Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition.

IF 2 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.1590/S2237-96222024v33e20231358.en

Pedro Henrique Alves Santos, Theo da Fonseca Torres, Letícia Xander Russo, Everton Nunes da Silva

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Abstract

Objective: To investigate the evolution of prevalence of catastrophic health expenditure in the Brazilian Federal District at three different times (2003, 2009 and 2018), as well, to identify the composition of outof- pocket expenditure in the respective years.

Method: Time series study, using descriptive data from the Family Budget Survey. Prevalence was stratified by consumption quintiles.

Results: 754 households were selected as a sample in 2003, 695 in 2009 and 1,000 in 2018. Taking a 10% consumption threshold, prevalence of catastrophic expenditure was 12.3% (95%CI 9.6;14.9) in 2003, 15.3% (95%CI 12.1;18.3) in 2009 and 14.1% (95CI% 11.8;16.2) in 2018. Households with lower income had higher prevalence of catastrophic expenditure. Medicines have a greater burden on expenditure of low-income families.

Conclusions: There was an increase in prevalence of catastrophic expenditure in the Federal District. Medicines were the main expense for the poorest families.

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2003年、2009年和2018年巴西联邦区家庭发生的灾难性卫生支出：演变和构成

目的：调查巴西联邦区在2003年、2009年和2018年三个不同时期灾难性卫生支出的流行程度演变，并确定各自年份的自费支出构成。方法：时间序列研究，使用家庭预算调查的描述性数据。患病率按消费五分位数分层。结果：2003年为754户，2009年为695户，2018年为1000户。以10%的消费阈值计算，2003年灾难性支出的患病率为12.3%(95%可信区间为9.6;14.9)，2009年为15.3%(95%可信区间为12.1;18.3)，2018年为14.1%（95%可信区间为11.8;16.2）。收入较低的家庭灾难性支出的发生率较高。药品对低收入家庭的支出负担更大。结论：联邦区灾难性支出的流行率有所增加。药品是最贫困家庭的主要开支。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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