Academic Journal
Out-of-pocket expenditures on child health during an economic recession in Brazil.
| Τίτλος: | Out-of-pocket expenditures on child health during an economic recession in Brazil. |
|---|---|
| Συγγραφείς: | Silva MTD; Universidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil., Tejada CAO; Universidade Federal de Pelotas. Programa de Pós-Graduação em Organizações e Mercados. Pelotas, RS, Brasil., Aristides AM; Universidade Federal de Alagoas. Programa de Pós-graduação em Economia. Maceió, AL, Brasil., Matijasevich A; Universidade de São Paulo. Departamento de Medicina Preventiva. São Paulo, SP, Brasil., Santos IS; Universidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil., Bertoldi AD; Universidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil. |
| Πηγή: | Revista de saude publica [Rev Saude Publica] 2026 Jan 09; Vol. 59, pp. e48. Date of Electronic Publication: 2026 Jan 09 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English; Portuguese |
| Στοιχεία περιοδικού: | Publisher: Universidade De Sao Paulo. Faculdade De Higiene E Saude Publica Country of Publication: Brazil NLM ID: 0135043 Publication Model: eCollection Cited Medium: Internet ISSN: 1518-8787 (Electronic) Linking ISSN: 00348910 NLM ISO Abbreviation: Rev Saude Publica Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Sao Paulo : Universidade De Sao Paulo. Faculdade De Higiene E Saude Publica |
| Ιατρικοί όροι (MeSH): | Economic Recession*/statistics & numerical data , Health Expenditures*/statistics & numerical data , Child Health*/economics , Child Health*/statistics & numerical data , Financing, Personal*/statistics & numerical data , Financing, Personal*/economics, Insurance, Health/economics ; Insurance, Health/statistics & numerical data ; Humans ; Brazil ; Infant ; Child, Preschool ; Socioeconomic Factors ; Female ; Male ; Longitudinal Studies |
| Περίληψη: | Objective: To investigate the association between the 2014-2016 economic recession in Brazil and households' direct expenditures on child health across the distribution of such expenditures. Methods: Using longitudinal datasets that followed children born in Pelotas, in the state of Rio Grande do Sul, in 2004 and 2015, estimates were obtained using a Double-Hurdle model, which provides one outcome for the probability of incurring any expenditure and another for the expected value of those expenses when they occur. Results: The findings showed that the economic recession during this period reduced the likelihood of incurring any health-related expenditure, excluding health insurance, by 34% among 12-month-old children and by 29% among 24-month-old children. Regarding health insurance expenditures, the recession reduced the likelihood of occurrence by 37% among 12-month-olds and by a substantial 68% among 24-month-olds. As for the amount spent, given that some expenditure occurred, the economic recession was associated with an expected 15% higher total spending excluding health insurance, and a 9% lower expected spending on health insurance for 12-month-old children. Conclusions: Thus, total health expenditures, excluding health insurance, were less likely to occur during the economic recession; however, when such expenditures occurred, their expected value was higher. In contrast, spending on health insurance was lower in both analyses, reinforcing its preventive nature. |
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| Grant Information: | United Kingdom WT_ Wellcome Trust |
| Entry Date(s): | Date Created: 20260115 Date Completed: 20260626 Latest Revision: 20260919 |
| Update Code: | 20260919 |
| PubMed Central ID: | PMC12713523 |
| DOI: | 10.11606/s1518-8787.2025059006388 |
| PMID: | 41538553 |
| Βάση Δεδομένων: | MEDLINE |
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