Household catastrophic health expenditure and depressive mood among Chinese adults, children, and adolescents: a population-based panel study

Background Numerous studies have suggested that catastrophic health expenditure (CHE) is associated with depressive mood. However, most published studies have examined the relationship between CHE and depressive mood only among middle-aged and older people who are already susceptible to depressive m...

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Vydané v:BMC psychiatry Ročník 25; číslo 1; s. 353 - 12
Hlavní autori: Li, Shuwen, Fang, Kailu, Zhang, Yu, Lin, Yushi, Zheng, Luyan, Wu, Jie
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 08.04.2025
BioMed Central Ltd
Springer Nature B.V
BMC
Predmet:
Adolescent
Adolescents
Adult
Age groups
Analysis
Catastrophic health expenditure
Catastrophic Illness - economics
Catastrophic Illness - psychology
Child
Children
China
China - epidemiology
Critical illness insurance
Demographic aspects
Depression - economics
Depression - epidemiology
Depression - psychology
Depression in adolescence
Depression in children
Depression in old age
Depressive mood
East Asian People - psychology
East Asian People - statistics & numerical data
Economic aspects
Education
Emotions
Families & family life
Family
Family income
Female
Health aspects
Health care expenditures
Health care policy
Health Expenditures - statistics & numerical data
Health insurance
Households
Humans
Insurance coverage
Insurance, Health - statistics & numerical data
Longitudinal studies
Male
Marital status
Medical care, Cost of
Medicine
Medicine & Public Health
Mental depression
Mental health
Middle Aged
Mood
Multilevel model
Panel data
Population studies
Psychiatry
Psychological aspects
Psychotherapy
Regression analysis
Risk factors
Rural health
Social aspects
Socioeconomic factors
Socioeconomic status
Stress
Teenagers
Urban health
Young Adult
China
Panel data
Catastrophic health expenditure
Depressive mood
China
Multilevel model
ISSN:1471-244X, 1471-244X
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Shrnutí:Background Numerous studies have suggested that catastrophic health expenditure (CHE) is associated with depressive mood. However, most published studies have examined the relationship between CHE and depressive mood only among middle-aged and older people who are already susceptible to depressive mood. The objective of our analysis was to determine the associations between household CHE and depressive mood among adults and children/adolescents. Methods Our study population consisted of Chinese residents who participated in the 2016 CFPS, 2018 CFPS, and 2020 CFPS. Our analytical sample was restricted to children/adolescents aged 10–17 years and adults aged 18 years and older. We utilized multilevel random effects multivariate logistic regression models to investigate the associations between CHE and depressive mood among both adults and children/adolescents. Results Our study revealed that 15% of adults and 12.61% of children/adolescents had experienced CHE and that CHE was positively associated with depressive mood among adults (OR = 1.34, 95% CI: 1.21, 1.50) and among children/adolescents (OR = 1.48, 95% CI: 1.12, 1.96) after adjustment for potential confounding factors. This positive association persisted in different subgroup analyses. In addition, we found that being insured with either urban or rural health insurance was associated with decreased odds of depressive mood. Conclusion Our study indicated that CHE is common in Chinese families and may increase the risk of depressive mood for both adults and children/adolescents. These findings emphasize the need to focus on expanding health insurance coverage, as well as implementing family-based mental health resources and financial literacy programs to reduce the psychological impact of CHE across all age groups.
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SourceType-Scholarly Journals-1
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ISSN:1471-244X
1471-244X
DOI:10.1186/s12888-025-06788-2