Nature and determinants of out-of-pocket health expenditure among older people in a rural Indian community.

Abstract:

BACKGROUND:Increasing out-of-pocket health expenditure among older people worsens the inequitable access to essential health services in low and middle-income countries (LMIC). We investigated various socioeconomic and health factors associated with out-of-pocket and catastrophic health expenditures among rural older people in India. METHODS:We recruited 1,000 participants aged above 65 years from Kaniyambadi block, Vellore, India. We assessed their out-of-pocket health expenditure, health service utilization, socioeconomic profiles, disability, cognition, and health status by standard instruments. We employed appropriate multivariate statistics evaluating these determinants. RESULTS:Male gender, poor sanitation, diabetes, tuberculosis, malaria, respiratory ailments, gastrointestinal diseases, dementia, depression, and disability were associated with higher out-of-pocket expenditures. Illiteracy, tuberculosis, diabetes, and dementia increased the risk for catastrophic health expenditures, while pension schemes protected against it. Income inequalities were associated with inequities on education, disease prevalence, and access to safe water, sanitation, and nutrition. CONCLUSIONS:Interactions between determinants of out-of-pocket health expenditure, economic inequality, and inequities on essential health care delivery to older people are complex. We highlight the need for equitable health services and policies, focusing on both medical and social determinants.

journal_name

Int Psychogeriatr

authors

Brinda EM,Rajkumar AP,Enemark U,Prince M,Jacob KS

doi

10.1017/S104161021200083X

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1664-73

issue

10

eissn

1041-6102

issn

1741-203X

pii

S104161021200083X

journal_volume

24

pub_type

杂志文章
  • Suicidal ideation in elderly Korean population: a two-year longitudinal study.

    abstract:BACKGROUND:This study aimed to assess the prevalence, incidence, and persistence of suicidal ideation (SI), and to investigate the psychosocial factors associated with these. METHODS:A total of 1,204 community dwelling elderly adults aged 65 years or older were evaluated at baseline, 909 (75%) of whom were followed tw...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610213001634

    authors: Kang HJ,Stewart R,Jeong BO,Kim SY,Bae KY,Kim SW,Kim JM,Shin IS,Yoon JS

    更新日期:2014-01-01 00:00:00

  • Successful aging in Spanish older adults: the role of psychosocial resources.

    abstract::ABSTRACTBackground:Psychological and social resources such as extraversion, optimism, social support, or social networks contribute to adaptation and to successful aging. Building on assumptions derived from successful aging and from the developmental adaptation models, this study aims to analyze the joint impact of d...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610218000388

    authors: Dumitrache CG,Rubio L,Cordón-Pozo E

    更新日期:2019-02-01 00:00:00

  • Self-reported memory impairment and brain PET of amyloid and tau in middle-aged and older adults without dementia.

    abstract:BACKGROUND:Whether perceived changes in memory parallel changes in brain pathology is uncertain. Positron emission tomography (PET) scans using 2-(1-{6-[(2-[F-18]fluoroethyl)(methyl)amino]-2-naphthyl}ethylidene)malononitrile (FDDNP) can measure levels of amyloid plaques and tau neurofibrillary tangles in vivo. Here we ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610212000051

    authors: Merrill DA,Siddarth P,Saito NY,Ercoli LM,Burggren AC,Kepe V,Lavretsky H,Miller KJ,Kim J,Huang SC,Bookheimer SY,Barrio JR,Small GW

    更新日期:2012-07-01 00:00:00

  • Economic outcomes and levers: impacts for individuals and society.

    abstract::The pervasive scarcity of resources relative to the demands upon them makes it necessary for decision makers to think carefully about choices. Evidence from economics can help to inform such choices, particularly as it relates to costs, outcomes, the efficiency with which resources are used, the distribution of benefi...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610207005157

    authors: Knapp M

    更新日期:2007-06-01 00:00:00

  • Evaluation of the Reitman Centre CARERS program for supporting dementia family caregivers: a pre-post intervention study.

    abstract:OBJECTIVES:While family caregivers (CGs) of persons with dementia are cost-effective for the health system, this form of caregiving leads to disproportionate vulnerability to physical, mental, and social adverse health consequences among CGs. The study goal was to determine the effect of the Reitman Centre CARERS progr...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610220004019

    authors: Sadavoy J,Sajedinejad S,Chiu M

    更新日期:2021-01-18 00:00:00

  • Individual variability and environmental characteristics influence older adults' abilities to manage everyday technology.

