Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia

Roshanim Koris, Norashidah Mohamed Nor, Sharifah Azizah Haron, Normaz Wana Ismail, Syed Mohamed Al-Junid Syed Junid, Amrizal Muhammad Nur, Asrul Akmal Shafie, Suraya Yusoff, Namaitijiang Maimaiti

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

An ageing population has a significant impact in terms of health care costs to the elderly, their families and societies. The elderly consume a greater volume of health care facilities and bear out-of-pocket (OOP) health expenditure for their age-related diseases (ARD) physically or mentally. The most common ARD that relates to cognitive functions is mild cognitive impairment (MCI) and dementia. The purpose of this study was to examine the socio-demographic, cognitive status and comorbidities and hospital utilisation factors that affect the likelihood of catastrophic health expenditure (CHE) among the elderly in Malaysia. A survey using multi-stage random sampling techniques recruited 2274 elderly people (60 years and above) in Johor, Perak, Selangor and Kelantan. Overall, the incidence of CHE among the elderly is 2% and the highest is in the MCI category at 2.4%. Based on logistic regression analysis, the results suggest that CHE among elderly in Malaysia are affected by socio-demographic indicators at a 5% significance level. Among the comorbidities that we studied, cancer is the only comorbidity that influenced CHE among elderly. Findings from this study should prompt policy action to financially support the poor elderly who are at risk of CHE in Malaysia especially those with MCI and dementia.

Original languageEnglish
Pages (from-to)673-690
Number of pages18
JournalInternational Journal of Economics and Management
Volume11
Issue number3 Special Issue
Publication statusPublished - 1 Jan 2017

Fingerprint

Health expenditures
Comorbidity
Malaysia
Impairment
Dementia
Aging population
Factors
Cancer
Health care costs
Logistic regression analysis
Elderly people
Healthcare
Hospital utilization
Random sampling

Keywords

  • Catastrophic health expenditure (CHE)
  • Dementia
  • Elderly
  • Mild cognitive impairment (MCI)
  • Out-of-pocket (OOP)

ASJC Scopus subject areas

  • Business and International Management
  • Economics, Econometrics and Finance(all)
  • Strategy and Management

Cite this

Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia. / Koris, Roshanim; Nor, Norashidah Mohamed; Haron, Sharifah Azizah; Ismail, Normaz Wana; Syed Junid, Syed Mohamed Al-Junid; Nur, Amrizal Muhammad; Shafie, Asrul Akmal; Yusoff, Suraya; Maimaiti, Namaitijiang.

In: International Journal of Economics and Management, Vol. 11, No. 3 Special Issue, 01.01.2017, p. 673-690.

Research output: Contribution to journalArticle

Koris, R, Nor, NM, Haron, SA, Ismail, NW, Syed Junid, SMA-J, Nur, AM, Shafie, AA, Yusoff, S & Maimaiti, N 2017, 'Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia', International Journal of Economics and Management, vol. 11, no. 3 Special Issue, pp. 673-690.
Koris, Roshanim ; Nor, Norashidah Mohamed ; Haron, Sharifah Azizah ; Ismail, Normaz Wana ; Syed Junid, Syed Mohamed Al-Junid ; Nur, Amrizal Muhammad ; Shafie, Asrul Akmal ; Yusoff, Suraya ; Maimaiti, Namaitijiang. / Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia. In: International Journal of Economics and Management. 2017 ; Vol. 11, No. 3 Special Issue. pp. 673-690.
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