ArticlePloS one2021
Association between social determinants of health and direct economic burden on middle-aged and elderly individuals living with diabetes in China.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- The economic burden of Type 2 Diabetes by social determinants of health: A systematic review.PloS one · 2026Pooled it
- Multidimensional drivers of diabetes prevalence among middle-aged and elderly in China: from a geographical perspective.Diabetology & metabolic syndrome · 2026Article
- Chronic diseases and depressive symptoms in China: a psychosocial mechanism perspective.Frontiers in public health · 2025Article
- Depressive symptoms of older adults with chronic diseases: the mediating roles of activities of daily living and economic burden of diseases.Frontiers in psychology · 2024Article
- Association between chronic diseases and depression in the middle-aged and older adult Chinese population-a seven-year follow-up study based on CHARLS.Frontiers in public health · 2023Article
- Latent Profile Analysis of Self-Supporting Ability among Rural Empty-Nesters in Northwestern China.International journal of environmental research and public health · 2022Article
- Exercise motivation and quality of life among the elderly during the COVID-19 pandemic.Journal of medicine and life · 2022Article
- Review
- Lower handgrip strength levels probably precede triglyceride glucose index and associated with diabetes in men not in women.Journal of diabetes investigation · 2022Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this study was to determine the association between social determinants of health and direct economic burden on Chinese middle-aged and elderly individuals living with diabetes in China.
methodsThis study used data from the baseline wave of The China Health and Retirement Longitudinal Study (CHARLS) database, covering 17,708 middle-aged and elderly residents in China. The population with diabetes was grouped into those diagnosed with diabetes mellitus (DDM) and those undiagnosed with diabetes mellitus (UDM). Direct economic cost data, including total direct medical costs (TC) and out-of-pocket (OOP) payments, were extracted as outcome variables. A two-part model was applied to analyze the association between social determinants of health and direct economic burden.
resultsIn our analysis, we included 958 patients with DDM and 1,285 patients with UDM. The mean TC and OOP payments were 11,193 CNY (US $1,733; 6.46 CNY = 1 USD) and 7,266 CNY (US $1,125) in DDM patients, and 3,700 CNY (US $573) and 3,060 CNY (US $474) in UDM patients. Rural-urban status (p<0.05), regional status (p<0.05), household personal consumption expenditures (p<0.05), and comorbidities(p<0.05) were crucial factors associated with medical costs in people with diabetes.
conclusionAlthough progress has been made in the development of current health policies intended to contain the direct economic burden of diabetes, the gaps in that burden in populations with different social characteristics remains a burning issue. More policy breakthroughs are needed to achieve health equity.
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