Impact of socio-economic factors on healthcare expenditures of vulnerable elderly people in morocco

In 1960, Morocco had 835,000 individuals aged 60 and over. By 2023, this number had risen to 4.9 million, and it is projected to reach 10.1 million by 2050. To understand the implications of this demographic shift, data from the 2013/2014 HCP-ENCDM survey were used to analyze the impact of socio-eco...

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Main Authors: Said Loucifi, Abdelkader Salmi, Mohammed Saber Hassainate
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Archives of Gerontology and Geriatrics Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950307825000281
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author Said Loucifi
Abdelkader Salmi
Mohammed Saber Hassainate
author_facet Said Loucifi
Abdelkader Salmi
Mohammed Saber Hassainate
author_sort Said Loucifi
collection DOAJ
description In 1960, Morocco had 835,000 individuals aged 60 and over. By 2023, this number had risen to 4.9 million, and it is projected to reach 10.1 million by 2050. To understand the implications of this demographic shift, data from the 2013/2014 HCP-ENCDM survey were used to analyze the impact of socio-economic factors on the annual healthcare expenditures of vulnerable elderly households and their standard of living. Specifically, this study examined differences in healthcare expenditures by region, area of residence (urban vs. rural), gender, household size, profession, and education level of the household head. Due to significant departures from normality and heterogeneity of variances across groups, nonparametric tests including the Mann–Whitney U test and the Kruskal–Wallis test with subsequent pairwise comparisons were employed. The findings reveal statistically significant differences in healthcare expenditures across all examined socio-economic dimensions. These results highlight the critical role of local economic conditions, access to healthcare, and social determinants in shaping expenditure patterns among vulnerable elderly households. Ultimately, the study emphasizes the importance of developing tailored public health policies to address these disparities and promote equitable access to healthcare services.
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spelling doaj-art-9ac74b191be04c8390bdececf6aea19a2025-08-20T01:57:12ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782025-06-012210014610.1016/j.aggp.2025.100146Impact of socio-economic factors on healthcare expenditures of vulnerable elderly people in moroccoSaid Loucifi0Abdelkader Salmi1Mohammed Saber Hassainate2Corresponding author.; Mohammed V University in Rabat, MoroccoMohammed V University in Rabat, MoroccoMohammed V University in Rabat, MoroccoIn 1960, Morocco had 835,000 individuals aged 60 and over. By 2023, this number had risen to 4.9 million, and it is projected to reach 10.1 million by 2050. To understand the implications of this demographic shift, data from the 2013/2014 HCP-ENCDM survey were used to analyze the impact of socio-economic factors on the annual healthcare expenditures of vulnerable elderly households and their standard of living. Specifically, this study examined differences in healthcare expenditures by region, area of residence (urban vs. rural), gender, household size, profession, and education level of the household head. Due to significant departures from normality and heterogeneity of variances across groups, nonparametric tests including the Mann–Whitney U test and the Kruskal–Wallis test with subsequent pairwise comparisons were employed. The findings reveal statistically significant differences in healthcare expenditures across all examined socio-economic dimensions. These results highlight the critical role of local economic conditions, access to healthcare, and social determinants in shaping expenditure patterns among vulnerable elderly households. Ultimately, the study emphasizes the importance of developing tailored public health policies to address these disparities and promote equitable access to healthcare services.http://www.sciencedirect.com/science/article/pii/S2950307825000281ElderlyVulnerable individualsHealthcare expendituresKruskal–Wallis testMann–Whitney U
spellingShingle Said Loucifi
Abdelkader Salmi
Mohammed Saber Hassainate
Impact of socio-economic factors on healthcare expenditures of vulnerable elderly people in morocco
Archives of Gerontology and Geriatrics Plus
Elderly
Vulnerable individuals
Healthcare expenditures
Kruskal–Wallis test
Mann–Whitney U
title Impact of socio-economic factors on healthcare expenditures of vulnerable elderly people in morocco
title_full Impact of socio-economic factors on healthcare expenditures of vulnerable elderly people in morocco
title_fullStr Impact of socio-economic factors on healthcare expenditures of vulnerable elderly people in morocco
title_full_unstemmed Impact of socio-economic factors on healthcare expenditures of vulnerable elderly people in morocco
title_short Impact of socio-economic factors on healthcare expenditures of vulnerable elderly people in morocco
title_sort impact of socio economic factors on healthcare expenditures of vulnerable elderly people in morocco
topic Elderly
Vulnerable individuals
Healthcare expenditures
Kruskal–Wallis test
Mann–Whitney U
url http://www.sciencedirect.com/science/article/pii/S2950307825000281
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AT mohammedsaberhassainate impactofsocioeconomicfactorsonhealthcareexpendituresofvulnerableelderlypeopleinmorocco