Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China

Objectives: This study was designed to explore the effect of the New Rural Pension Scheme on depressive symptoms or medical costs induced by depression.Methods: We used the Logit, OLS and 2SLS models to explore the impact of the pension on depression and medical costs. We also adopt the method of qu...

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Main Authors: Mi Zhou, Xiaotong Sun, Li Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604296/full
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author Mi Zhou
Xiaotong Sun
Li Huang
author_facet Mi Zhou
Xiaotong Sun
Li Huang
author_sort Mi Zhou
collection DOAJ
description Objectives: This study was designed to explore the effect of the New Rural Pension Scheme on depressive symptoms or medical costs induced by depression.Methods: We used the Logit, OLS and 2SLS models to explore the impact of the pension on depression and medical costs. We also adopt the method of quantile regression and discontinuity regression to verify the causal relationship between the New Rural Pension Scheme and depression or medical costs induced by depression of the rural elderly.Results: We have found that the New Rural Pension Scheme decreases depressive symptoms of elderly in rural China (OR = 0.90), and the medical costs induced by depressive symptoms by 4.6%. Regression discontinuity results showed that pension significantly reduced the depressive symptoms (depression) and the medical expenditure caused by depressive symptoms (depression) by using parametric and non-parametric methods, and performing a placebo test. The mediating effect results showed that pension may improve mental health by increasing confidence about the future.Conclusion: We demonstrate that the pension significantly decreased both mental health problems and the medical expenses due to depressive symptoms and depression of elderly in rural China. Therefore, our results suggest that the Chinese government should perfect the New Rural Pension Scheme to eliminate barriers to mental health resources, especially for the rural elderly.
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spelling doaj.art-f1ace357b1254925a93c93eb8a5002b52022-12-21T19:26:27ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-03-016710.3389/ijph.2022.16042961604296Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in ChinaMi ZhouXiaotong SunLi HuangObjectives: This study was designed to explore the effect of the New Rural Pension Scheme on depressive symptoms or medical costs induced by depression.Methods: We used the Logit, OLS and 2SLS models to explore the impact of the pension on depression and medical costs. We also adopt the method of quantile regression and discontinuity regression to verify the causal relationship between the New Rural Pension Scheme and depression or medical costs induced by depression of the rural elderly.Results: We have found that the New Rural Pension Scheme decreases depressive symptoms of elderly in rural China (OR = 0.90), and the medical costs induced by depressive symptoms by 4.6%. Regression discontinuity results showed that pension significantly reduced the depressive symptoms (depression) and the medical expenditure caused by depressive symptoms (depression) by using parametric and non-parametric methods, and performing a placebo test. The mediating effect results showed that pension may improve mental health by increasing confidence about the future.Conclusion: We demonstrate that the pension significantly decreased both mental health problems and the medical expenses due to depressive symptoms and depression of elderly in rural China. Therefore, our results suggest that the Chinese government should perfect the New Rural Pension Scheme to eliminate barriers to mental health resources, especially for the rural elderly.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604296/fulldepressionrural elderlypension enrollmentpension incomemedical expenditure
spellingShingle Mi Zhou
Xiaotong Sun
Li Huang
Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China
International Journal of Public Health
depression
rural elderly
pension enrollment
pension income
medical expenditure
title Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China
title_full Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China
title_fullStr Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China
title_full_unstemmed Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China
title_short Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China
title_sort does social pension expansion relieve depression and decrease medical costs evidence from the rural elderly in china
topic depression
rural elderly
pension enrollment
pension income
medical expenditure
url https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604296/full
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AT xiaotongsun doessocialpensionexpansionrelievedepressionanddecreasemedicalcostsevidencefromtheruralelderlyinchina
AT lihuang doessocialpensionexpansionrelievedepressionanddecreasemedicalcostsevidencefromtheruralelderlyinchina