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Costs incurred by people with co-morbid tuberculosis and diabetes and their households in the Philippines

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  • Takuya Yamanaka
  • Mary Christine Castro
  • Julius Patrick Ferrer
  • Juan Antonio Solon
  • Sharon E Cox
  • Yoko V Laurence
  • Anna Vassall

Abstract

Objective: Diabetes is a risk factor for TB mortality and relapse. The Philippines has a high TB incidence with co-morbid diabetes. This study assessed the pre- and post-TB diagnosis costs incurred by people with TB and diabetes (TB-DM) and their households in the Philippines. Methods: Longitudinal data was collected for costs, income, and coping mechanisms of TB-affected households in Negros Occidental and Cebu, the Philippines. Data collection was conducted four times during TB treatment. The data collection tools were developed by adapting WHO’s cross-sectional questionnaire in the Tuberculosis Patient Cost Surveys: A Handbook into a longitudinal study design. Demographic and clinical characteristics, self-reported household income, number of facility visits, patient costs, the proportion of TB-affected households facing catastrophic costs due to TB (>20% of annual household income before TB), coping mechanisms, and social support received were compared by diabetes status at the time of TB diagnosis. Results: 530 people with TB were enrolled in this study, and 144 (27.2%) had TB-DM based on diabetes testing at the time of TB diagnosis. 75.4% of people with TB-DM were more than 45 years old compared to 50.3% of people with TB-only (p

Suggested Citation

  • Takuya Yamanaka & Mary Christine Castro & Julius Patrick Ferrer & Juan Antonio Solon & Sharon E Cox & Yoko V Laurence & Anna Vassall, 2024. "Costs incurred by people with co-morbid tuberculosis and diabetes and their households in the Philippines," PLOS ONE, Public Library of Science, vol. 19(1), pages 1-15, January.
    • Handle: RePEc:plo:pone00:0297342
    DOI: 10.1371/journal.pone.0297342
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    References listed on IDEAS

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    1. Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453, Decembrie.
    2. Christie Y Jeon & Megan B Murray, 2008. "Diabetes Mellitus Increases the Risk of Active Tuberculosis: A Systematic Review of 13 Observational Studies," PLOS Medicine, Public Library of Science, vol. 5(7), pages 1-11, July.
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