Non-Communicable Diseases Impact Low-Income Households in Malaysia.

IF 1.1 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Malaysian Journal of Medical Sciences Pub Date : 2024-02-01 Epub Date: 2024-02-28 DOI:10.21315/mjms2024.31.1.11
Norfatihah Isamail, Rusmawati Said, Normaz Wana Ismail, Sharifah Azizah Haron
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Abstract

Background: Non-communicable diseases (NCDs) have a vast and rising impact on households at all income levels across the globe, particularly with poorer people bearing the burden. Hence, this study examines NCDs' effects on Malaysia's B40 group (low-income earners).

Methods: This study used the 2015 National Health and Morbidity Survey, a population-based cross-sectional survey with 18,616 respondents from B40 households in Malaysia. Logistic regression analysis is used to assess NCDs' influence on poverty.

Results: In 2015, more than 20% of the B40 households lived below the poverty level. In addition, the B40 households had a greater prevalence of NCDs, with almost half of them diagnosed with at least one NCD (47.32%); hypertension (9.90%), diabetes mellitus (17.12%) and hypercholesterolemia (22.89%). Households with a member having an NCD are more likely to experience poverty than those without NCDs. The results also suggested that B40 households with catastrophic payments were at a 25% threshold; the elderly, individuals without formal education and unpaid workers were more likely to experience poverty.

Conclusion: The findings suggest that NCDs increase the likelihood of B40 households falling into poverty. These facts highlight the necessity of safeguarding B40 households from the financial burden of NCDs by creating more effective financial protection plans for Malaysia's low-income earners.

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非传染性疾病对马来西亚低收入家庭的影响。
背景:非传染性疾病(NCDs)对全球所有收入水平的家庭都产生了巨大且日益严重的影响,尤其是对较贫困的人群造成了沉重的负担。因此,本研究探讨了非传染性疾病对马来西亚 B40 群体(低收入者)的影响:本研究采用了 2015 年全国健康和发病率调查,这是一项基于人口的横断面调查,共有来自马来西亚 B40 家庭的 18,616 名受访者参与。采用逻辑回归分析评估非传染性疾病对贫困的影响:2015 年,超过 20% 的 B40 家庭生活在贫困线以下。此外,B40 家庭的非传染性疾病发病率较高,其中近一半的家庭被诊断患有至少一种非传染性疾病(47.32%);高血压(9.90%)、糖尿病(17.12%)和高胆固醇血症(22.89%)。有成员患有非传染性疾病的家庭比没有成员患有非传染性疾病的家庭更容易陷入贫困。结果还表明,B40 家庭的灾难性付款处于 25% 的临界点;老年人、未受过正规教育的个人和无报酬工人更有可能经历贫困:研究结果表明,非传染性疾病增加了 B40 家庭陷入贫困的可能性。这些事实突出表明,有必要为马来西亚的低收入者制定更有效的财务保护计划,以保障 B40 家庭免受非传染性疾病带来的经济负担。
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来源期刊
Malaysian Journal of Medical Sciences
Malaysian Journal of Medical Sciences MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
2.70
自引率
0.00%
发文量
89
审稿时长
9 weeks
期刊介绍: The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access, fully online journal that is published at least six times a year. The journal’s scope encompasses all aspects of medical sciences including biomedical, allied health, clinical and social sciences. We accept high quality papers from basic to translational research especially from low & middle income countries, as classified by the United Nations & World Bank (https://datahelpdesk.worldbank.org/knowledgebase/ articles/906519), with the aim that published research will benefit back the bottom billion population from these countries. Manuscripts submitted from developed or high income countries to MJMS must contain data and information that will benefit the socio-health and bio-medical sciences of these low and middle income countries. The MJMS editorial board consists of internationally regarded clinicians and scientists from low and middle income countries.
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