Valuation of Costs in Health Economics During Financial and Economic Crises: A Case Study from Lebanon

Dahham, Jalal; Kremer, Ingrid; Hiligsmann, Mickaël; Hamdan, Kamal; Nassereddine, Abdallah; Evers, Silvia M. A. A.; Rizk, Rana

doi:10.1007/s40258-022-00769-2

Cited by 9 publications

(6 citation statements)

References 25 publications

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“…On the other hand, Lebanon, a developing Mediterranean country, is currently facing one of the worst economic crises globally [ 21 ]. Several factors are heavily affecting the Lebanese population’s socioeconomic status and represent a principal source of stress, including the restrictions on bank withdrawals, which prevent people from accessing their savings, the currency devaluation of more than 90%, the soaring inflation [ 22 ], political turmoil, and security issues.…”

Section: Introductionmentioning

confidence: 99%

Assessing the relationship between food insecurity and lifestyle behaviors among university students: a comparative study between Lebanon and Germany

Rizk

Haddad

Sacre³

et al. 2023

BMC Public Health

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Background Food insecurity is a common public health problem in both developed and developing countries. This study aimed to profile food insecurity among university students in a developed country with stable economic circumstances (Germany) and a developing Mediterranean country undergoing a severe economic and financial crisis (Lebanon) and examine the associations between food insecurity and lifestyle behaviors (i.e., physical activity, sleep, and adherence to a healthy eating pattern, such as the Mediterranean diet), stress, and financial well-being. Method This online cross-sectional study was conducted between September 2021 and March 2022. Subjects were recruited through social media platforms (Facebook, WhatsApp, Instagram, and personal email) and in-class announcements by several university professors of various majors and from different universities in Lebanon and Germany. The final sample included 547 participants (197 from Lebanon and 350 from Germany). Results Our findings showed a higher food insecurity rate in Lebanon compared with Germany (59% versus 33%). In the bivariate analysis, food insecurity was associated with insomnia (r = 0.230; p < 0.001) and stress (r = 0.225; p = 0.001); German university students had higher physical activity (p < 0.001), better diet quality (p < 0.001), and lower adherence to the Mediterranean diet (p < 0001) than Lebanese students. In the multivariable analyses, more stress was related to insomnia (B = 0.178; p < 0.001), while financial well-being was not associated with any of the lifestyle behaviors. Physical activity, insomnia, and Mediterranean diet adherence were not associated with the country or food insecurity (p > 0.05); however, living in Germany was associated with better diet quality (B = -7.85; p < 0.001). Conclusion The high prevalence of food insecurity reported in this study is alarming, particularly among Lebanese students; German students had better diet quality and higher physical activity but worse adherence to the Mediterranean diet. Moreover, food insecurity was also associated with worse sleep and stress. Further studies are necessary to assess the role of food insecurity as a mediating factor between sociodemographic characteristics and lifestyle behaviors.

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Section: Introductionmentioning

confidence: 99%

Assessing the relationship between food insecurity and lifestyle behaviors among university students: a comparative study between Lebanon and Germany

Rizk

Haddad

Sacre³

et al. 2023

BMC Public Health

Self Cite

View full text Add to dashboard Cite

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“…Unexpectedly, our mean scores were high, despite the fact that data on HRQoL were collected amid triple disasters in Lebanon, comprising the economic and nancial crisis, the COVID-19 pandemic, and the aftermath of the explosion of Beirut's port [35]. Our results show that in ation progression per quarter during the period of data collection was not signi cantly associated with QoL.…”

Section: Discussionmentioning

confidence: 55%

Health-related Quality of Life and Utilities among Lebanese Patients with Multiple Sclerosis: A cross-sectional study

Dahham

Hiligsmann

Kremer

et al. 2023

Preprint

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Objective This study assessed the Health-Related Quality of Life (HRQoL) and utilities of Multiple Sclerosis (MS) patients in Lebanon using generic and MS-specific QoL instruments, categorized by disease severity, and explored factors associated with HRQoL.Methods This was a cross-sectional, retrospective HRQoL study collecting data through face-to-face interviews using the EQ-5D-5L and the Multiple Sclerosis International Quality of Life (MusiQoL) questionnaires. We enrolled Lebanese patients aged ≥ 18 years, diagnosed with MS for > 6 months. Patients were categorized by disease severity using the expanded disability status scale (EDSS) scores: 0–3 (mild MS), 4–6.5 (moderate MS), and 7–9 (severe MS). Bivariate and linear regression analyses were performed to study factors associated with HRQoL.Results A total of 210 patients (mean age: 43.3 years; 65.7% females) were included. The mean EQ-5D-5L utility score was 0.74. This score decreased significantly with disease severity (p < 0.001 for the trend): 0.93, 0.60, and 0.32 for mild, moderate, and severe MS, respectively. The mean MusiQoL global index score was 71.33 and was significantly lower for severe MS (58.68), than for moderate (65.23) and mild (77.80), (p < 0.001 for the trend). Higher educational level, lower EDSS score, and longer disease duration were associated significantly with a higher EQ-5D-5L utility (R2 = 0.67), while employment, lower EDSS scores, and decrease in cognitive difficulties were associated with better MusiQoL utility (R2 = 0.46).Conclusions This study reveals a significant and gradual deterioration in HRQoL as MS progresses, resulting in low utility scores for patients with severe MS.

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“…Around 30% of its population is made up of Syrian refugees (Figure 6). Being hit by a long-running economic and financial crisis, a pandemic, and a Beirut food grain store blast in 2020, more than 50% of the population in the country lives below the poverty line (Dahham et al, 2022;UNHCR, 2022b). According to the World Bank's recent data, Lebanon was one of the top four countries with the highest food inflation in 2012 (Daily Mirror, 2002).…”

Section: (D) the War-weary Afghanistanmentioning

confidence: 99%

Healthcare Challenges due to Global Conflict Escalation Amid the Pandemic, Climate, and Economic Dilemmas

Mohiuddin¹

2023

Preprint

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Aim: Shockwaves have been felt all over the world as a result of war, inflation, food shortages, and the COVID-19 pandemic's long tail. The aim of the study is to correlate present global conflicts, pandemic and socio-economic crises with present healthcare sustainability, identifying possible threats and visualize future global health crises if all these catastrophes persist for long. Materials and Methods: PubMed, ALTAVISTA, Embase, Scopus, Web of Science, and the Cochrane Central Registers were prioritized to collect public health issues. Results: The global economic slowdown, sharp decline in financial asset values, decline in imports and exports, contraction of industrial production, rise in inflation, decrease in wages, rise in unemployment, damage to the social security caused by numerous natural calamities, human displacement due to pandemic and ongoing conflicts tear down not only the economic sector but also the health sector. It is already late for taking corrective measure by the participation every country, community or intelligence. Only healthcare issues, highlighted in this study, if focused in the highest platforms, could compel global leaders to forego conflicts and work together. Conclusion: The global health sector will be collapsed soon, if proper initiatives are not taken right now, which has already been grossly mistreated by the pandemic.

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Valuation of Costs in Health Economics During Financial and Economic Crises: A Case Study from Lebanon

Cited by 9 publications

References 25 publications

Assessing the relationship between food insecurity and lifestyle behaviors among university students: a comparative study between Lebanon and Germany

Assessing the relationship between food insecurity and lifestyle behaviors among university students: a comparative study between Lebanon and Germany

Health-related Quality of Life and Utilities among Lebanese Patients with Multiple Sclerosis: A cross-sectional study

Healthcare Challenges due to Global Conflict Escalation Amid the Pandemic, Climate, and Economic Dilemmas

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