Do medical treatment choices affect the health of chronic patients in middle and old age in China?—Evidence from CHARLS 2018

Tang, Shaoliang; Gong, Ying; Yao, Ling; Xu, Yun; Liu, Meixian; Yang, Tongling; Ye, Chaoyu; Bai, Yamei

doi:10.1186/s12889-022-13309-3

Cited by 4 publications

(4 citation statements)

References 47 publications

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“…This approach is designed to help them avoid illnesses, improve their overall fitness, and strengthen their health, ultimately preventing the onset or worsening of chronic conditions that could lead to incapacitation. By promoting the widespread adoption of specialized diagnostic and therapeutic technologies in Chinese medicine—including traditional herbs, acupuncture, massage, and cupping—it is possible to enhance the effectiveness of both preventive and curative measures ( Tang et al, 2022a , b ). This approach aims to further bolster the physical and mental well-being of older adults.…”

Section: Discussionmentioning

confidence: 99%

“…Firstly, it set a filtering section that can exclude invalid samples. Secondly, CHARLS conducted the sample through four phases at the county (district)-village (residential)-household-individual level ( Tang et al, 2022a , b ). CHARLS used the Probability Proportional to Size (PPS) method for sampling at two levels: county (districts)-village (residential).…”

Section: Methodsmentioning

confidence: 99%

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Depressive symptoms of older adults with chronic diseases: the mediating roles of activities of daily living and economic burden of diseases

Ni,

Zhu,

Tian

et al. 2024

Front. Psychol.

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ObjectiveTo explore the mediating roles of activities of daily living (ADL) and economic burden of diseases in the relationship between chronic diseases and depressive symptoms of older adults.MethodsThe data were sourced from China Health and Retirement Longitudinal Study (CHARLS). The number of chronic diseases, ADL, out-of-pocket medical expenses and the Center for Epidemiological Studies Depression Scale (CES-D) were selected as measuring indexes. Mediation analysis was conducted to explore the potential mediating roles of ADL and economic burden of diseases in the association between chronic diseases and depressive symptoms.ResultsThe number of chronic diseases, ADL, economic burden of diseases and depressive symptoms of older adults were significantly correlated with each other. ADL and economic burden of diseases individually mediated the relationship between the number of chronic diseases and depressive symptoms, accounting for 31.460% and 5.471% of the total effect, respectively. Additionally, ADL and economic burden of diseases demonstrated a chain mediating effect in this relationship, contributing to 0.759% of the total effect.ConclusionThe chain-mediated model effectively elucidated the mediating roles of ADL and economic burden of diseases in the association between chronic diseases and depressive symptoms among older adults. The study underscores the need for policymakers to focus attentively on the mental health of older adults with chronic diseases. Enhancing the capacity for ADL and strengthening social security to mitigate the economic burden of diseases are recommended strategies to alleviate depressive symptoms in older adults.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Depressive symptoms of older adults with chronic diseases: the mediating roles of activities of daily living and economic burden of diseases

Ni,

Zhu,

Tian

et al. 2024

Front. Psychol.

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“…To summarize, this research differed from previous studies in three significant ways. Firstly, only rural elderly with chronic diseases were eligible in the study cohort, whereas previous studies hadn't distinguished between urban and rural elderly, who receive varying types of pension scheme [ 43 ]. Some studies had included rural older adults, with subgroup analyses of region or income level, yet had failed to consider chronic disease as a significant subgrouping factor [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Do the New Rural Pension Scheme promote the health status of chronic patients in old age? —Evidence from CHARLS 2018 in China

