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The hidden costs: Identification of indirect costs associated with acute gastrointestinal illness in an Inuit community.

https://arctichealth.org/en/permalink/ahliterature294164
Source
PLoS One. 2018; 13(5):e0196990
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
2018
Author
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.
Source
PLoS One. 2018; 13(5):e0196990
Date
2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adolescent
Adult
Canada - epidemiology - ethnology
Child
Child, Preschool
Cost Allocation
Female
Gastrointestinal Diseases - economics - epidemiology - therapy
Humans
Infant
Infant, Newborn
Inuits
Male
Middle Aged
National Health Programs - economics
Abstract
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.
Notes
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PubMed ID
29768456 View in PubMed
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