Gender-Specific Burden of the Economic Cost of Victimization

2020 ◽  
pp. 208-223
Author(s):  
Samuel Kolawole Olowe
Keyword(s):  
Violence Against Women ◽  
Partner Violence ◽  
Sexual Exploitation ◽  
Indirect Costs ◽  
Economic Cost ◽  
Premature Death ◽  
Direct Costs ◽  
Sexual Offences ◽  
Genital Mutilation ◽  
Effects Of Violence

This chapter explores the impact of specific burden of the economic cost of victimization on gender. Gender-related victimization is disproportionately concentrated on women and girls. Forms include sexual assaults, intimate-partner violence, incest, genital mutilation, homicide, trafficking for sexual exploitation, and other sexual offences. Costs of violence against women are widespread throughout society. Every recognizable effect of violence has a cost whether it is direct or indirect. Direct costs come from the use of goods and services for which a monetary exchange is made. Direct costs exist for capital, labour, and material inputs. Indirect costs stem from effects of violence against women that have an imputed monetary exchange, such as lost income or reduced profit. Effects of violence against women also include intangible costs such as premature death and pain and suffering for which there is no imputed monetary value in the economy.

A Framework for considering the Contracting Out of Government Services

1992 ◽  
Vol 21 (1) ◽  
pp. 101-117 ◽  
Author(s):  
Stanley C. Wisniewski
Keyword(s):  
Local Government ◽  
Critical Evaluation ◽  
Cost Benefit ◽  
Indirect Costs ◽  
Economic Cost ◽  
Direct Costs ◽  
Contracting Out ◽  
The Public ◽  
Benefit Evaluation ◽  
Comprehensive Framework

This article analyzes the contracting out decision. It assumes that the decision to assign responsibility to local government for providing a particular service to the public has already been made, and that a rationale for making that decision has been articulated, usually in the form of a legislative mandate. Therefore, the issue that remains for local government is how best to effectuate this mandate. This article offers a critical evaluation of various approaches to analyzing the contracting out decision and provides a comprehensive framework for undertaking such analyses. Adherence to the framework requires an ambiguous, comprehensive statement of service goals followed by an economic cost-benefit evaluation that takes into account all direct costs, as well as indirect costs and social costs, in order to properly ascertain whether there is any advantage to contracting out as compared to performing the work in-house.

scholarly journals The Economic Burden of Cancers Attributable to Infection in the Republic of Korea: A Prevalence-Based Study

2020 ◽  
Vol 17 (20) ◽  
pp. 7592
Author(s):  
Thi Xuan Trinh Nguyen ◽  
Minji Han ◽  
Moran Ki ◽  
Young Ae Kim ◽  
Jin-Kyoung Oh
Keyword(s):  
Cancer Patients ◽  
Economic Burden ◽  
Productivity Loss ◽  
Population Attributable Fraction ◽  
Indirect Costs ◽  
Premature Death ◽  
Direct Costs ◽  
Income Loss ◽  
Future Income ◽  
The Republic

Infection is a major cause of cancers. We estimated the economic burden of cancers attributable to infection in 2014 in Korea, where cancer causing infection is prevalent, but the economic burden of it has never been examined. Cancer patients were defined as those having made medical claims as recorded by the National Health Insurance Service, which is a mandatory insurance for all citizen. We multiplied the costs by the population-attributable fraction for each type of cancer. The study included direct and indirect costs, where direct costs comprised direct medical and non-medical costs of inpatients and outpatients, while indirect costs were estimated by identifying future income loss due to premature death, productivity loss during hospitalization/outpatient visits, and job loss. In 2014, there were 100,054 infection-related cancer patients, accounting for 10.7% of all Korean cancer cases for that year. Direct costs of cancers associated with infection stood at nearly USD 676.9 million, while indirect costs were much higher at USD 2.57 billion. The average expenditure of a typical patient was USD 32,435. Economic burden of cancers attributable to infection is substantial in Korea, accounting for 0.23% of the national gross domestic product and 1.36% of national healthcare expenditure in 2014.

