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Table 3 Households that include people ≥ 60 years of age with CHE and financial distress, by household covariates, Viet Nama

From: Household financial burden associated with healthcare for older people in Viet Nam: a cross-sectional survey

Variable

CHE definitionb

WHO

Sustainable Development Goals

Financial distress

Yes (n = 126)

No (n = 1351)

Yes (n = 111)

No (n = 1366)

Yes (n = 181)

No (n = 1296)

Household features

 Urban versus rural

  Urban

54 (7.5)

666 (92.5)

46 (6.4)

674 (93.6)

80 (11.1)

640 (88.9)

  Rural

72 (9.5)

685 (90.5)

65 (8.6)

692 (91.4)

101 (13.3)

656 (86.7)

 Province

***

 

***

 

*

 

  Thanh Hoa

35 (7.0)

463 (93.0)

38 (7.6)

460 (92.4)

51 (10.2)

447 (89.8)

  Tien Giang

9 (1.9)

475 (98.1)

8 (1.7)

476 (98.3)

55 (11.4)

429 (88.6)

  Yen Bai

82 (16.6)

413 (83.4)

65 (13.1)

430 (86.9)

75 (15.2)

420 (84.8)

 Mean (SD) no. of people in household

1.6 (0.5)***

3.4 (1.9)

2.0 (1.1)***

3.3 (1.9)

3.0 (1.8)*

3.3 (1.9)

 Children < 6 years

***

 

***

   

  No

126 (10.1)

1120 (89.9)

106 (8.5)

1140 (91.5)

157 (12.6)

1089 (87.4)

  Yes

0 (0.0)

231 (100.0)

5 (2.2)

226 (97.8)

24 (10.4)

207 (89.6)

 People aged ≥ 60 years in the household

      

  1 person

57 (8.9)

585 (91.1)

52 (8.1)

590 (91.9)

84 (13.1)

558 (86.9)

  2+ persons

69 (8.3)

766 (91.7)

59 (7.1)

776 (92.9)

97 (11.6)

738 (88.4)

 Household composition

***

 

***

 

*

 

  Multigenerational households

8 (0.9)

845 (99.1)

25 (2.9)

828 (97.1)

92 (10.8)

761 (89.2)

  Older households

118 (18.9)

506 (81.1)

86 (13.8)

538 (86.2)

89 (14.3)

535 (85.7)

 Health insurance status

***

 

***

   

  Not fully insured

4 (2.3)

170 (97.7)

3 (1.7)

171 (98.3)

19 (10.9)

155 (89.1)

  Fully insured

122 (9.4)

1181 (90.6)

108 (8.3)

1195 (91.7)

162 (12.4)

1141 (87.6)

 Wealth level (quintile)

    

*

 

  Poorest

22 (7.4)

274 (92.6)

14 (4.7)

282 (95.3)

44 (14.9)

252 (85.1)

  Poor

29 (9.8)

266 (90.2)

25 (8.5)

270 (91.5)

44 (14.9)

251 (85.1)

  Middle

36 (12.2)

260 (87.8)

32 (10.8)

264 (89.2)

40 (13.5)

256 (86.5)

  Rich

18 (6.1)

277 (93.9)

19 (6.4)

276 (93.6)

25 (8.5)

270 (91.5)

  Richest

21 (7.1)

274 (92.9)

21 (7.1)

274 (92.9)

28 (9.5)

267 (90.5)

Head of household

 Aged ≥ 60 years

*

     

  No

3 (2.7)

107 (97.3)

9 (8.2)

101 (91.8)

11 (10.0)

99 (90.0)

  Yes

123 (9.0)

1,244 (91.0)

102 (7.5)

1,265 (92.5)

170 (12.4)

1,197 (87.6)

 Sex

      

  Male

69 (8.8)

715 (91.2)

63 (8.0)

721 (92.0)

93 (11.9)

691 (88.1)

  Female

57 (8.2)

636 (91.8)

48 (6.9)

645 (93.1)

88 (12.7)

605 (87.3)

 Ethnicity

  

*

   

  Kinh

124 (8.6)

1,325 (91.4)

107 (7.4)

1,342 (92.6)

176 (12.1)

1,273 (87.9)

  Ethnic minority

2 (10.5)

17 (89.5)

4 (21.1)

15 (78.9)

5 (26.3)

14 (73.7)

 Educational level

**

 

***

 

*

 

  Elementary or less

29 (5.3)

514 (94.7)

17 (3.1)

526 (96.9)

76 (14.0)

467 (86.0)

  Secondary school

48 (11.5)

371 (88.5)

50 (11.9)

369 (88.1)

59 (14.1)

360 (85.9)

  High school or higher

49 (9.5)

465 (90.5)

44 (8.6)

470 (91.4)

46 (8.9)

468 (91.1)

 Current occupational status

*

 

*

 

***

 

  Employed

33 (6.7)

457 (93.3)

34 (6.9)

456 (93.1)

51 (10.4)

439 (89.6)

  Pensioner

53 (11.1)

426 (88.9)

47 (9.8)

432 (90.2)

39 (8.1)

440 (91.9)

  Unemployed

38 (7.6)

464 (92.4)

28 (5.6)

474 (94.4)

88 (17.5)

414 (82.5)

Healthcare for key older members interviewed

    

 Comorbidities

***

 

***

 

***

 

  No NCD

8 (2.6)

296 (97.4)

6 (2.0)

298 (98.0)

6 (2.0)

298 (98.0)

  1 NCD

49 (8.9)

502 (91.1)

36 (6.5)

515 (93.5)

66 (12.0)

485 (88.0)

  ≥ 2 NCDs

69 (11.1)

553 (88.9)

69 (11.1)

553 (88.9)

109 (17.5)

513 (82.5)

 Mean (SD) no. outpatient visits in the last month

  Primary healthcare facilities

0.50 (0.80)

0.46 (0.86)

0.58 (1.17)

0.45 (0.82)

0.82 (1.06)***

0.41 (0.81)

  Tertiary facilities

0.47 (0.98)

0.35 (0.83)

0.54 (1.06)*

0.35 (0.82)

0.54 (1.04)**

0.34 (0.81)

  Private health facilities

0.23 (0.67)*

0.13 (0.49)

0.23 (0.68)*

0.13 (0.49)

0.23 (0.65)**

0.12 (0.48)

 Mean (SD) no. inpatient admissions in the last 12 months

  District hospitals

0.14 (0.41)

0.09 (0.43)

0.19 (0.56)*

0.08 (0.41)

0.26 (0.62)***

0.07 (0.39)

  Tertiary hospitals

0.34 (0.70)*

0.17 (0.70)

0.37 (0.78)**

0.17 (0.69)

0.48 (0.97)***

0.15 (0.64)

  Private hospitals

0.04 (0.23)

0.02 (0.18)

0.07 (0.29)**

0.02 (0.17)

0.04 (0.19)

0.02 (0.18)

  1. CHE catastrophic health expenditure, NCD noncommunicable disease, SD standard deviation, *P < 0.05; **P < 0.01; ***P < 0.001
  2. aValues are number (%) unless otherwise indicated
  3. bWHO defines CHE at a threshold of 40% of nonfood spending for a household, whereas Sustainable Development Goal indicator 3.8.2 defines it at a 10% threshold of total household expenditure