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How Do Intergenerational Economic Support, Emotional Support and Multimorbidity Affect the Catastrophic Health Expenditures of Middle-Aged and Elderly Families?–Evidence From CHARLS2018

OBJECTIVES: The elderly face multiple vulnerabilities such as health, economy and society, and are prone to catastrophic health expenditures. This study aims to analyze the impact of children's intergenerational economic support, emotional support, and illness on the catastrophic health expendi...

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Autores principales: Tang, Shaoliang, Yao, Ling, Li, Zhengjun, Yang, Tongling, Liu, Meixian, Gong, Ying, Xu, Yun, Ye, Chaoyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024169/
https://www.ncbi.nlm.nih.gov/pubmed/35462809
http://dx.doi.org/10.3389/fpubh.2022.872974
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author Tang, Shaoliang
Yao, Ling
Li, Zhengjun
Yang, Tongling
Liu, Meixian
Gong, Ying
Xu, Yun
Ye, Chaoyu
author_facet Tang, Shaoliang
Yao, Ling
Li, Zhengjun
Yang, Tongling
Liu, Meixian
Gong, Ying
Xu, Yun
Ye, Chaoyu
author_sort Tang, Shaoliang
collection PubMed
description OBJECTIVES: The elderly face multiple vulnerabilities such as health, economy and society, and are prone to catastrophic health expenditures. This study aims to analyze the impact of children's intergenerational economic support, emotional support, and illness on the catastrophic health expenditures of middle-aged and elderly families. METHODS: Using China Health and Retirement Longitudinal Study (CHARLS 2018) data to calculate the catastrophic health expenditure of Chinese households as the dependent variable. Taking children's intergenerational economic support, emotional support and multimorbidity as core independent variables, gender, age, marital status, medical insurance and other variables as control variables, and perform logistic regression analysis. According to the heterogeneity analysis of age and gender, the impact of intergenerational economic support, emotional support and multimorbidity on the catastrophic health expenditure of middle-aged and elderly families is explored. RESULTS: When catastrophic health expenditures occur in middle-aged and elderly families, the children's intergenerational economic support will increase significantly, especially in families with members aged 60–74. Children's emotional support can effectively reduce the risk of catastrophic health expenditures for middle-aged and elderly families. Compared with children's intergenerational economic support and emotional support, the impact of multimorbidity on the catastrophic health expenditures of middle-aged and elderly families is the most significant. Suffering from multimorbidity can increase the risk of catastrophic health expenditures for middle-aged and elderly families, especially families with male members suffering from multiple diseases. CONCLUSIONS: It is recommended that we should do a good job in popularizing the knowledge of chronic diseases to minimize the occurrence of multimorbidity. The government should establish group medical insurance related to chronic disease diagnosis. According to the severity of the disease or the special circumstances of the patient, the level of medical insurance reimbursement is divided in detail, especially for chronic disease clinics and drug reimbursement. Children should be encouraged to strengthen the emotional connection and effective care of the elderly, focusing on the elderly 60–74 years old, in order to reduce their care pressure and maintain the physical and mental health of the elderly.
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spelling pubmed-90241692022-04-23 How Do Intergenerational Economic Support, Emotional Support and Multimorbidity Affect the Catastrophic Health Expenditures of Middle-Aged and Elderly Families?–Evidence From CHARLS2018 Tang, Shaoliang Yao, Ling Li, Zhengjun Yang, Tongling Liu, Meixian Gong, Ying Xu, Yun Ye, Chaoyu Front Public Health Public Health OBJECTIVES: The elderly face multiple vulnerabilities such as health, economy and society, and are prone to catastrophic health expenditures. This study aims to analyze the impact of children's intergenerational economic support, emotional support, and illness on the catastrophic health expenditures of middle-aged and elderly families. METHODS: Using China Health and Retirement Longitudinal Study (CHARLS 2018) data to calculate the catastrophic health expenditure of Chinese households as the dependent variable. Taking children's intergenerational economic support, emotional support and multimorbidity as core independent variables, gender, age, marital status, medical insurance and other variables as control variables, and perform logistic regression analysis. According to the heterogeneity analysis of age and gender, the impact of intergenerational economic support, emotional support and multimorbidity on the catastrophic health expenditure of middle-aged and elderly families is explored. RESULTS: When catastrophic health expenditures occur in middle-aged and elderly families, the children's intergenerational economic support will increase significantly, especially in families with members aged 60–74. Children's emotional support can effectively reduce the risk of catastrophic health expenditures for middle-aged and elderly families. Compared with children's intergenerational economic support and emotional support, the impact of multimorbidity on the catastrophic health expenditures of middle-aged and elderly families is the most significant. Suffering from multimorbidity can increase the risk of catastrophic health expenditures for middle-aged and elderly families, especially families with male members suffering from multiple diseases. CONCLUSIONS: It is recommended that we should do a good job in popularizing the knowledge of chronic diseases to minimize the occurrence of multimorbidity. The government should establish group medical insurance related to chronic disease diagnosis. According to the severity of the disease or the special circumstances of the patient, the level of medical insurance reimbursement is divided in detail, especially for chronic disease clinics and drug reimbursement. Children should be encouraged to strengthen the emotional connection and effective care of the elderly, focusing on the elderly 60–74 years old, in order to reduce their care pressure and maintain the physical and mental health of the elderly. Frontiers Media S.A. 2022-04-08 /pmc/articles/PMC9024169/ /pubmed/35462809 http://dx.doi.org/10.3389/fpubh.2022.872974 Text en Copyright © 2022 Tang, Yao, Li, Yang, Liu, Gong, Xu and Ye. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Tang, Shaoliang
Yao, Ling
Li, Zhengjun
Yang, Tongling
Liu, Meixian
Gong, Ying
Xu, Yun
Ye, Chaoyu
How Do Intergenerational Economic Support, Emotional Support and Multimorbidity Affect the Catastrophic Health Expenditures of Middle-Aged and Elderly Families?–Evidence From CHARLS2018
title How Do Intergenerational Economic Support, Emotional Support and Multimorbidity Affect the Catastrophic Health Expenditures of Middle-Aged and Elderly Families?–Evidence From CHARLS2018
title_full How Do Intergenerational Economic Support, Emotional Support and Multimorbidity Affect the Catastrophic Health Expenditures of Middle-Aged and Elderly Families?–Evidence From CHARLS2018
title_fullStr How Do Intergenerational Economic Support, Emotional Support and Multimorbidity Affect the Catastrophic Health Expenditures of Middle-Aged and Elderly Families?–Evidence From CHARLS2018
title_full_unstemmed How Do Intergenerational Economic Support, Emotional Support and Multimorbidity Affect the Catastrophic Health Expenditures of Middle-Aged and Elderly Families?–Evidence From CHARLS2018
title_short How Do Intergenerational Economic Support, Emotional Support and Multimorbidity Affect the Catastrophic Health Expenditures of Middle-Aged and Elderly Families?–Evidence From CHARLS2018
title_sort how do intergenerational economic support, emotional support and multimorbidity affect the catastrophic health expenditures of middle-aged and elderly families?–evidence from charls2018
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024169/
https://www.ncbi.nlm.nih.gov/pubmed/35462809
http://dx.doi.org/10.3389/fpubh.2022.872974
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