ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2022
Catastrophic Health Expenditure and Mental Health in the Older Chinese Population: The Moderating Role of Social Health Insurance.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 29 citations in OpenAlex.
- Catastrophic health expenditure and commercial health insurance purchase: evidence from China.BMC health services research · 2026Article
- Association of adverse childhood experiences with health service use and catastrophic health expenditures in China: evidence from the China Health and Retirement Longitudinal Study.Environmental health and preventive medicine · 2026Article
- A study on the impact of catastrophic health expenditure on social stability.Frontiers in public health · 2026Article
- Can long-term care insurance reduce catastrophic health and long-term care expenditures among older adults? A quasi-experimental study in China.European journal of ageing · 2025Article
- Association between catastrophic health expenditure and mental health among elderly in China: the potential role of income and social activity.BMC geriatrics · 2025Article
- Household catastrophic health expenditure and depressive mood among Chinese adults, children, and adolescents: a population-based panel study.BMC psychiatry · 2025Article
- Association between catastrophic health expenditure and mortality in older people in 11 European health systems: a longitudinal analysis between 2006 and 2020.BMJ public health · 2025Article
- Social Care Costs of Depressive Symptoms in the English Older Population: Then Role of Housing Quality Improvements.Innovation in aging · 2025Article
- Article
- Catastrophic Health Expenditures for In-State and Out-of-State Abortion Care.JAMA network open · 2024Article
- Examining the Impact of Long-Term Care Insurance on the Care Burden and Labor Market Participation of Informal Carers: A Quasi-Experimental Study in China.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children.International journal for equity in health · 2024Article
- Macro-level socioeconomic factors and mental health in midlife and older adults in China: a multilevel analysis.Frontiers in public health · 2024Article
- Risk factors and clustering of mortality among older adults in the India Human Development Survey.Scientific reports · 2022Article
- Impact of Healthcare Financial Stress on Residents' Subjective Well-Being: Health Status and Household Disposable Income as Mediators.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesCatastrophic health expenditure (CHE) has considerable effects on household living standards, but little is known regarding the relationships between CHE and people's mental health. Using China as an example, this study examines the association between CHE and mental health and investigates whether the association differs between those with and without social health insurance (SHI).
methodsThe data came from 3 waves of the China Health and Retirement Longitudinal Study (2011, 2013, and 2015, N = 13,166). We focused on older people aged 60 and older. We built panel data regression and quantile regression models to analyze the data.
resultsIncurring CHE is significantly associated with poor mental health. The association is weakened among older people receiving SHI, which indicates that SHI has a protective effect. Moreover, the association between CHE and mental health and the protective effect of SHI are stronger among those with mild or moderate mental health problems. DISCUSSION: Our findings provide empirical evidence that encourages the integration of psychologically informed approaches in health services. We also urge governments in low- and middle-income countries to consider more generous health financing mechanisms for older people with greater health care needs.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.