Mental health and catastrophic health expenditures in conflict-affected regions of Colombia before and during COVID-19: an inequalities perspective.

ABSTRACT: The objective of this study is to analyze the changes in catastrophic health expenditures (CHE) and out-of-pocket expenditures (OOP) before and during the COVID-19 pandemic, as well as to examine their determinants in Meta, Colombia, a region affected by armed conflict. We used data from the Conflicto, Paz y Salud (CONPAS) survey and applied mixed-effects logistic regression models. The analysis places particular emphasis on mental health as a key determinant, comparing the odds of incurring OOP and CHE between individuals with and without a tendency to present mental health disorders (SRQ + versus SRQ-).The results show that the odds of incurring CHE increased in 2020 compared to 2018, while the odds of incurring OOP decreased during the same period. Individuals living in less wealthy hou

SUBMITTER: Leon-Giraldo S 

PROVIDER: S-EPMC12100806 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature