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慢性病老年人的多维健康状况及其对医疗消费行为的影响:来自中国健康与养老追踪调查(CHARLS)的证据

Multidimensional health status and its impact on health care consumption behavior among elderly people with chronic diseases: evidence from CHARLS in China.

作者信息

Wang Qi, Zhang Yuanyuan, Miao Xin, Chen Jinao, Zhang Linlin

机构信息

School of Medical and Health Engineering, Changzhou University, Changzhou, Jiangsu, China.

Department of Nursing, Changzhou University, Changzhou, Jiangsu, China.

出版信息

Front Psychol. 2025 Apr 16;16:1543982. doi: 10.3389/fpsyg.2025.1543982. eCollection 2025.

DOI:10.3389/fpsyg.2025.1543982
PMID:40309209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12042454/
Abstract

PURPOSE

This study aims to provide a comprehensive understanding of the multidimensional health status of elderly individuals with chronic diseases in China and examine its impact on their healthcare consumption behavior.

METHODS

A chi-square test was conducted to assess the variations in healthcare consumption behavior across different multidimensional health categories. Additionally, a logistic regression model was employed to identify the key determinants influencing healthcare consumption among elderly individuals with chronic diseases from a multidimensional health perspective.

RESULTS

The chi-square test results indicated a statistically significant association between multidimensional health and healthcare consumption behavior ( < 0.05). Furthermore, the logistic regression analysis identified dyslipidemia, regular participation in social activities, and children's financial support (≥¥5,801 yuan per year) as significant contributors to healthcare consumption behavior among elderly individuals with chronic conditions ( < 0.05).

CONCLUSION

The findings of this study suggest that both physical and social health play a positive role in enhancing healthcare consumption behavior among elderly individuals with chronic diseases ( < 0.05). These results highlight the importance of targeted policy interventions that integrate physical health management and social engagement strategies to improve healthcare accessibility and utilization in this population.

摘要

目的

本研究旨在全面了解中国慢性病老年患者的多维健康状况,并考察其对医疗消费行为的影响。

方法

进行卡方检验以评估不同多维健康类别中医疗消费行为的差异。此外,采用逻辑回归模型从多维健康角度识别影响慢性病老年患者医疗消费的关键决定因素。

结果

卡方检验结果表明多维健康与医疗消费行为之间存在统计学上的显著关联(<0.05)。此外,逻辑回归分析确定血脂异常、经常参加社交活动以及子女的经济支持(每年≥5801元)是慢性病老年患者医疗消费行为的重要影响因素(<0.05)。

结论

本研究结果表明,身体健康和社会健康在增强慢性病老年患者的医疗消费行为方面均发挥着积极作用(<0.05)。这些结果凸显了有针对性的政策干预措施的重要性,这些措施整合了身体健康管理和社会参与策略,以提高这一人群的医疗可及性和利用率。