ICMR-National Institute of Medical Statistics (NIMS), New Delhi, India.
Department of Sociology, Indraprastha College for Women, University of Delhi, New Delhi, India.
PLoS One. 2023 Oct 12;18(10):e0292592. doi: 10.1371/journal.pone.0292592. eCollection 2023.
People with disabilities are vulnerable because of the many challenges they face attitudinal, physical, and financial. The National Policy for Persons with Disabilities (2006) recognizes that Persons with Disabilities are valuable human resources for the country and seeks to create an environment that provides equal opportunities, and protection of their rights, and full. There are limited studies on health care burden due to disabilities of various types.
The present study examines the socioeconomic and state-wise differences in the prevalence of disabilities and related household financial burden in India.
Data for this study was obtained from the National Sample Survey (NSS), 76th round Persons with Disabilities in India Survey 2018. The survey covered a sample of 1,18,152 households, 5,76,569 individuals, of which 1,06,894 of had any disability. This study performed descriptive statistics, and bivariate estimates.
The finding of the analysis showed that prevalence of disability of any kind was 22 persons per 1000. Around, one-fifth (20.32%) of the household's monthly consumption expenditure was spent on out-of-pocket expenditure for disability. More than half (57.1%) of the households were pushed to catastrophic health expenditure due to one of the members being disabled. Almost one-fifth (19.1%) of the households who were above the poverty line before one of members was treated for disability were pushed below the poverty line after the expenditure of the treatment and average percentage shortfall in income from the poverty line was 11.0 percent due to disability treatment care expenditure.
The study provides an insight on the socioeconomic differentials in out-of-pocket expenditure, catastrophic expenditure for treatment of any kind of disability. To attain SDG goal 3 that advocates healthy life and promote well-being for all at all ages, there is a need to recognize the disadvantaged and due to disability.
由于面临诸多挑战，残疾人很脆弱，这些挑战包括态度、身体和经济方面的。《国家残疾人政策》（2006 年）认识到残疾人是国家的宝贵人力资源，并寻求创造一个提供平等机会、保护其权利和充分保护的环境。关于各种类型残疾造成的医疗保健负担，研究有限。
本研究旨在探讨印度残疾患病率及其相关家庭经济负担在社会经济和邦级方面的差异。
本研究的数据来自国家抽样调查（NSS），2018 年印度残疾人第 76 轮调查。该调查涵盖了 118152 户家庭、576569 个人的样本，其中 106894 人有任何残疾。本研究进行了描述性统计和双变量估计。
分析结果显示，任何类型残疾的患病率为每 1000 人中有 22 人。大约五分之一（20.32%）的家庭月消费支出用于残疾的自费支出。由于一名成员残疾，超过一半（57.1%）的家庭陷入灾难性的医疗支出。近五分之一（19.1%）的家庭在一名成员接受残疾治疗前处于贫困线以上，在治疗支出后，他们被推到贫困线以下，由于残疾治疗护理支出，收入从贫困线平均减少 11.0%。
本研究深入了解了不同社会经济群体在自费支出和各种残疾治疗的灾难性支出方面的差异。为了实现倡导所有年龄段健康生活和促进福祉的可持续发展目标 3，有必要认识到残疾带来的不利处境。
