Minh Hoang Van, Giang Kim Bao, Liem Nguyen Thanh, Palmer Michael, Thao Nguyen Phuong, Duong Le Bach
a Department of Health Economics , Institute for Preventive Medicine and Public Health, Hanoi Medical University , Hanoi , Vietnam.
Glob Public Health. 2015;10 Supppl 1:S70-9. doi: 10.1080/17441692.2014.971332. Epub 2014 Oct 29.
Disability is shown to be both a cause and a consequence of poverty. However, relatively little research has investigated the economic cost of living with a disability. This study reports the results of a study on the extra cost of living with disability in Vietnam in 2011. The study was carried out in eight cities/provinces in Vietnam, including Hanoi and Ho Chi Minh cities (two major metropolitan in Vietnam) and six provinces from each of the six socio-economic regions in Vietnam. Costs are estimated using the standard of living approach whereby the difference in incomes between people with disability and those without disability for a given standard of living serves as a proxy for the cost of living with disability. The extra cost of living with disability in Vietnam accounted for about 8.8-9.5% of annual household income, or valued about US$200-218. Communication difficulty was shown to result in highest additional cost of living with disability and self-care difficulty was shown to lead to the lowest levels of extra of living cost. The extra cost of living with disability increased as people had more severe impairment. Interventions to promote the economic security of livelihood for people with disabilities are needed.
残疾既是贫困的一个原因,也是贫困的一个后果。然而,相对较少的研究调查了残疾人士的生活经济成本。本研究报告了2011年越南残疾人士额外生活成本的研究结果。该研究在越南的八个城市/省份开展,包括河内市和胡志明市(越南的两个主要大城市)以及越南六个社会经济区域中每个区域的六个省份。成本采用生活水平法进行估算,即对于给定的生活水平,残疾人士与非残疾人士之间的收入差异作为残疾人士生活成本的一个替代指标。越南残疾人士的额外生活成本约占家庭年收入的8.8 - 9.5%,即价值约200 - 218美元。沟通困难导致残疾人士的额外生活成本最高,而自我照料困难导致的额外生活成本最低。随着残疾程度加重,残疾人士的额外生活成本增加。需要采取干预措施来促进残疾人士生计的经济保障。