IDEAS home Printed from https://ideas.repec.org/a/pal/palcom/v9y2022i1d10.1057_s41599-022-01369-0.html
   My bibliography  Save this article

Measuring the burden of accidental injuries in India: a cross-sectional analysis of the National Sample Survey (2017–18)

Author

Listed:
  • Bhed Ram

    (Indian Institute of Technology Mandi)

  • Ramna Thakur

    (Indian Institute of Technology Mandi)

Abstract

Globally, injuries are the leading cause of premature deaths and disability and account for nearly 9 per cent of total deaths worldwide. Like other countries, India also faces a very high burden of injuries, with the second most common cause of death and disability. Annually, 0.15 million people lose their lives due to accidental injuries/road traffic accidents in India, which is 11 per cent of the accident-related death worldwide. This study aims to analyse the socio-economic and demographic differentials in the magnitude of economic burden and coping strategies associated with accidental injuries in India. The study used the nationally representative cross-sectional data on the ‘Key Indicators of Social Consumption in India: Health, (2017–18)’ of the National Sample Survey Organisation (NSSO). Simple descriptive statistics have been used to measure the incidence and intensity of accidental injuries. The economic burden is estimated through out-of-pocket (OOP) health expenditure on accidental injuries and the use of different sources of finance to cope with the same. In addition, the logistic regression analysis has been used to analyse the association between socio-economic covariates and the likelihood of suffering from accidental injuries in India. The findings reveal that, unlike outpatient care, the high incidence in inpatient care reveals that hospitalisation is inevitable in most cases after accidental injuries. Among various socio-economic variables, the incidence of accidental cases is higher among individuals residing in urban areas, males, educated persons, and economically better-off sections of society. Also, the mean monthly OOP expenditure on the accidental injuries-affected population has been estimated at INR 2672 .46 (US$ 41.06) and INR 3041.64 (US$ 47.09) in inpatient and outpatient care, respectively. Almost the same sections and the individuals who received insurance spend more OOP expenditure on accidental injuries. However, OOP expenditure as a share of total consumption expenditure (TCE) is significantly high among their counterparts, such as rural inhabitants, illiterates, scheduled castes, the very poor and those who do not have any kind of health insurance coverage. In addition to savings/income, individuals depend more on the distress sources such as borrowings and selling of household assets to meet their OOP health expenditure in India. In conclusion, the high incidence of accidental injuries threatens people more than some of the other ailments in India. A strict motor vehicle act, administrative and political determination, awareness campaigns through various media platforms, diverse road lane systems and traffic norms can help reduce accidental fatalities in the country. Reducing the economic burden of accidental injuries requires increasing public spending on healthcare services as a percentage share of the country’s GDP. Furthermore, comprehensive universal health insurance coverage for all, including each component of healthcare expenditure, is the need of the hour.

Suggested Citation

  • Bhed Ram & Ramna Thakur, 2022. "Measuring the burden of accidental injuries in India: a cross-sectional analysis of the National Sample Survey (2017–18)," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-18, December.
  • Handle: RePEc:pal:palcom:v:9:y:2022:i:1:d:10.1057_s41599-022-01369-0
    DOI: 10.1057/s41599-022-01369-0
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1057/s41599-022-01369-0
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.

