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. 2019 Feb 28;26(1):15–43. doi: 10.21315/mjms2019.26.1.3

Table 2.

Factors associated with catastrophic health expenditure

No Income category Author-year Country Household (HH) characteristics Household head characteristics Illness and treatment factors



Residence (Rural) Family size Presence of elderly of > 60–65 years Presence of children under 5 Economic status Gender ≥60–65 years Employment status Level of education Have a member hospitalised Presence of disable person Presence of a member with chronic illness
1 High Krutilova, Yaya (2012) Czech NS NA NA _ +Low +Female + + Unemployed + Low NS NA NA
2 High Wyszewianski (986) USA NA NA NA NA + Low NA + + Unemployed NA + NA NA
3 High Kronenberg, Barros (2014) Portugal + (2005) − Large + NA +Low − Male (2000)
+ Male (2005)
+ + Unemployed − High NA + NA
4 High Choi (2016) South Korea NA +Small + NA +Low +Female NS + Unemployed and change of job status NS NA + +
5 Middle Gotsadze et al. (2009) Georgia NA NA NA NA +Low NA NA NA NA + NA +
6 Middle Somkotra, Lagrada (2009) Thailand NS NS + NS + High NS NS +Unemployed + Low + + +
7 Middle Shi et al. (2010) China NA NA NA NA + Low NA NA NA NA NA NA +
8 Middle Mondal et al. (2010) India + +Large NA NA +Low NS NA NA NA + NA +
9 Middle Yardima, et al. (2010) Turkey + NS + _ +Low NS NA +Unemployed +Low NA + NA
10 Middle Barros et al. (2011) Brazil NA NA + NS + Low +Female NA NA NA NA NA NA
11 Middle Shi et al. (2011) China NA +Small + NA + Low NA NA + Unemployed NA + NA +
12 Middle Zhou, Gao (2011) China NS +Small + NA + Low NS NA NA + Low + NA +
13 Middle Amaya, Ruiz (2011) Colombia NA +Small NA NA + Low NS + +Self employed NA + NS NA
14 Middle Pal (2012) India NA +Large + + NA NS + NA NS NA NA NA
15 Middle Li et al. (2012) China + +Small + _ + low +Female NA + Unemployed + Low + NA +
16 Middle Kavosi et al. (2012) Iran NA NS + NS +Low NS NA NA NA + + NA
17 Middle Moghadam et al. (2012) Iran NA +Large NA NA +Low NA NA NA NA + NA NA
18 Middle Chuma and Maina (2012) Kenya NA NA NA NA +Low NA NA NA NA + NA NA
19 Middle Arsenijevic et al. (2012) Serbia + +Large NA NA +Low NS NS NS +Low NA NA +
20 Middle Van Minh et al. (2013) Bangladesh NA NA NA NA +Low NA NA NA +Low + NA +
21 Middle Van Minh et al. (2013) Viet Nam + −Large + + +High NS NA NA NA NA NA NA
22 Middle Weraphong et al. (2013) Thailand NA NA NA NA +Low NA NA NA NA NA NA NA
23 Middle Li et al. (2013) China + +Large + + +Low NA NA NA +Low + NA +
24 Middle Misra et al. (2013) India NA NS NA NA NA NA NA NA NA + NA NA
25 Middle Ashour et al. (2013) West Bank and Gaza (Palestine) + NA NA NA + +Female NA + Unemployed +Low NA NA AN
26 Middle Li et al. (2014) China NA − Large + + − Middle + Female NA + Unemployed +Low + NA +
27 Middle Narci et al. (2014) Turkey −Urban −Large + + +High + Female NA + Unemployed −High NA + +
28 Middle Brown et al. (2014) Turkey + +Large + + +High + Female NA NS +Low + + NA
29 Middle Boing (2014) Brazil NA NA NA NA +Low NA NA NA +Low NA NA NA
30 Middle Khaing (2015 Myanmar NS +Large NA NA NA NS NS NA +Medium + NA NA
31 Middle Htet (2015) Myanmar −Rural +Large + + +Low +Female NA NA NA NA NA +
32 Middle Buigut (2015) Kenya NA NA NA NS +High NS + + Unemployed NA NA NA NA
33 Middle Xu (2015) China NA +Small + NS +Low NS NA NA NS + NA +
34 Middle Piroozi (2016) Iran NA NS + NS +Low +Female NA NA NA + + NA
35 Middle Masiye (2016) Zambia NS NA NA NA +Low NS + NS NS NA NA NA
36 Low Su et al. (2006) Burkina Faso NS +Large NA NA +Low NS NA NA NS NA NS +
37 Low Xu et al. (2006) Uganda + NA + NA NA NS (among poor)
+Female (non poor)
NA NA +Low + NA NA
38 Low Brinda et al. (2014) Tanzania NA +Large NA NA NA NS NS + Unemployed NS NA + +

NA (Non applicable)

NS (Not significant)

+ (Risk factor)

− (Protective factor)