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Time Series Trend in High BMI and High Out-of-Pocket Expenditure Among Women With Disability

Health with disability is directly related not only to an individual’s quality of life but also to national medical finance. This study focuses on trends in BMI and out-of-pocket (OOP) expenditure of both types of indirect cost exclusion and inclusion. Participants were women with disability (n = 32...

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Autor principal: Shin, Sun Mi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233593/
https://www.ncbi.nlm.nih.gov/pubmed/37249017
http://dx.doi.org/10.1177/00469580231173493
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author Shin, Sun Mi
author_facet Shin, Sun Mi
author_sort Shin, Sun Mi
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description Health with disability is directly related not only to an individual’s quality of life but also to national medical finance. This study focuses on trends in BMI and out-of-pocket (OOP) expenditure of both types of indirect cost exclusion and inclusion. Participants were women with disability (n = 3200) and women without disability (n = 53 082) among adults aged 19 and older from Korea Health Panel from 2009 to 2016. Women with disability had a higher BMI (23.9) than women without disability (22.7), and this time series trend was significant for 8 years (P < .0001). Annual OOP expenditures of both types were higher for women with disability than for women without disability (P < .0001): excluding indirect costs, $518.9 versus $649.4; Including indirect costs, $534.5 versus $681.8. The y-intercept of disability itself and slope of one unit of BMI for both types of annual OOP expenditure is significant (P < 0001): excluding indirect cost, $29.0 and $4.4; including indirect cost, $35.2 versus $4.6. In women with disability, annual OOP expenditure for both types were higher when they were physically inactive (P < .05): excluding indirect cost, $714.1 versus $823.1; including indirect cost, $746.2 versus $880.0. When physical inactivity and overweight and obesity interacted, it increased more than normal weight in dose response manner (P < .05): excluding indirect costs, $799.2 < $800.3 < $886.1; Including indirect costs, $860.2 < $845.9 < $927.5. These results suggest that women with disability are in relatively poor health. It is proposed that inequality of BMI for women with disability can be developed as an agenda from health policy.
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spelling pubmed-102335932023-06-02 Time Series Trend in High BMI and High Out-of-Pocket Expenditure Among Women With Disability Shin, Sun Mi Inquiry Global Action Plan 2030 for Healthy Lives and Well-being for All Health with disability is directly related not only to an individual’s quality of life but also to national medical finance. This study focuses on trends in BMI and out-of-pocket (OOP) expenditure of both types of indirect cost exclusion and inclusion. Participants were women with disability (n = 3200) and women without disability (n = 53 082) among adults aged 19 and older from Korea Health Panel from 2009 to 2016. Women with disability had a higher BMI (23.9) than women without disability (22.7), and this time series trend was significant for 8 years (P < .0001). Annual OOP expenditures of both types were higher for women with disability than for women without disability (P < .0001): excluding indirect costs, $518.9 versus $649.4; Including indirect costs, $534.5 versus $681.8. The y-intercept of disability itself and slope of one unit of BMI for both types of annual OOP expenditure is significant (P < 0001): excluding indirect cost, $29.0 and $4.4; including indirect cost, $35.2 versus $4.6. In women with disability, annual OOP expenditure for both types were higher when they were physically inactive (P < .05): excluding indirect cost, $714.1 versus $823.1; including indirect cost, $746.2 versus $880.0. When physical inactivity and overweight and obesity interacted, it increased more than normal weight in dose response manner (P < .05): excluding indirect costs, $799.2 < $800.3 < $886.1; Including indirect costs, $860.2 < $845.9 < $927.5. These results suggest that women with disability are in relatively poor health. It is proposed that inequality of BMI for women with disability can be developed as an agenda from health policy. SAGE Publications 2023-05-30 /pmc/articles/PMC10233593/ /pubmed/37249017 http://dx.doi.org/10.1177/00469580231173493 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Global Action Plan 2030 for Healthy Lives and Well-being for All
Shin, Sun Mi
Time Series Trend in High BMI and High Out-of-Pocket Expenditure Among Women With Disability
title Time Series Trend in High BMI and High Out-of-Pocket Expenditure Among Women With Disability
title_full Time Series Trend in High BMI and High Out-of-Pocket Expenditure Among Women With Disability
title_fullStr Time Series Trend in High BMI and High Out-of-Pocket Expenditure Among Women With Disability
title_full_unstemmed Time Series Trend in High BMI and High Out-of-Pocket Expenditure Among Women With Disability
title_short Time Series Trend in High BMI and High Out-of-Pocket Expenditure Among Women With Disability
title_sort time series trend in high bmi and high out-of-pocket expenditure among women with disability
topic Global Action Plan 2030 for Healthy Lives and Well-being for All
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233593/
https://www.ncbi.nlm.nih.gov/pubmed/37249017
http://dx.doi.org/10.1177/00469580231173493
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