Household economic costs associated with mental, neurological and substance use disorders: a cross-sectional survey in six low- and middle-income countries
Year: 2019
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Little is known about the household economic costs associated with mental, neurological and substance use (MNS) disorders in low- and middle-income countries. AIMS: To assess the association between MNS disorders and household education, consumption, production, assets and financial coping strategies in Ethiopia, India, Nepal, Nigeria, South Africa and Uganda. METHOD: We conducted an exploratory cross-sectional household survey in one district in each country, comparing the economic circumstances of households with an MNS disorder (alcohol-use disorder, depression, epilepsy or psychosis) (n = 2339) and control households (n = 1982). RESULTS: Despite some heterogeneity between MNS disorder groups and countries, households with a member with an MNS disorder had generally lower levels of adult education; lower housing standards, total household income, effective income and non-health consumption; less asset-based wealth; higher healthcare expenditure; and greater use of deleterious financial coping strategies. CONCLUSIONS: Households living with a member who has an MNS disorder constitute an economically vulnerable group who are susceptible to chronic poverty and intergenerational poverty transmission. DECLARATION OF INTEREST: D.C. is a staff member of the World Health Organization. The authors alone are responsible for the views expressed in this publication and they do not necessarily represent the decisions, policy or views of the World Health Organization.
Source: BJPsych Open
DOI: 10.1192/bjo.2019.20
Authors: Crick Lund, Sumaiyah Docrat, Jibril Abdulmalik, Atalay Alem, Abebaw Fekadu, Oye Gureje, Dristy Gurung, Damen Hailemariam, Yohannes Hailemichael, Charlotte Hanlon, Mark J. D. Jordans, Dorothy Kizza, Sharmishtha Nanda, Saheed Olayiwola, Rahul Shidhaye, Nawaraj Upadhaya, Graham Thornicroft, Dan Chisholm
Language: English
Subfield: Social Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $1,600
Funders: World Health Organization, London School of Hygiene and Tropical Medicine, King's College Hospital NHS Foundation Trust, Government of the United Kingdom, National Institute for Health and Care Research, Department of Health and Social Care, King's College London, European Commission, Public Health Foundation of India, Department for International Development, Universiteit Stellenbosch, University of Cape Town, Addis Ababa University, National Institutes of Health, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, Medical Research Council, National Institute of Mental Health
Awards: G1093531541, G2224893290, G245032056, G2473961061, G2685147384, G2973790809, Indigo (International study of discrimination and stigma outcomes), G3207356259, E-MhGAP Intervention guide in Low and middle income countries: proof-of-concept for Impact and Acceptability (Emilia project), A FEKADU, ADDIS ABABA UNIVERSITY-IMPROVING DETECTION OF DEPRESSION IN PRIMARY CARE IN SUB-SAHARAN AFRICA (IDEAS STUDY), G3792107920, G393177772, G4053596972, COBALT: Comorbid Affective Disorders, AIDS/HIV, and Long Term Health, Emerging mental health systems in low- and middle-income countries, G5702163051, A cluster randomized controlled trial of a STEPped CARE intervention for depression in primary care
OpenAlex ID: W2940141330