Isamail Norfatihah, Said Rusmawati, Ismail Normaz Wana, Haron Sharifah Azizah
School of Business and Economics, Universiti Putra Malaysia, Selangor, Malaysia.
Office of Deputy Dean (Thesis, Student Affairs and Media), School of Gradute Studies, Universiti Putra Malaysia, Selangor, Malaysia.
Malays J Med Sci. 2024 Feb;31(1):124-139. doi: 10.21315/mjms2024.31.1.11. Epub 2024 Feb 28.
Non-communicable diseases (NCDs) have a vast and rising impact on households at all income levels across the globe, particularly with poorer people bearing the burden. Hence, this study examines NCDs' effects on Malaysia's B40 group (low-income earners).
This study used the 2015 National Health and Morbidity Survey, a population-based cross-sectional survey with 18,616 respondents from B40 households in Malaysia. Logistic regression analysis is used to assess NCDs' influence on poverty.
In 2015, more than 20% of the B40 households lived below the poverty level. In addition, the B40 households had a greater prevalence of NCDs, with almost half of them diagnosed with at least one NCD (47.32%); hypertension (9.90%), diabetes mellitus (17.12%) and hypercholesterolemia (22.89%). Households with a member having an NCD are more likely to experience poverty than those without NCDs. The results also suggested that B40 households with catastrophic payments were at a 25% threshold; the elderly, individuals without formal education and unpaid workers were more likely to experience poverty.
The findings suggest that NCDs increase the likelihood of B40 households falling into poverty. These facts highlight the necessity of safeguarding B40 households from the financial burden of NCDs by creating more effective financial protection plans for Malaysia's low-income earners.
非传染性疾病(NCDs)对全球所有收入水平的家庭产生了巨大且不断上升的影响,尤其是贫困人口负担沉重。因此,本研究考察了非传染性疾病对马来西亚B40群体(低收入者)的影响。
本研究使用了2015年全国健康与发病率调查,这是一项基于人群的横断面调查,来自马来西亚B40家庭的18,616名受访者参与其中。采用逻辑回归分析来评估非传染性疾病对贫困的影响。
2015年,超过20%的B40家庭生活在贫困线以下。此外,B40家庭中非传染性疾病的患病率更高,近一半的家庭被诊断患有至少一种非传染性疾病(47.32%);高血压(9.90%)、糖尿病(17.12%)和高胆固醇血症(22.89%)。有家庭成员患有非传染性疾病的家庭比没有非传染性疾病的家庭更有可能陷入贫困。结果还表明,B40家庭的灾难性支出阈值为25%;老年人、未受过正规教育的个人和无薪劳动者更有可能陷入贫困。
研究结果表明,非传染性疾病增加了B40家庭陷入贫困的可能性。这些事实凸显了通过为马来西亚低收入者制定更有效的金融保护计划,保护B40家庭免受非传染性疾病经济负担影响的必要性。