The influence of health expenditures on household impoverishment in Brazil
OBJECTIVE To analyze the variation in the proportion of households living below the poverty line in Brazil and the factors associated with their impoverishment. METHODS Income and expenditure data from the Household Budget Survey, which was conducted in Brazil between 2002-2003 (n = 48,470 house...
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doaj-a812c283f47f4b4e84439a549998479a2020-11-24T23:38:32ZengUniversidade de São PauloRevista de Saúde Pública0034-89102014-10-0148579780710.1590/S0034-8910.2014048005113S0034-89102014000500797The influence of health expenditures on household impoverishment in BrazilAlexandra Crispim BoingAndréa Dâmaso BertoldiLeila Garcia PosenatoKaren Glazer PeresOBJECTIVE To analyze the variation in the proportion of households living below the poverty line in Brazil and the factors associated with their impoverishment. METHODS Income and expenditure data from the Household Budget Survey, which was conducted in Brazil between 2002-2003 (n = 48,470 households) and 2008-2009 (n = 55,970 households) with a national sample, were analyzed. Two cutoff points were used to define poverty. The first cutoff is a per capita monthly income below R$100.00 in 2002-2003 and R$140.00 in 2008-2009, as recommended by the Bolsa Família Program. The second, which is proposed by the World Bank and is adjusted for purchasing power parity, defines poverty as per capita income below US$2.34 and US$3.54 per day in 2002-2003 and 2008-2009, respectively. Logistic regression was used to identify the sociodemographic factors associated with the impoverishment of households. RESULTS After subtracting health expenditures, there was an increase in households living below the poverty line in Brazil. Using the World Bank poverty line, the increase in 2002-2003 and 2008-2009 was 2.6 percentage points (6.8%) and 2.3 percentage points (11.6%), respectively. Using the Bolsa Família Program poverty line, the increase was 1.6 (11.9%) and 1.3 (17.3%) percentage points, respectively. Expenditure on prescription drugs primarily contributed to the increase in poor households. According to the World Bank poverty line, the factors associated with impoverishment include a worse-off financial situation, a household headed by an individual with low education, the presence of children, and the absence of older adults. Using the Bolsa Família Program poverty line, the factors associated with impoverishment include a worse-off financial situation and the presence of children. CONCLUSIONS Health expenditures play an important role in the impoverishment of segments of the Brazilian population, especially among the most disadvantaged.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102014000500797&lng=en&tlng=enGastos em SaúdePobrezaFatores SocioeconômicosCondições SociaisDesigualdades em SaúdeInquéritos Demográficos |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alexandra Crispim Boing Andréa Dâmaso Bertoldi Leila Garcia Posenato Karen Glazer Peres |
spellingShingle |
Alexandra Crispim Boing Andréa Dâmaso Bertoldi Leila Garcia Posenato Karen Glazer Peres The influence of health expenditures on household impoverishment in Brazil Revista de Saúde Pública Gastos em Saúde Pobreza Fatores Socioeconômicos Condições Sociais Desigualdades em Saúde Inquéritos Demográficos |
author_facet |
Alexandra Crispim Boing Andréa Dâmaso Bertoldi Leila Garcia Posenato Karen Glazer Peres |
author_sort |
Alexandra Crispim Boing |
title |
The influence of health expenditures on household impoverishment in Brazil |
title_short |
The influence of health expenditures on household impoverishment in Brazil |
title_full |
The influence of health expenditures on household impoverishment in Brazil |
title_fullStr |
The influence of health expenditures on household impoverishment in Brazil |
title_full_unstemmed |
The influence of health expenditures on household impoverishment in Brazil |
title_sort |
influence of health expenditures on household impoverishment in brazil |
publisher |
Universidade de São Paulo |
series |
Revista de Saúde Pública |
issn |
0034-8910 |
publishDate |
2014-10-01 |
description |
OBJECTIVE To analyze the variation in the proportion of households living below the poverty line in Brazil and the factors associated with their impoverishment. METHODS Income and expenditure data from the Household Budget Survey, which was conducted in Brazil between 2002-2003 (n = 48,470 households) and 2008-2009 (n = 55,970 households) with a national sample, were analyzed. Two cutoff points were used to define poverty. The first cutoff is a per capita monthly income below R$100.00 in 2002-2003 and R$140.00 in 2008-2009, as recommended by the Bolsa Família Program. The second, which is proposed by the World Bank and is adjusted for purchasing power parity, defines poverty as per capita income below US$2.34 and US$3.54 per day in 2002-2003 and 2008-2009, respectively. Logistic regression was used to identify the sociodemographic factors associated with the impoverishment of households. RESULTS After subtracting health expenditures, there was an increase in households living below the poverty line in Brazil. Using the World Bank poverty line, the increase in 2002-2003 and 2008-2009 was 2.6 percentage points (6.8%) and 2.3 percentage points (11.6%), respectively. Using the Bolsa Família Program poverty line, the increase was 1.6 (11.9%) and 1.3 (17.3%) percentage points, respectively. Expenditure on prescription drugs primarily contributed to the increase in poor households. According to the World Bank poverty line, the factors associated with impoverishment include a worse-off financial situation, a household headed by an individual with low education, the presence of children, and the absence of older adults. Using the Bolsa Família Program poverty line, the factors associated with impoverishment include a worse-off financial situation and the presence of children. CONCLUSIONS Health expenditures play an important role in the impoverishment of segments of the Brazilian population, especially among the most disadvantaged. |
topic |
Gastos em Saúde Pobreza Fatores Socioeconômicos Condições Sociais Desigualdades em Saúde Inquéritos Demográficos |
url |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102014000500797&lng=en&tlng=en |
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