School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
Swinburne Business School, Swinburne University of Technology, Melbourne, VIC, Australia.
Front Public Health. 2021 Apr 20;9:658830. doi: 10.3389/fpubh.2021.658830. eCollection 2021.
The economic support of elderly patients with chronic diseases may affect their health status. This study assessed the impact of economic support on the health status of elderly patients with chronic diseases in China and explored the relationship between regional economic differences and the impact of economic support on health status. This study used the data of 3,416 elderly patients with chronic diseases from the China Health and Retirement Longitudinal Study (CHARLS) in 2018. Logit model and stepwise regression method were used to analyze and compare the influence of economic support on self-rated health, mental health, and activities of daily living (ADL) of elderly patients with chronic diseases. Sub-regional comparison was used for the research of regional differences in the impact of economic support on health. we find that economic support has a positive effect on the health status of elderly patients with chronic diseases in China. Socioeconomic support has a positive effect on self-rated health and mental health of elderly patients with chronic diseases, and the effect on activities of daily living (ADL) is no longer significant after the gradual inclusion of control variables. Family economic support has no significant impact on the health dimensions of elderly patients with chronic diseases. With respect to regional differences, socioeconomic support can improve mental health in central China and improve self-rated health in western China, while it can improve overall health status in eastern China. The influence of family economic support on different health dimensions in different regions is still insignificant. The health status of elderly patients with chronic diseases is affected by socioeconomic support in China. In order to improve the health of elderly patients with chronic diseases, it is necessary to increase socioeconomic support. Meanwhile, it is also essential to pay attention to the differences in economic support between different regions and increase the socioeconomic support for elderly patients with chronic diseases in undeveloped regions so as to improve their health status.
经济支持对慢性病老年患者的健康状况可能会产生影响。本研究评估了经济支持对中国慢性病老年患者健康状况的影响,并探讨了区域经济差异与经济支持对健康状况影响之间的关系。本研究使用了 2018 年中国健康与退休纵向研究(CHARLS)中 3416 名慢性病老年患者的数据。采用 Logit 模型和逐步回归方法,分析和比较了经济支持对慢性病老年患者自评健康、心理健康和日常生活活动能力(ADL)的影响。采用亚区比较研究经济支持对健康影响的区域差异。结果表明,经济支持对中国慢性病老年患者的健康状况有积极影响。社会经济支持对慢性病老年患者的自评健康和心理健康有积极影响,在逐步纳入控制变量后,对日常生活活动能力(ADL)的影响不再显著。家庭经济支持对慢性病老年患者的健康维度没有显著影响。关于区域差异,社会经济支持可以改善中国中部地区的心理健康,改善西部地区的自评健康,而可以改善中国东部地区的整体健康状况。家庭经济支持对不同地区不同健康维度的影响仍然不显著。中国慢性病老年患者的健康状况受到社会经济支持的影响。为了改善慢性病老年患者的健康状况,有必要增加社会经济支持。同时,还必须关注不同地区经济支持的差异,增加欠发达地区慢性病老年患者的社会经济支持,以改善他们的健康状况。