scholarly journals Costs for Schizopsychotic Patients in Sweden

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
L. Helldin ◽  
F. Hjärthag ◽  
M. Lothgren ◽  
C. Hjortsberg
Keyword(s):  
Patient Care ◽  
Indirect Costs ◽  
Premature Death ◽  
Direct Costs ◽  
Cost Driver ◽  
Local Municipality ◽  
Cost Item ◽  
Cost Variability ◽  
Inpatient And Outpatient Care ◽  
At Home

As part of the Clinical Long-term Investigation of Psychosis in Sweden (CLIPS), 200 patients diagnosed with schizophrenia, schizoaffective disorder or delusional disorder, are studied. the aim is to provide up-to-date costs for a defined patient population with schizopsychotic disorders in Sweden.We identify the actual clinical management of illness and explain cost variability. Costs are combined with information on outcomes and severity of the disorder.Total costs per patient-year amount to 62.320 Euro. Direct costs correspond to 41% and indirect costs to 59% of total costs. Inpatient and outpatient care corresponds to 7% each of total costs, while costs for special housing and assistance at home is estimated to 22% of total costs. Medication only corresponds to 3% of total costs.We conclude that costs differ between patients depending on illness severity. Also a reallocation has taken place during the last 15 years between different cost items, from direct costs to indirect costs and from in-patient care at hospitals to out-patient care and assistance at home. the main cost driver is indirect costs due to decreased working ability and premature death. Special housing and home-assistance is the second largest cost item. In-patient care corresponds to 7% of total costs, which 15 years ago amounted to 50% of total costs. This reflects the change in care of schizopsychotic patients. Instead of treating patients at institutions, patients are now to a large extent living in their own housing but often receiving some kind of assistance at home provided by the local municipality.

scholarly journals Economic burden of main Noncommunicable diseases in the Russian Federation in 2016

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Kontsevaya ◽  
Y Balanova ◽  
M Khudyakov ◽  
A Myrzamatova ◽  
D Mukaneeva ◽  
...  
Keyword(s):  
Health Care ◽  
Russian Federation ◽  
Economic Burden ◽  
Indirect Costs ◽  
Premature Death ◽  
Direct Costs ◽  
Noncommunicable Diseases ◽  
Economic Losses ◽  
Years Of Life Lost ◽  
The Russian Federation

Abstract Aim To estimate the economic burden of noncommunicable diseases (NCDs) in the Russian Federation (RF) in 2016, including the direct costs and the economic losses caused by reduced productivity. Material and Methods We included 4 diseases: cardiovascular, type 2 diabetes, cancer and chronic pulmonary disease (COPD). We used the official statistics data collected by Ministry of health on the number of patients, health care resources utilization (hospitalizations, emergency visits, outpatients’ visits). The costs of health care were obtained from health insurance fund. Directs nonmedical costs included disabilitypayments, calculated based on the number of disabled persons from each group and by the amount of the disability allowance. Indirect costs (economic losses) included decreased productivity due to premature mortality and disability. The potential years of life lost (PYLL) were calculated using the number of life years lost due todeath and disability due to NCDs before 70 years. Human capital approach was used, and calculation were based on the GDP per person. Results Number of PYLL due to premature death from NCDs was estimated to be 8,0 million years. Economic burden because of NCDs in 2016 in the RF reached 3,3 trillion (45.9 billion €), which is equivalent of 3.9% of GDP for this year. Direct costs were responsible only for 13% of losses, indirect costs for 87% of the total burden. CVD were responsible for 81,4% of burden, cancer – for 7,1%, diabetes - 6,5% and COPD for 5,0%. Conclusions The economic burden because of NCDs in the RF in 2016 was 3.3 trillion (3.9% of GDP). Such the significant economic burden and absence of positive dynamics is a strong argument for increasing investments in the prevention and treatment of NCDs. Key messages Number of PYLL due to premature death from NCDs was estimated to be 8,0 million years. Economic burden because of NCDs in 2016 in the RF reached 3,3 trillion (45.9 billion €), which is equivalent of 3.9% of GDP for this year.

scholarly journals Treatment-Resistant Depression and Major Depression With Suicide Risk – The Cost of Illness and Burden of Disease

