.2), while expenditure on healthcare averaged N8364 ($15.2). Nearly 60% of respondents experienced CHE, while around 30% had to borrow money to pay for some aspect of their medical treatment. Almost all (96%) had no health insurance plan. Respondents\' group, personal income, perception of current health status, and the number of people in their households were significantly associated with catastrophic health expenditure p < 0.05. PLHIV in the racial/ethnic minority/migrants\' group and those who earned less than ₦30,000 ($55) were statistically significantly associated with CHE at p < 0.001 with OR of 28.7 and 3.15, respectively.
UNASSIGNED: The study, therefore, highlights the widespread financial hardship faced by PLHIV in accessing healthcare, and the need for policies to increase financial risk protection.
UNASSIGNED: The study was a descriptive cross-sectional survey conducted between January and March 2021 among 578 PLHIVs drawn from various healthcare facilities in Lagos where HIV care and treatment services should be provided free of charge. Data were collected through pretested questionnaires and analyzed using Stata SE 12.
UNASSIGNED: The mean monthly expenditure on food was N29,282 ($53.2), while expenditure on healthcare averaged N8364 ($15.2). Nearly 60% of respondents experienced CHE, while around 30% had to borrow money to pay for some aspect of their medical treatment. Almost all (96%) had no health insurance plan. Respondents\' group, personal income, perception of current health status, and the number of people in their households were significantly associated with catastrophic health expenditure p < 0.05. PLHIV in the racial/ethnic minority/migrants\' group and those who earned less than ₦30,000 ($55) were statistically significantly associated with CHE at p < 0.001 with OR of 28.7 and 3.15, respectively.
UNASSIGNED: The study, therefore, highlights the widespread financial hardship faced by PLHIV in accessing healthcare, and the need for policies to increase financial risk protection.
摘要：
■本研究旨在确定拉各斯艾滋病毒感染者（PLHIV）的灾难性医疗保健支出（CHE），并确定与CHE相关的因素。
这项研究是在2021年1月至3月期间对来自拉各斯各种医疗机构的578名艾滋病毒携带者进行的描述性横断面调查，这些机构应免费提供艾滋病毒护理和治疗服务。通过预先测试的问卷收集数据，并使用StataSE12进行分析。
■每月平均食品支出为N29,282（53.2美元），而医疗保健支出平均为N8364（15.2美元）。近60%的受访者经历过CHE，而大约30%的人不得不借钱来支付他们的医疗费用。几乎所有人（96％）都没有健康保险计划。受访者\'组,个人收入,对当前健康状况的感知，家庭人数与灾难性卫生支出显著相关p<0.05。种族/少数族裔/移民组中的PLHIV和收入低于30,000（$55）的人与CHE的统计学显着相关，p<0.001，OR分别为28.7和3.15。
■这项研究，因此,突出了PLHIV在获得医疗保健方面面临的广泛财务困难，以及政策加强金融风险保护的必要性。
这项研究是在2021年1月至3月期间对来自拉各斯各种医疗机构的578名艾滋病毒携带者进行的描述性横断面调查，这些机构应免费提供艾滋病毒护理和治疗服务。通过预先测试的问卷收集数据，并使用StataSE12进行分析。
■每月平均食品支出为N29,282（53.2美元），而医疗保健支出平均为N8364（15.2美元）。近60%的受访者经历过CHE，而大约30%的人不得不借钱来支付他们的医疗费用。几乎所有人（96％）都没有健康保险计划。受访者\'组,个人收入,对当前健康状况的感知，家庭人数与灾难性卫生支出显著相关p<0.05。种族/少数族裔/移民组中的PLHIV和收入低于30,000（$55）的人与CHE的统计学显着相关，p<0.001，OR分别为28.7和3.15。
■这项研究，因此,突出了PLHIV在获得医疗保健方面面临的广泛财务困难，以及政策加强金融风险保护的必要性。
