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Table 2 Annual direct and indirect cost by socio-demographic characteristics of the patients utilizing outpatient and inpatient care

From: Cost of diabetes and its complications: results from a STEPS survey in Punjab, India

Socio-demographic variable

Outpatient care

Inpatient care

Direct cost

Indirect cost

Direct cost

Indirect cost

₹Mean (median)

p-Value

Mean (median)

p-Value

₹Mean (median)

p-Value

Mean (median)

p-Value

Region

Urban

40,752 (30,000)*

0.000

9030 (9000)*

0.011

40,643* (24,000)

0.002

4618* (3000)

0.035

Rural

24,252 (18,000)

7884 (7200)

23,568 (10,000)

3160 (2400)

Gender

Male

34,080 (30,000)

0.009

9600 (8400)

0.811

45,045 (23,000)

0.117

4980* (3200)

0.007

Female

37,140 (30,000)*

10,236 (8400)

27,269 (20,000)

3511 (2500)

Age

Below 20 years

52,104 (30,000)**

0.009

10,704 (9600)

0.234

17,750 (16,500)

0.001

2900 (2900)

0.301

21–40 years

37,368 (36,000)

11,124 (8400)

11,119 (6000)

2487 (2000)

41–60 years

34,704 (30,000)

10,176 (8400)

35,169 (21,600)

4133 (3000)

60 years and Above

33,960 (26,400)

8280 (7200)

41,482** (24,000)

4818 (3000)

Marital status

Single

35,604 (33,600)

0.359

9672 (8400)

0.221

35,946 (22,000)

0.601

3937 (3000)

0.625

Married

35,196 (30,000)

9852 (8400)

35,972 (20,000)

4218 (2900)

Education

Illiterate

22,116 (18,000)

0.000

6516 (5400)

0.000

33,200 (22,000)

0.336

4170 (1200)

0.056

Primary

26,784 (22,500)

8004 (7200)

27,518 (18,500)

3179 (2400)

Secondary

36,288 (30,000)

8664 (7200)

39,324 (23,500)

4706 (3000)

Graduation

41,940 (36,000)

11,448 (9600)

35,229 (20,000)

4845 (3200)

Post-graduation

50,496 (49,600)

15,912 (14,400)

59,364 (30,000)

3778 (4000)

Other’s

52,320** (51,400)

16,800** (14,400)

64,000 (64,000)

1400 (1200)

Work status

Salaried

41,352 (39,600)

0.000

11,788 (8400)

0.001

21,581 (14,000)

0.008

3747 (3200)

0.000

Business

35,508 (30,000)

8556 (8400)

53,808** (32,000)

5851** (4800)

Student

47,664** (43,956)

12,156** (9600)

16,033 (16,500)

2591 (3000)

Homemaker

33,768 (27,000)

9912 (8400)

27,197 (18,500)

3431 (2400)

Retired

39,732 (32,400)

11,172 (8400)

32,236 (22,000)

3873 (3350)

Other’s

19,692 (15,600)

6204 (6000)

26,225 (29,500)

2590 (2500)

Income

Less than ₹15,000

17,964 (14,400)

0.000

6036 (6000)

0.000

17,467 (15,000)

0.000

1918 (2000)

0.000

₹15,000–₹30,000

28,188 (25,800)

8244 (7200)

28,799 (17,000)

3578 (2500)

₹30,000–₹45,000

37,368 (34,800)

9420 (8400)

30,732 (20,000)

4132 (3200)

₹45,000–₹60,000

43,752 (38,400)

10,260 (9600)

53,633 (32,600)

5196 (4000)

₹60,000 and above

55,788** (51,600)

16,080** (12,000)

57,394** (35,000)

7162** (5250)

Family type

Nuclear

32,784 (28,800)

0.065

10,116 (8400)

0.489

34,512 (20,000)

0.628

4288 (3000)

0.932

Joint

37,452 (30,000)

9552 (8400)

37,254 (23,000)

4267 (3000)

History of diabetes

Yes

36,936* (32,700)

0.013

9948 (8400)

0.804

37,104* (24,000)

0.024

3942 (3000)

0.336

NO

33,336 (26,400)

9636 (8400)

34,761 (18,500)

4665 (2600)

Complications

Yes

41,940* (36,000)

0.000

10,728* (9600)

0.004

41,875* (25,000)

0.000

4819* (3000)

0.001

NO

28,032 (24,000)

8460 (7200)

15,162 (11,000)

2525 (2400)

Household size

Upto 3 Members

34,896 (32,400)

0.012

9576 (8400)

0.851

27,169 (18,500)

0.028

3654 (2000)

0.508

4–6 Members

33,156 (29,400)

9804 (9600)

30,661 (18,500)

3964 (3000)

6 Members and Above

41,592** (30,000)

9948 (9600)

52,219** (31,400)

5302 (3000)

  1. Source: Authors calculation established on primary data
  2. Direct cost includes consultation fees, medicine expenditure, hospitalization fees, diagnostic expenditure, transportation costs, food and other materials and others (specify)
  3. Indirect cost includes the patient’s wage loss and the wage loss of the accompanying person
  4. *Mann Whitney U test and **Kruskal Wallis test done for group comparison; p-value was considered significant at p < 0.05