Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition.
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Santos Pedro Henrique Alves, Torres Theo da Fonseca, Russo Letícia Xander, Silva Everton Nunes da
Аннотация
OBJECTIVE: To investigate the evolution of prevalence of catastrophic health expenditure in the Brazilian Federal District at three different times (2003, 2009 and 2018), as well, to identify the composition of outof- pocket expenditure in the respective years.
METHOD: Time series study, using descriptive data from the Family Budget Survey. Prevalence was stratified by consumption quintiles.
RESULTS: 754 households were selected as a sample in 2003, 695 in 2009 and 1,000 in 2018. Taking a 10% consumption threshold, prevalence of catastrophic expenditure was 12.3% (95%CI 9.6;14.9) in 2003, 15.3% (95%CI 12.1;18.3) in 2009 and 14.1% (95CI% 11.8;16.2) in 2018. Households with lower income had higher prevalence of catastrophic expenditure. Medicines have a greater burden on expenditure of low-income families.
CONCLUSIONS: There was an increase in prevalence of catastrophic expenditure in the Federal District. Medicines were the main expense for the poorest families.
METHOD: Time series study, using descriptive data from the Family Budget Survey. Prevalence was stratified by consumption quintiles.
RESULTS: 754 households were selected as a sample in 2003, 695 in 2009 and 1,000 in 2018. Taking a 10% consumption threshold, prevalence of catastrophic expenditure was 12.3% (95%CI 9.6;14.9) in 2003, 15.3% (95%CI 12.1;18.3) in 2009 and 14.1% (95CI% 11.8;16.2) in 2018. Households with lower income had higher prevalence of catastrophic expenditure. Medicines have a greater burden on expenditure of low-income families.
CONCLUSIONS: There was an increase in prevalence of catastrophic expenditure in the Federal District. Medicines were the main expense for the poorest families.