    abstract:BACKGROUND:The ability to manage everyday technology (ET), such as computers and microwave ovens, is increasingly required in the performance of everyday activities and participation in society. This study aimed to identify aspects that influence the ability to manage ET among older adults with and without cognitive im...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610211002092

    authors: Malinowsky C,Almkvist O,Nygård L,Kottorp A

    更新日期:2012-03-01 00:00:00

  • Simple diagnostic signs in those with cognitive impairment-anything to improve detection of cognitive disorders.

    abstract::With now over 50 million people worldwide with dementia (Prince et al., 2013), there are almost certainly well over 100 million people with cognitive concerns and many of these will attend their health professional keen to know what is going on. We need those without intensive training in this field to be more confide...

    journal_title:International psychogeriatrics

    pub_type: 评论,杂志文章

    doi:10.1017/S1041610217001818

    authors: Woodward MC

    更新日期:2017-11-01 00:00:00

  • Engagement in social activities and progression from mild to severe cognitive impairment: the MYHAT study.

    abstract:BACKGROUND:It is of considerable public health importance to prevent or delay the progression of mild cognitive impairment (MCI) to more severely impaired cognitive states. This study examines the risk of progression from mild to severe cognitive impairment in relation to engagement in social activities while mildly im...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610212002086

    authors: Hughes TF,Flatt JD,Fu B,Chang CC,Ganguli M

    更新日期:2013-04-01 00:00:00

  • A pilot study: comparative research of social functioning, circadian rhythm parameters, and cognitive function among institutional inpatients, and outpatients with chronic schizophrenia and healthy elderly people.

    abstract:BACKGROUND:Irregular circadian rhythm and cognitive impairment are frequently observed in patients with chronic schizophrenia. However, their effects in different living environments or with aging remain unclear. The aim of this study was to clarify the characteristics of circadian rhythm and cognition function in the ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610214001604

    authors: Kume Y,Sugita T,Oga K,Kagami K,Igarashi H

    更新日期:2015-01-01 00:00:00

  • Understanding delirium trajectory and its importance in care provision for older people.

    abstract::Delirium significantly increases morbidity and mortality in older people, especially those affected by other organic disorders, notably dementia (Siddiqi et al., 2006; Davis et al., 2012; Martins and Fernandes, 2012). Both delirium and dementia are characterized by cognitive decline through disintegration of brain fun...

    journal_title:International psychogeriatrics

    pub_type: 评论,杂志文章

    doi:10.1017/S1041610216001988

    authors: Suh GH,Gega L

    更新日期:2017-01-01 00:00:00

  • Interrelationship of age, depression, and central serotonergic function: evidence from fenfluramine challenge studies.

    abstract::The purpose of this study was to examine the relationship between age-associated changes in central serotonergic function and abnormalities associated with major depression. Under randomized double-blind conditions, prolactin and cortisol responses to the serotonin-releasing agent d,l-fenfluramine hydrochloride (60 mg...

    journal_title:International psychogeriatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s1041610296002499

    authors: Lerer B,Gillon D,Lichtenberg P,Gorfine M,Gelfin Y,Shapira B

    更新日期:1996-04-01 00:00:00

  • Attachment anxiety, depression, and perceived social support: a moderated mediation model of suicide ideation among the elderly.

    abstract:OBJECTIVES:Issues concerning the association among attachment anxiety, depression and suicidal ideation among the elderly have rarely been explored. The present study investigated the relationship among attachment anxiety, depression and perceived support concerning suicidal ideation among older people. DESIGN:Cross-s...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S104161022000054X

    authors: Oonarom A,Wongpakaran T,Kuntawong P,Wongpakaran N

    更新日期:2020-05-07 00:00:00

  • Suffering with dementia: the other side of "living well''.

    abstract::In this editorial, we challenge the current understanding of "Living Well with Dementia." Such discourse introduces the possibility of not living well with the condition or even of "living badly with dementia." Numerous words might be relevant here - grief, pain, anguish, depression - but in this editorial we consciou...

    journal_title:International psychogeriatrics

    pub_type: 社论

    doi:10.1017/S104161021600199X

    authors: Bartlett R,Windemuth-Wolfson L,Oliver K,Dening T

    更新日期:2017-02-01 00:00:00

  • The Cognitive Assessment Battery (CAB): a rapid test of cognitive domains.

