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1- Urmia University, Urmia , Iran.
2- Tehran University of Medical Sciences, Tehran, Iran.
3- Tehran University of Medical Sciences, Tehran, Iran. , jyahyavi@razi.tums.ac.ir
4- Social Determinants of Health Research Center, Tehran, Iran.
Abstract:   (480 Views)
Abstract
 
Introduction
Iran is facing with a rapid population demographic transition, characterized with a rapid decrease in fertility rate and sharp increase in the mean age of population and surging in the proportion of older people. One of the main challenges of population ageing is a huge increase in health expenditures of households and societies. This study aims to identify the associations between ageing and health expenditure of households in Iran.
Methods
This study is a secondary analysis of the national study of income-expenditure of households conducted in 2016. Sample size was 19337 households in rural areas and 18809 households in urban areas and in total 38146 households in the country. Linear regression analysis in STATA 14 was used to test the study hypothesis.
Findings
Study findings identified that there is a significant association between having an older people in a household and its health expenditures. Households had to pay 390000 tomans more for total health expenditure and 195000 tomans more for treatment costs by any older people living in a household. Older people aged 75-79 imposed the highest health costs for the households. Study findings also indicated that there were significant associations between household income, being a smoker in the household, health insurance, living area (urban or rural)، education of head of household and development level of provinces which household lives in with health expenditure of the households. However, no associations found between household size and total health expenditure.  
Discussion and conclusion
Based on the findings of this study, households who has an older member has to pay significantly more for their health compared to those without older people. Thus, the future supportive policies should be focused on these households. Health system of Iran must be prepared to overcome to the health needs of rapidly increasing ageing population.
 
Full-Text [PDF 560 kb]   (126 Downloads)    
Type of Study: Research | Subject: General
Received: 2018/10/27 | Accepted: 2019/01/15

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