    File URL: https://libkey.io/10.1057/s41599-022-01369-0?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Krug, E.G. & Sharma, G.K. & Lozano, R., 2000. "The global burden of injuries," American Journal of Public Health, American Public Health Association, vol. 90(4), pages 523-526.
    2. Shankar Prinja & Jagnoor Jagnoor & Deepshikha Sharma & Sameer Aggarwal & Swati Katoch & P V M Lakshmi & Rebecca Ivers, 2019. "Out-of-pocket expenditure and catastrophic health expenditure for hospitalization due to injuries in public sector hospitals in North India," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-17, November.
    3. Shankar Prinja & Jagnoor Jagnoor & Akashdeep Singh Chauhan & Sameer Aggarwal & Ha Nguyen & Rebecca Ivers, 2016. "Economic Burden of Hospitalization Due to Injuries in North India: A Cohort Study," IJERPH, MDPI, vol. 13(7), pages 1-15, July.
    4. Jalandhar Pradhan & Rinshu Dwivedi & Sanghamitra Pati & Sarit Kumar Rout, 2017. "Does spending matters? Re-looking into various covariates associated with Out of Pocket Expenditure (OOPE) and catastrophic spending on accidental injury from NSSO 71st round data," Health Economics Review, Springer, vol. 7(1), pages 1-16, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hannelore Grande & Patrick Deboosere & Hadewijch Vandenheede, 2013. "Evolution of educational inequalities in mortality among young adults in an urban setting," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 825-835, December.
    2. Fiona Barrett & Kim Usher & Cindy Woods & Simone L. Harrison & Jane Nikles & Jane Conway, 2018. "Sun protective behaviors at an outdoor entertainment event in Australia," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 132-138, March.
    3. Meddings, David & Bettcher, Douglas & Ghafele, Roya, 2003. "Violence and human security policy relevance of a central health linkage," MPRA Paper 37361, University Library of Munich, Germany.
    4. Barbara A. Morrongiello & Amanda Cox, 2020. "Issues in Defining and Measuring Supervisory Neglect and Conceptualizing Prevention," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 13(2), pages 369-385, April.
    5. Helen Goldsmith & Kate Curtis & Andrea McCloughen, 2017. "Effective pain management in recently discharged adult trauma patients: Identifying patient and system barriers, a prospective exploratory study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4548-4557, December.
    6. Kinga Jedynasty & Mariusz Zięba & Jakub Adamski & Marcin Czech & Piotr Głuszko & Dariusz Gozdowski & Agnieszka Szypowska & Andrzej Śliwczyński & Magdalena Walicka & Edward Franek, 2022. "Seasonally Dependent Change of the Number of Fractures after 50 Years of Age in Poland—Analysis of Combined Health Care and Climate Datasets," IJERPH, MDPI, vol. 19(15), pages 1-13, August.
    7. Michal Miovsky & Beata Gavurova & Viera Ivankova & Martin Rigelsky & Jaroslav Sejvl, 2020. "Fatal injuries and economic development in the population sample of Central and Eastern European Countries: the perspective of adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1403-1412, November.
    8. Kerianne Lawson, 2022. "Electricity outages and residential fires: Evidence from Cape Town, South Africa," South African Journal of Economics, Economic Society of South Africa, vol. 90(4), pages 469-485, December.
    9. de Castro Ribas, Rodolfo Jr. & Tymchuk, Alexander J. & Ribas, Adriana F.P., 2006. "Brazilian mothers' knowledge about home dangers and safety precautions: An initial evaluation," Social Science & Medicine, Elsevier, vol. 63(7), pages 1879-1888, October.
    10. Fenfen Li & Deding Zhou & Yue Chen & Yan Yu & Ning Gao & Juanjuan Peng & Shumei Wang, 2019. "The Association between Health Beliefs and Fall-Related Behaviors and Its Implication for Fall Intervention among Chinese Elderly," IJERPH, MDPI, vol. 16(23), pages 1-15, November.
    11. Soo Hyun Park & Ji Young Min & Won Cul Cha & Ik Joon Jo & Taerim Kim, 2020. "National Surveillance of Injury in Children and Adolescents in the Republic of Korea: 2011–2017," IJERPH, MDPI, vol. 17(23), pages 1-12, December.
    12. Ye-Soon Kim & Sooyoung Kwon & Seung Hee Ho, 2021. "Ten-Year Trend Analysis of Mortality Due to External Causes of Injury in People with Disabilities, South Korea, 2008–2017," IJERPH, MDPI, vol. 18(7), pages 1-9, April.
    13. Herberholz, Chantal & Phuntsho, Sonam, 2021. "Medical, transportation and spiritual out-of-pocket health expenditure on outpatient and inpatient visits in Bhutan," Social Science & Medicine, Elsevier, vol. 273(C).
    14. TJ Robinson Moncatar & Keiko Nakamura & Kathryn Lizbeth Siongco & Mosiur Rahman & Kaoruko Seino, 2020. "Prevalence and Determinants of Self-Reported Injuries among Community-Dwelling Older Adults in the Philippines: A 10-Year Pooled Analysis," IJERPH, MDPI, vol. 17(12), pages 1-16, June.
    15. Yiannakoulias, Nikolaos & Scott, Darren M., 2013. "The effects of local and non-local traffic on child pedestrian safety: A spatial displacement of risk," Social Science & Medicine, Elsevier, vol. 80(C), pages 96-104.
    16. Emmanuel Bonnet & Lucie Lechat & Valéry Ridde, 2018. "What interventions are required to reduce road traffic injuries in Africa? A scoping review of the literature," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-20, November.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pal:palcom:v:9:y:2022:i:1:d:10.1057_s41599-022-01369-0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: https://www.nature.com/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.