    abstract:BACKGROUND:The study aimed to evaluate the Cognitive Assessment Battery (CAB) in a specialist clinic setting in order to find out if it if it could be a supplement to the Mini-mental State Examination (MMSE) and distinguish between normal aging, mild cognitive impairment (MCI) and dementia, as well as MCI of different ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610210002334

    authors: Nordlund A,Påhlsson L,Holmberg C,Lind K,Wallin A

    更新日期:2011-09-01 00:00:00

  • Prevalence, neurobiology, and treatments for apathy in prodromal dementia.

    abstract:BACKGROUND:Apathy, characterized by diminished motivation, is a highly prevalent neuropsychiatric symptom in dementia. However, there is a substantial knowledge gap with regard to prevalence rates, neurobiological underpinnings, and effective treatments for apathy in pre-dementia states, including mild cognitive impair...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/S1041610217000527

    authors: Sherman C,Liu CS,Herrmann N,Lanctôt KL

    更新日期:2018-02-01 00:00:00

  • Escitalopram for antipsychotic nonresponsive visual hallucinosis: eight patients suffering from Charles Bonnet syndrome.

    abstract:BACKGROUND:The Charles Bonnet syndrome (CBS) is characterized by distinct visual hallucinations and ocularpathology causing visual impairment in patients with insight and the absence of psychiatric comorbidity. The number of reported cases of CBS is expanding as the population ages and the prevalence of vision disorder...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610213000719

    authors: Bergman Y,Barak Y

    更新日期:2013-09-01 00:00:00

  • Language use of older Italian-background persons with dementia in mainstream and ethno-specific residential care.

    abstract:BACKGROUND:Australia has a growing aging migrant population and rates of dementia in residential care are high. The communication of persons with dementia and limited English language proficiency in residential care is an area that has received little attention in the research literature. METHOD:Thirty-nine Italian-ba...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610205002309

    authors: Runci SJ,Redman JR,O'Connor DW

    更新日期:2005-12-01 00:00:00

  • Depressive symptoms and depressive episodes in recently widowed older men.

    abstract::Older widowers have high rates of completed suicide but have rarely been the subject of systematic inquiry. We investigated the prevalence of depressive symptoms and major depressive episodes (MDEs) in recently widowed older men over the first 13 months after bereavement. We employed a matched-pair longitudinal design...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610299005591

    authors: Byrne GJ,Raphael B

    更新日期:1999-03-01 00:00:00

  • Educational effects on ascertain dementia 8-item informant questionnaire to detect dementia in the Taiwanese population.

    abstract::ABSTRACTBackground:Dementia screening is a public health priority in Taiwan, where the prevalence of dementia is increasing because of an aging population. However, the reasons affect community-dwelling people to accept a referral to memory specialist clinic after dementia screening was still unclear. To investigate t...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217002733

    authors: Chen SF,Liu MH,Chen NC,Horng HD,Tsao WL,Chang CC,Chang YT

    更新日期:2018-08-01 00:00:00

  • One-year outcomes of minor and subsyndromal depression in older primary care patients.

    abstract:BACKGROUND:Despite the high prevalence and morbidity of minor and subsyndromal depression in primary care elderly people, there are few data to identify those at highest risk of poor outcomes. The goal of this observational cohort study was to characterize the one-year outcomes of minor and subsyndromal depression, exa...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610208007746

    authors: Lyness JM,Chapman BP,McGriff J,Drayer R,Duberstein PR

    更新日期:2009-02-01 00:00:00

  • Prevalence and risk factors for delirium diagnosis in patients followed in general practices in Germany.

    abstract::ABSTRACTBackground:The aim of this study is to identify the prevalence and risk factors of documented delirium in general practices in Germany. METHODS:The present study includes 2,194 patients over the age of 65 years with delirium and 2,194 controls without delirium from a sample of 6,180,042 patients from 1,262 ge...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217002587

    authors: Bohlken J,Kostev K

    更新日期:2018-04-01 00:00:00

  • Older women who died by suicide: suicide means, sociodemographic and psychiatric risk factors, and other precipitating circumstances.

