ArticleBMJ open2021
Association between livelihood capital and catastrophic health expenditure among patients with critical illness: a cross-sectional study in rural Shandong, China.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Impact of free health check-ups on elderly healthcare utilization and health: a pooled cross-sectional study.BMC geriatrics · 2025Article
- Can supplementary private health insurance reduce vulnerability to expected poverty and catastrophic health expenditure in China?International journal for equity in health · 2025Article
- Can supplementary private health insurance reduce poverty vulnerability? Evidence from Shandong Province.BMC public health · 2025Article
- Estimating weight for multidimensional health poverty using Delphi method and analytic hierarchy process: a case of China.BMC public health · 2024Article
- A study on the factors influencing the vulnerability of women of childbearing age to health poverty in rural western China.Scientific reports · 2024Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of this study is to examine the association between livelihood capital and catastrophic health expenditure (CHE).
designBetween July and August 2019, a cross-sectional study was conducted in critically ill patients.
settingShandong, China.
participants1041 households with critically ill patients from 77 villages. PRIMARY AND SECONDARY OUTCOME MEASURES: We defined expenditure as being catastrophic if a household's out-of-pocket payments were greater than or equal to 40% of their capacity to pay. Using the sustainable livelihoods framework, this study explored the associations between CHE and the various forms of livelihood capital-inclusive of human capital, natural capital, physical capital, financial capital and social capital. χ
resultsThe incidence of CHE among households with critically ill patients was 76.37% in this study. Better livelihood capital was significantly associated with lower incidence of CHE. After controlling for confounding factors, households with healthier patients (OR 0.47, 95% CI 0.23 to 0.96), more real estate ownership (OR 0.35, 95% CI 0.19 to 0.67) and better economic status (OR 0.33, 95% CI 0.18 to 0.62) were associated with a reduction in the occurrence of CHE.
conclusionsLivelihood capital was significantly associated with CHE in rural families with critically ill patients. This association suggests that, in addition to providing health insurance to the critically ill, more attention should be paid to their ability to create and preserve livelihood capital.
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