Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children
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 betw...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | International Journal for Equity in Health |
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| Online Access: | https://doi.org/10.1186/s12939-023-02057-4 |
| _version_ | 1797259425089585152 |
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| author | Jiayan Li Tingting Gao Dan Zhao Shujun Chai Jingjing Luo Xuehong Wang Xueqing Wang Jingjie Sun Peilong Li Chengchao Zhou |
| author_facet | Jiayan Li Tingting Gao Dan Zhao Shujun Chai Jingjing Luo Xuehong Wang Xueqing Wang Jingjie Sun Peilong Li Chengchao Zhou |
| author_sort | Jiayan Li |
| collection | DOAJ |
| description | 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 < 0.001). We found that adult children providing daily care services to their parents mitigated the effect of catastrophic health expenditure on health-related quality of life among older people (β = 0.027, P = 0.040). Conclusions Our findings suggested that catastrophic health expenditure was associated with health-related quality of life and the caring role of older adult children moderated this relationship. Reducing the damage caused by catastrophic health expenditure helps to improve health-related quality of life in older people. Adult children should increase intergenerational contact, provide timely financial and emotional support to reduce the negative impact of catastrophic health expenditure on health-related quality of life. |
| first_indexed | 2024-04-24T23:09:13Z |
| format | Article |
| id | doaj.art-60e0cef94fa746619b0a0bd5dc038e2a |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-04-24T23:09:13Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-60e0cef94fa746619b0a0bd5dc038e2a2024-03-17T12:19:03ZengBMCInternational Journal for Equity in Health1475-92762024-03-0123111010.1186/s12939-023-02057-4Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult childrenJiayan Li0Tingting Gao1Dan Zhao2Shujun Chai3Jingjing Luo4Xuehong Wang5Xueqing Wang6Jingjie Sun7Peilong Li8Chengchao Zhou9Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityShandong Health Commission Medical Management Service CenterShandong Health Commission Medical Management Service CenterCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityAbstract 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 < 0.001). We found that adult children providing daily care services to their parents mitigated the effect of catastrophic health expenditure on health-related quality of life among older people (β = 0.027, P = 0.040). Conclusions Our findings suggested that catastrophic health expenditure was associated with health-related quality of life and the caring role of older adult children moderated this relationship. Reducing the damage caused by catastrophic health expenditure helps to improve health-related quality of life in older people. Adult children should increase intergenerational contact, provide timely financial and emotional support to reduce the negative impact of catastrophic health expenditure on health-related quality of life.https://doi.org/10.1186/s12939-023-02057-4Catastrophic health expenditureHealth-related quality of lifeAdult childrenDaily life caregiver |
| spellingShingle | Jiayan Li Tingting Gao Dan Zhao Shujun Chai Jingjing Luo Xuehong Wang Xueqing Wang Jingjie Sun Peilong Li Chengchao Zhou Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children International Journal for Equity in Health Catastrophic health expenditure Health-related quality of life Adult children Daily life caregiver |
| title | Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children |
| title_full | Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children |
| title_fullStr | Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children |
| title_full_unstemmed | Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children |
| title_short | Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children |
| title_sort | catastrophic health expenditure and health related quality of life among older adults in shandong china the moderation effect of daily care by adult children |
| topic | Catastrophic health expenditure Health-related quality of life Adult children Daily life caregiver |
| url | https://doi.org/10.1186/s12939-023-02057-4 |
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