2021 ◽  
Author(s):  
Rute Dinis Sousa ◽  
Miguel Gouveia ◽  
Catarina Nunes-da-Silva ◽  
Ana Rodrigues ◽  
Graça Cardoso ◽  
...  
Keyword(s):  
Major Depression ◽  
Burden Of Disease ◽  
Suicide Risk ◽  
Disease Burden ◽  
Indirect Costs ◽  
Premature Death ◽  
Direct Costs ◽  
Treatment Resistant Depression ◽  
Treatment Resistant ◽  
Resistant Depression

Abstract Introduction: Treatment-Resistant Depression (TRD) and Major Depression with Suicide Risk (MDSR) are types of depression with relevant effects on the health of the population and a potentially significant economic impact. This study estimates the burden of disease and the costs of illness attributed to Treatment-Resistant Depression and Major Depression with Suicide Risk in Portugal.Methods: The disease burden for adults was quantified in 2017 using the Disability-Adjusted Life Years (DALYs) lost. Direct costs related to the health care system and indirect costs were estimated for 2017, with indirect costs resulting from the reduction in productivity. Estimates were based on multiple sources of information, including the National Epidemiological Study on Mental Health, the Hospital Morbidity Database, data from the Portuguese National Statistics Institute on population and causes of death, official data on wages, statistics on the pharmaceutical market, and qualified opinions of experts.Results: The estimated prevalence of TRD, MDSR, and both types of depression combined was 79.4 thousand, 52.5 thousand, and 11.3 thousand patients, respectively. The disease burden (DALY) due to the disability generated by TRD alone, MDSR alone, and the joint prevalence was 25.2 thousand, 21 thousand, and 4.5 thousand respectively, totaling 50.7 thousand DALYs. The disease burden due to premature death by suicide was 15.6 thousand DALYs. The estimated total disease burden was 66.3 thousand DALYs.In 2017, the annual direct costs with TRD and MDSR were estimated at € 30.8 million, with the most important components being medical appointments and medication. The estimated indirect costs were much higher than the direct costs. Adding work productivity losses due to reduced employment, absenteeism, presenteeism, and premature death, a total cost of € 1,1 billion was obtained.Conclusions: Although TRD and MDSR represent relatively small direct costs for the health system, they have a relevant disease burden and extremely substantial productivity costs for the Portuguese economy and society, making TRD and MDSR priority areas for achieving health gains.

Women and Violence in Africa

2019 ◽  
Author(s):  
Peace A. Medie
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Violence ◽  
Violence Against Women ◽  
Partner Violence ◽  
Intimate Partner ◽  
Women's Movements ◽  
Early Marriage ◽  
Colonial Era ◽  
Genital Mutilation ◽  
Forms Of Violence

Violence, in all of its forms, touches girls and women’s lives in Africa. While there is evidence that girls and women do participate in violence, research has shown that a significant proportion of them have also been victims. Violence against women describes violence inflicted on girls and women because of their gender and includes femicide, rape, intimate partner violence, and human trafficking. It also includes harmful practices such as female genital mutilation and early marriage. While it is a global problem, the levels of some forms of violence against women are particularly high in Africa. The problem is caused by a complex interaction of factors operating at multiple levels, including at the global level. Historical records show that acts of violence against women, including intimate partner violence and non-partner sexual violence, were perpetrated during the colonial era. During this period, perpetrators of non-partner sexual violence included colonial officers and troops under their command. Cases brought before colonial courts sometimes resulted in the conviction of the offender, but sentences were generally light. However, incidents of violence against women were mostly resolved within the family or community, with relatives and traditional leaders playing a central role. The post-independence period has seen increased attention to violence against women. Activism by women’s movements contributed to placing the issue on the agenda of states and of international organizations such as the United Nations. Sexual violence perpetrated by armed actors during wars in the 1990s also served to draw attention to violence against women. Consequently, most African countries have amended colonial-era rape laws and have adopted new legislation to address acts such as intimate partner violence, early marriage, and female genital mutilation. Many of them have also created specialized criminal-justice-sector institutions to address various forms of violence against women. These actions on the part of states have been influenced by women’s movements and by pressure from international organizations such as the United Nations. While this demonstrates progress on the part of African states, there is a large implementation gap in most countries. Thus, girls and women rarely benefit from the progressive laws on the books. This demonstrates that there is much work that needs to be done to address violence against women in Africa.

