Skip header and navigation

1 records – page 1 of 1.

The hidden costs: Identification of indirect costs associated with acute gastrointestinal illness in an Inuit community.
PLoS One. 2018; 13(5):e0196990
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Nia King
Rachael Vriezen
Victoria L Edge
James Ford
Michele Wood
Sherilee Harper
Author Affiliation
Department of Population Medicine, University of Guelph, Guelph, Ontario, Canada.
PLoS One. 2018; 13(5):e0196990
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Canada - epidemiology - ethnology
Child, Preschool
Cost Allocation
Gastrointestinal Diseases - economics - epidemiology - therapy
Infant, Newborn
Middle Aged
National Health Programs - economics
Acute gastrointestinal illness (AGI) incidence and per-capita healthcare expenditures are higher in some Inuit communities as compared to elsewhere in Canada. Consequently, there is a demand for strategies that will reduce the individual-level costs of AGI; this will require a comprehensive understanding of the economic costs of AGI. However, given Inuit communities' unique cultural, economic, and geographic contexts, there is a knowledge gap regarding the context-specific indirect costs of AGI borne by Inuit community members. This study aimed to identify the major indirect costs of AGI, and explore factors associated with these indirect costs, in the Inuit community of Rigolet, Canada, in order to develop a case-based context-specific study framework that can be used to evaluate these costs.
A mixed methods study design and community-based methods were used. Qualitative in-depth, group, and case interviews were analyzed using thematic analysis to identify and describe indirect costs of AGI specific to Rigolet. Data from two quantitative cross-sectional retrospective surveys were analyzed using univariable regression models to examine potential associations between predictor variables and the indirect costs.
The most notable indirect costs of AGI that should be incorporated into cost-of-illness evaluations were the tangible costs related to missing paid employment and subsistence activities, as well as the intangible costs associated with missing community and cultural events. Seasonal cost variations should also be considered. This study was intended to inform cost-of-illness studies conducted in Rigolet and other similar research settings. These results contribute to a better understanding of the economic impacts of AGI on Rigolet residents, which could be used to help identify priority areas and resource allocation for public health policies and programs.
Cites: Int J Circumpolar Health. 2003 Sep;62(3):228-41 PMID 14594198
Cites: Risk Anal. 2010 May;30(5):782-97 PMID 19765248
Cites: J Food Prot. 2015 Jun;78(6):1064-71 PMID 26038894
Cites: J Food Prot. 2006 Mar;69(3):651-9 PMID 16541699
Cites: Geogr J. 2011;177(1):44-61 PMID 21560272
Cites: Ecohealth. 2011 Mar;8(1):93-108 PMID 21785890
Cites: Epidemiol Infect. 2016 Jan;144(2):241-6 PMID 26095130
Cites: Can J Public Health. 2005 Mar-Apr;96 Suppl 2:S45-61 PMID 16078555
Cites: Epidemiol Infect. 2004 Apr;132(2):211-21 PMID 15061495
Cites: Soc Sci Med. 2009 Oct;69(8):1194-203 PMID 19700231
Cites: Soc Sci Med. 2011 Jan;72(2):185-92 PMID 21146909
Cites: J Food Prot. 2012 Jul;75(7):1292-302 PMID 22980013
Cites: Lancet. 2009 Jul 4;374(9683):76-85 PMID 19577696
Cites: Int J Circumpolar Health. 2009 Dec;68(5):471-87 PMID 20044965
Cites: BMC Public Health. 2007 Jul 18;7:162 PMID 17640371
Cites: Lancet. 2005 Jul 2-8;366(9479):10-3 PMID 15993213
Cites: Annu Rev Public Health. 2002;23:115-34 PMID 11910057
Cites: Epidemiol Infect. 2008 Apr;136(4):451-60 PMID 17565767
Cites: Qual Health Res. 2005 Jul;15(6):832-40 PMID 15961879
Cites: BMC Public Health. 2006 Dec 19;6:307 PMID 17178001
Cites: J Occup Environ Med. 2003 Dec;45(12):1257-66 PMID 14665811
Cites: Can J Public Health. 2005 Jul-Aug;96 Suppl 3:S32-6, S36-41 PMID 16042162
Cites: Int J Circumpolar Health. 2006 Dec;65(5):416-31 PMID 17319086
Cites: Soc Sci Med. 2012 Aug;75(3):538-47 PMID 22595069
Cites: Epidemiol Infect. 2007 Nov;135(8):1290-8 PMID 17313694
Cites: Int J Circumpolar Health. 2015 May 21;74:26290 PMID 26001982
Cites: J Infect Dis. 2007 May 1;195 Suppl 1:S36-S44 PMID 17539193
Cites: Soc Sci Med. 1996 Aug;43(3):281-90 PMID 8844931
Cites: Health Rep. 2005 May;16(3):47-51 PMID 15971515
Cites: Int J Food Microbiol. 2008 Sep 30;127(1-2):43-52 PMID 18649966
Cites: Appl Physiol Nutr Metab. 2013 Mar;38(3):300-5 PMID 23537022
Cites: Aust J Rural Health. 1997 May;5(2):59-63 PMID 9444122
Cites: CMAJ. 2011 Feb 8;183(2):209-14 PMID 21041430
Cites: Int J Circumpolar Health. 2005 Feb;64(1):38-45 PMID 15776991
Cites: Lancet. 2009 Jul 4;374(9683):65-75 PMID 19577695
Cites: Soc Sci Med. 2015 Feb;126:86-98 PMID 25528558
Cites: Ecohealth. 2012 Mar;9(1):89-101 PMID 22526749
Cites: BMC Public Health. 2015 Jul 02;15:605 PMID 26135309
Cites: Epidemiol Infect. 2000 Dec;125(3):505-22 PMID 11218201
Cites: Soc Sci Med. 2015 Sep;141:133-41 PMID 26275362
Cites: BMC Public Health. 2014 May 26;14:509 PMID 24885154
Cites: J Gastroenterol Hepatol. 2003 Mar;18(3):322-8 PMID 12603534
Cites: Epidemiol Infect. 2015 Oct;143(14):3048-63 PMID 25697261
Cites: J Am Diet Assoc. 1996 Feb;96(2):155-62 PMID 8557942
Cites: J Adv Nurs. 1998 Aug;28(2):345-52 PMID 9725732
Cites: BMC Public Health. 2017 Jun 15;17 (1):578 PMID 28619039
Cites: Nurse Res. 2006 Jul 1;13(4):84 PMID 27702218
Cites: Malar J. 2011 Feb 08;10:32 PMID 21303538
PubMed ID
29768456 View in PubMed
Less detail