    abstract::ABSTRACTBackground:US suicide rates among older women have substantially increased over the past decade. We examined potential differences in sociodemographic and risk/precipitating factors among older female suicide decedents who died by drug overdose versus firearms, hanging/suffocation, and other means, and postmor...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610218000212

    authors: Choi NG,DiNitto DM,Sagna AO,Marti CN

    更新日期:2018-10-01 00:00:00

  • Perceived loneliness among older adults with mild cognitive impairment.

    abstract:BACKGROUND:The high prevalence of mild cognitive impairment (MCI) in Hong Kong, as previously reported, requires verification. Furthermore, the relationship between loneliness, depression, and cognitive impairment with regards to MCI are unclear. The present study aims to establish the prevalence of MCI in a community ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610216000430

    authors: Yu J,Lam CL,Lee TM

    更新日期:2016-10-01 00:00:00

  • Comprehensive assessment of depression and behavioral problems in long-term care.

    abstract:BACKGROUND:The IPA Taskforce on Mental Health Issues in Long-Term Care Homes seeks to improve mental health care in long-term care (LTC) homes. The aim of this paper is to provide recommendations on comprehensive assessment of depression and behavioral problems in order to further stimulate countries and professionals ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/S1041610210000736

    authors: Koopmans RT,Zuidema SU,Leontjevas R,Gerritsen DL

    更新日期:2010-11-01 00:00:00

  • Psychotherapy of an older adult with an avoidant personality disorder.

    abstract::This case describes the differential diagnosis and treatment of a 70-year-old man with an avoidant personality disorder. It illustrates that diagnostic assessment and treatment of personality problems in the elderly are possible in mental health care. It demonstrates that multiple stand-alone treatment modules can for...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610210001948

    authors: van Alphen SP

    更新日期:2011-05-01 00:00:00

  • Epidemiology of delirium: an overview of research issues and findings.

    abstract::This paper provides a review of research issues and findings on the epidemiology of delirium. Despite the fact that research on this important geriatric syndrome has been conducted for many decades, several methodological issues make it difficult to compare findings across studies. In this paper we first discuss broad...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/s1041610291000625

    authors: Levkoff S,Cleary P,Liptzin B,Evans DA

    更新日期:1991-01-01 00:00:00

  • The relationship between gait dynamics and future cognitive decline: a prospective pilot study in geriatric patients.

    abstract::ABSTRACTBackground:Walking ability recently emerged as a sub-clinical marker of cognitive decline. Hence, the relationship between baseline gait and future cognitive decline was examined in geriatric patients. Because a "loss of complexity" (LOC) is a key phenomenon of the aging process that exhibits in multiple syste...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217002770

    authors: Kikkert LHJ,Vuillerme N,van Campen JP,Appels BA,Hortobágyi T,Lamoth CJC

    更新日期:2018-09-01 00:00:00

  • A systematic review of ketamine for the treatment of depression among older adults.

    abstract:OBJECTIVE:To review the currently available data on the use of ketamine in the treatment of depression among older adults from randomized controlled studies. DESIGN:Randomized controlled trials. SETTING:Variable. PARTICIPANTS:60 years and older with depression. INTERVENTION:Ketamine. MEASUREMENTS:Change in Montgom...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610220000903

    authors: Gupta A,Dhar R,Patadia P,Funaro M,Bhattacharya G,Farheen SA,Tampi RR

    更新日期:2020-06-30 00:00:00

  • Care participation and burden among informal caregivers of older adults with care needs and associations with dementia.

    abstract:BACKGROUND:Few studies have estimated care burden in large, representative, multi-ethnic Asian population-based informal caregivers of older adults with care needs. This study describes informal caregivers' care participation for a population-based sample of older adults with care needs in Singapore, investigates diffe...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S104161021500160X

    authors: Vaingankar JA,Chong SA,Abdin E,Picco L,Jeyagurunathan A,Zhang Y,Sambasivam R,Chua BY,Ng LL,Prince M,Subramaniam M

    更新日期:2016-02-01 00:00:00

  • An empirical test of telephone screening to identify potential dementia cases.

    abstract::Thirty-seven subjects, 15 with a clinical diagnosis of Alzheimer's disease and 22 normal controls, participated in a study of the accuracy of telephone screening in identifying potential dementia cases. The telephone protocol and scoring algorithm resulted in 100% sensitivity and 91% specificity. The findings suggest ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610295002171

    authors: Gatz M,Reynolds C,Nikolic J,Lowe B,Karel M,Pedersen N

    更新日期:1995-10-01 00:00:00