Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children

Autor: Jiayan Li, Tingting Gao, Dan Zhao, Shujun Chai, Jingjing Luo, Xuehong Wang, Xueqing Wang, Jingjie Sun, Peilong Li, Chengchao Zhou
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: International Journal for Equity in Health, Vol 23, Iss 1, Pp 1-10 (2024)
Druh dokumentu: article
ISSN: 1475-9276
DOI: 10.1186/s12939-023-02057-4
Popis: Abstract Background Catastrophic health expenditure (CHE) has a considerable impact on older people in later life, but little is known about the relationship between catastrophic health expenditure and health-related quality of life (HRQOL). The aim of this study was to examine the relationship between catastrophic health expenditure and health-related quality of life in older people, and to explore whether the daily care provided by adult children is a moderator in this relationship. Methods Data from the sixth National Health Services Survey in Shandong Province, China. The sample consisted of 8599 elderly people (age ≥ 60 years; 51.7% of female). Health-related quality of life was measured by the health utility value of EQ-5D-3 L. Interaction effects were analyzed using Tobit regression models and marginal effects analysis. Results The catastrophic health expenditure prevalence was 60.5% among older people in Shandong, China. catastrophic health expenditure was significantly associated with lower health-related quality of life (β= − 0.142, P
Databáze: Directory of Open Access Journals
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