Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia
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 mo...
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| Format: | Article |
| Language: | English |
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Faculty of Economics and Management, Universiti Putra Malaysia
2017
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| Online Access: | http://psasir.upm.edu.my/id/eprint/63244/ http://psasir.upm.edu.my/id/eprint/63244/1/Socio-demographic%2C%20Cognitive%20Status%20and%20Comorbidity%20Determinants%20of%20Catastrophic%20Health%20Expenditure%20among%20Elderly%20in%20Malaysia.pdf |
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| author | Koris, Roshanim Mohamed Nor, Norashidah Haron, Sharifah Azizah Ismail, Normaz Wana Syed Junid, Syed Mohamed Aljunid Muhammad Nur, Amrizal Shafie, Asrul Akmal Yusoff, Suraya Maimaiti, Namaitijiang |
| author_facet | Koris, Roshanim Mohamed Nor, Norashidah Haron, Sharifah Azizah Ismail, Normaz Wana Syed Junid, Syed Mohamed Aljunid Muhammad Nur, Amrizal Shafie, Asrul Akmal Yusoff, Suraya Maimaiti, Namaitijiang |
| author_sort | Koris, Roshanim |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T11:14:44Z |
| format | Article |
| id | upm-63244 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T11:14:44Z |
| publishDate | 2017 |
| publisher | Faculty of Economics and Management, Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-632442018-09-27T09:58:56Z http://psasir.upm.edu.my/id/eprint/63244/ Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia Koris, Roshanim Mohamed Nor, Norashidah Haron, Sharifah Azizah Ismail, Normaz Wana Syed Junid, Syed Mohamed Aljunid Muhammad Nur, Amrizal Shafie, Asrul Akmal Yusoff, Suraya Maimaiti, Namaitijiang 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. Faculty of Economics and Management, Universiti Putra Malaysia 2017 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/63244/1/Socio-demographic%2C%20Cognitive%20Status%20and%20Comorbidity%20Determinants%20of%20Catastrophic%20Health%20Expenditure%20among%20Elderly%20in%20Malaysia.pdf Koris, Roshanim and Mohamed Nor, Norashidah and Haron, Sharifah Azizah and Ismail, Normaz Wana and Syed Junid, Syed Mohamed Aljunid and Muhammad Nur, Amrizal and Shafie, Asrul Akmal and Yusoff, Suraya and Maimaiti, Namaitijiang (2017) Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia. International Journal of Economics and Management, 11 (S3). 673 - 690. ISSN 1823-836X http://www.ijem.upm.edu.my/vol11noS3/(7)%20IJEM%20(S3)%202017%20R2%20Socio-demographic,%20Cognitive%20Status%20and%20Comorbidity%20Determinants%20of%20Catastrophic%20Health%20Expenditure%20among%20Elderly%20in%20Malaysia.pdf |
| spellingShingle | Koris, Roshanim Mohamed Nor, Norashidah Haron, Sharifah Azizah Ismail, Normaz Wana Syed Junid, Syed Mohamed Aljunid Muhammad Nur, Amrizal Shafie, Asrul Akmal Yusoff, Suraya Maimaiti, Namaitijiang Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia |
| title | Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia |
| title_full | Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia |
| title_fullStr | Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia |
| title_full_unstemmed | Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia |
| title_short | Socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in Malaysia |
| title_sort | socio-demographic, cognitive status and comorbidity determinants of catastrophic health expenditure among elderly in malaysia |
| url | http://psasir.upm.edu.my/id/eprint/63244/ http://psasir.upm.edu.my/id/eprint/63244/ http://psasir.upm.edu.my/id/eprint/63244/1/Socio-demographic%2C%20Cognitive%20Status%20and%20Comorbidity%20Determinants%20of%20Catastrophic%20Health%20Expenditure%20among%20Elderly%20in%20Malaysia.pdf |