Ethical, medico-legal & sociocultural issues

2019 ◽  
pp. 15-40
Keyword(s):  
Female Genital Mutilation ◽  
Sexual Exploitation ◽  
Partner Notification ◽  
People Living With Hiv ◽  
Sexual Offences ◽  
Cultural Challenges ◽  
Genital Mutilation ◽  
The Uk ◽  
Living With Hiv ◽  
Sociocultural Issues

This chapter on ethical, medico-legal, and sociocultural issues provides an overview of ethical, legal and cultural challenges that may face any healthcare professional (HCP), but are of particular relevance to those working in sexual health services or caring for people living with HIV. This chapter includes sections on confidentiality and consent, child sexual exploitation (CSE), pertinent legislation, sexual offences, female genital mutilation (FGM), intimate examinations and the use of chaperones, the use of electronic technology, partner notification issues, the official recommendations for people living with HIV working as HCPs in the UK (HIV-infected healthcare workers), and some practical advice in relation to providing written legal statements and court appearances.

Attitudes Toward Intimate Partner Violence Against Women in the European Union: A Systematic Review

2020 ◽  
Vol 25 (2) ◽  
pp. 104-121 ◽  
Author(s):  
Enrique Gracia ◽  
Marisol Lila ◽  
Faraj A. Santirso
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Violence Against Women ◽  
Partner Violence ◽  
Public Health Problem ◽  
Intimate Partner ◽  
Cochrane Library ◽  
Effective Prevention ◽  
Partner Violence Against Women ◽  
The Eu

Abstract. Attitudes toward intimate partner violence against women (IPVAW) are increasingly recognized as central to understanding of this major social and public health problem, and guide the development of more effective prevention efforts. However, to date this area of research is underdeveloped in western societies, and in particular in the EU. The present study aims to provide a systematic review of quantitative studies addressing attitudes toward IPVAW conducted in the EU. The review was conducted through Web of Science, PsychINFO, Medline, EMBASE, PUBMED, and the Cochrane Library, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) recommendations. This review aimed to identify empirical studies conducted in the EU, published in English in peer-reviewed journals from 2000 to 2018, and analyzing attitudes toward IPVAW. A total of 62 of 176 eligible articles were selected according to inclusion criteria. Four sets of attitudes toward IPVAW were identified as the main focus of the studies: legitimation, acceptability, attitudes toward intervention, and perceived severity. Four main research themes regarding attitudes toward IPVAW emerged: correlates of attitudes, attitudes as predictors, validation of scales, and attitude change interventions. Although interest in this research area has been growing in recent years, the systematic review revealed important gaps in current knowledge on attitudes toward IPVAW in the EU that limits its potential to inform public policy. The review outlines directions for future study and suggests that to better inform policy making, these future research efforts would benefit from an EU-level perspective.

Preventing child sexual abuse and the use of child abuse images: the Prevention Project Dunkelfeld as an international perspective

2019 ◽  
Vol 1 (1) ◽  
pp. 61-66 ◽  
Author(s):  
Klaus M. Beier
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Sex Offenders ◽  
Mental Health Professionals ◽  
Child Pornography ◽  
Sexual Exploitation ◽  
International Perspective ◽  
The Body ◽  
World Health ◽  
Sexual Offences

Paedophilia—a sexual preference for the body scheme of pre-pubescent children—is defined as a disorder within the International Classification of Diseases (ICD) of the World Health Organization as well as within the Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association. Contrary to popular belief, not all sex offenders who target children are paedophiles, and not all paedophiles commit sexual offences. But quite obviously paedophilia is an emotionally charged and controversial topic, which might be an explanation for putting it out of focus within the healthcare system. Mental health professionals are mainly (and worldwide) not well trained in terms of assessment methods and intervention techniques available to develop and implement effective policies and practices. This presents an obstacle for prevention, in that proactive strategies to protect children from child sexual abuse and sexual exploitation by online offences, such as the consumption or distribution of child abusive images (so-called child pornography), which emphasises the internationally relevant dimension of the issue. The article will address key concerns and questions in dealing with this clinically relevant population, offer insights into a primary prevention approach developed in Germany, and discuss the situation on a European level.

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