Liang,

Chen,

Zhang

et al. 2023

BMC Public Health

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Background Many researchers have examined the impact of social insurance on health in elderly. However, in most cases, they have only demonstrated correlational results and have not been able to determine causal effects, possibly because confounding biases have not been fully addressed. In this study, we investigated the health effects of the New Rural Pension Scheme (NRPS) on the elderly (age≥60 years old) with chronic diseases in rural areas, and to explore the causal relationship and effects of NRPS and health status. Methods This paper used data from the 2018 China Health and Retirement Longitudinal Study (CHARLS) and applied Bayesian networks and fuzzy regression discontinuity design to conduct causal analysis. Bayesian networks were used to explore the causal directed acyclic graphs of factors related to NRPS and health status. Based on the results of Bayesian network, a fuzzy regression discontinuity design was employed to estimate the causal effect of NRPS on health status. Results Among rural elderly with chronic diseases, Bayesian network mapping of causal relationships among NRPS, health status and covariates showed that age was a common cause of NRPS receipt and satisfaction with health. The results of the fuzzy regression discontinuity analysis showed that the effect of receiving NRPS on the health status was positive, but there was no statistically significant difference concerning the interval estimates. The results of the subgroup analysis with chronic obstructive pulmonary disease (COPD) and asthma indicated that the effect of NRPS receipt on the health status of elderly people with COPD was positive. There was a statistically significant effect of receiving NRPS on self-rated health description ($${\beta }_{1}=3.653,P=0.032$$ β 1 = 3.653 , P = 0.032 ) and health satisfaction ($${\beta }_{1}=4.204,P=0.033$$ β 1 = 4.204 , P = 0.033 ) in COPD population and a statistically significant effect of receiving NRPS on health satisfaction in asthma population ($${\beta }_{1}=9.844,P=0.008$$ β 1 = 9.844 , P = 0.008 ). Conclusion This paper has confirmed the contribution and positive causal effect of NRPS on health status in a subgroup of older adults with COPD and asthma, using the CHARLS database as evidence. Thus, Chinese government should increase the take-up rate of the NRPS to enhance their positive impact on health status of elderly people with chronic diseases in rural areas.

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“…CHARLS is the first nationally representative survey of Chinese residents aged 45 and older, and has contributed to the research of health of the elderly in China, including studies related to chronic diseases and mental health issues [ 13 , 30 ]. Using the stratified multi-stage PPS random sampling strategy, the national baseline survey of CHARLS was conducted by Peking University in 2011.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Psychological Burden on Dyslipidemia Moderated by Greenness: A Nationwide Study from China

Liu

et al. 2022

IJERPH

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Globally, dyslipidemia is now become a leading risk factor for many adverse health outcomes, especially in the middle-aged and elderly. Recent evidence suggests that exposure to greenness and the relief of a psychological burden may decrease the prevalence of dyslipidemia. The objective of our study was to examine whether a green space can moderate the association between mental health status and dyslipidemia. Our study selected the datasets of depression symptoms, dyslipidemia from the China Health and Retirement Longitudinal Study (CHARLS), and the satellite-based normalized difference vegetation index (NDVI) from the 30 m annual maximum NDVI dataset in China in 2018. Ultimately, a total of 10,022 middle-aged and elderly Chinese were involved in our study. Multilevel logistic regressions were performed to examine the association between symptoms of depression and dyslipidemia, as well as the moderate effect of greenness exposure on the association. Our research suggested that adults diagnosed with depression symptoms were more likely to suffer from dyslipidemia. In addition, the NDVI was shown to moderate the effect of depression on dyslipidemia significantly, though the effect was attenuated as depression increased. Regarding the moderate effect of the NDVI on the above association across age, gender, and residence, the findings presented that females, the elderly, and respondents living in urban areas were at a greater risk of having dyslipidemia, although the protective effect of the NDVI was considered. Likewise, the moderate effect of the NDVI gradually decreased as the level of depression increased in different groups. The current study conducted in China provides insights into the association between mental health, green space, and dyslipidemia. Hence, improving mental health and green spaces can be potential targets for medical interventions to decrease the prevalence of dyslipidemia.

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Do medical treatment choices affect the health of chronic patients in middle and old age in China?—Evidence from CHARLS 2018

Cited by 4 publications

References 47 publications

Depressive symptoms of older adults with chronic diseases: the mediating roles of activities of daily living and economic burden of diseases

Depressive symptoms of older adults with chronic diseases: the mediating roles of activities of daily living and economic burden of diseases

Do the New Rural Pension Scheme promote the health status of chronic patients in old age? —Evidence from CHARLS 2018 in China

The Effect of Psychological Burden on Dyslipidemia Moderated by Greenness: A Nationwide Study from China

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