Association of Depressive Symptoms With Health Service Use and Catastrophic Health Expenditure Among Middle-Aged and Older Chinese Adults: Analysis of Population-Based Panel Data

医学 医疗开支小组调查 人均 萧条(经济学) 优势比 人口 医疗保健 纵向研究 环境卫生 老年学 人口学 健康保险 经济 经济增长 社会学 病理 宏观经济学
作者
Rui Yan,Lifeng Li,Xiaoran Duan,Jie Zhao
出处
期刊:Journal of the American Medical Directors Association [Elsevier BV]
卷期号:24 (5): 664-671.e7 被引量:4
标识
DOI:10.1016/j.jamda.2022.11.018
摘要

To determine the impact of depressive symptoms on health service use and catastrophic health expenditure, and whether it varied by per-capita household consumption, health insurance schemes, and physical comorbidities.Population-based panel data analysis.Participants were 8585 adults aged 45 years and older in 2011, and had completed a follow-up survey in 2013, 2015, and 2018 from the China Health and Retirement Longitudinal Study (CHARLS).Depressive symptoms were assessed using the short form of the Center for Epidemiologic Studies Depression Scale. The number of outpatient visits and inpatient hospital days were used as proxies for health service use. When households' out-of-pocket spending on health was 40% or above its total expenditure, it was defined as a catastrophic health expenditure. With the panel data approach, random-effects negative binomial regression and logistic regression were used to analyze the effect of depressive symptoms on health service use and health care expenditure, respectively.Depressive symptoms were associated with increased number of outpatient visits (incidence rate ratio 1.52; 95% CI 1.44-1.60) and days spent in the hospital as an inpatient (1.52; 1.43-1.62). Depressive symptoms were also associated with a significantly increased likelihood of catastrophic health expenditure (odds ratio 1.54; 95% CI 1.43-1.66). Their effect on outpatient visits, inpatient hospital days, and catastrophic health expenditure persisted in different age, per-capita household consumption, and physical comorbidities groups, and across all health insurance programs.Depressive symptoms were risk indicators that can drive health service use and household financial stress. Given the rapidly aging population in China, there is an urgent need to integrate mental health care into routine physical examinations to alleviate the economic impacts of depressive symptoms on individuals in China. specifically for individuals with physical comorbidities and in poorer socioeconomic conditions.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
狂野萤完成签到,获得积分0
1秒前
pawn发布了新的文献求助10
1秒前
清爽胖飞发布了新的文献求助10
1秒前
多肽专家完成签到,获得积分10
2秒前
3秒前
活泼的花生完成签到,获得积分10
3秒前
CipherSage应助jun采纳,获得10
3秒前
www完成签到 ,获得积分10
3秒前
蒙开心完成签到 ,获得积分10
3秒前
郭聪慧发布了新的文献求助10
4秒前
传奇3应助忧心的不二采纳,获得10
4秒前
huazhangchina发布了新的文献求助30
5秒前
三新荞完成签到,获得积分10
5秒前
elysia发布了新的文献求助10
5秒前
小二郎应助leslie采纳,获得10
6秒前
陈有游发布了新的文献求助10
6秒前
6秒前
思源应助hhchhcmxhf采纳,获得10
6秒前
7秒前
优美元瑶完成签到,获得积分10
7秒前
8秒前
8秒前
9秒前
10秒前
QQ完成签到,获得积分10
10秒前
蓝胖胖蓝完成签到,获得积分10
10秒前
jun完成签到,获得积分10
10秒前
theseus完成签到,获得积分10
11秒前
11秒前
烂漫成仁完成签到,获得积分10
11秒前
12秒前
孤独曲奇完成签到,获得积分10
12秒前
12秒前
文献菜鸟发布了新的文献求助10
14秒前
bing发布了新的文献求助10
14秒前
Ava应助zz采纳,获得10
14秒前
郁香薇发布了新的文献求助10
14秒前
czm33发布了新的文献求助10
14秒前
希望天下0贩的0应助you采纳,获得10
14秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 360
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3970843
求助须知:如何正确求助?哪些是违规求助? 3515550
关于积分的说明 11178897
捐赠科研通 3250660
什么是DOI,文献DOI怎么找? 1795393
邀请新用户注册赠送积分活动 875828
科研通“疑难数据库(出版商)”最低求助积分说明 805188