Download pdf
The Effect of Public Health Insurance on Mental Health of Middle-aged and Elderly People in China
- 1 Jinling High School, Nanjing,China
- 2 Fudan University,School of Nursing, Shanghai, China
* Author to whom correspondence should be addressed.
Abstract
Using cross-sectional data in the 2018 wave of CHARLS, we use a simple OLS approach to explore the effect of public health insurance on the mental health of middle-aged and elderly people. After analysing the overall mental health condition among people over 45 ,We find that there is a positive and significant correlation between public health insurance coverage and improved mental health outcomes. Specifically, males benefit more from public health insurance than females; people with agricultural hukou have less desired effect than people with non-agricultural hukou; the impacts on the working group are more significant than the none-working group. According to our findings, we recommend Chinese government consolidate public health insurance schemes and expand the coverage of public health insurance. Additionally, efforts to reduce income inequality and put more attention on agricultural groups are recommended to improve overall mental health outcomes in China.
Keywords
Public health insurance, Mental health, Middle-aged and elderly people, OLS, Working group.
[1]. Zhang, W., State of health in China-statistics and facts, in STATISTA. 2023.
[2]. Su, M., Zhou, Z., Si, Y. et al., Comparing the effects of China’s three basic health insurance schemes on the equity of health-related quality of life: using the method of coarsened exact matching. Health Qual Life Outcomes 16, 2018. 41
[3]. Marti, D., Strengthening public health for a Healthy China. The Lancet Public Health, 2021. 6(12).
[4]. GU Yan-xiang, H.X.-j., CHEN Chang-xiang.et al, Prevalence and influential factors of chronic diseases among commumity elderly people in Hebei province[J]. Chinese Journal of Public Health, 2015. 31(2): p. 132-136.
[5]. Zheng, L., Population Aging and the Demand for Private Health Insurance in China. Asia-Pacific Journal of Risk and Insurance, 2022. vol. 16, no. 1.
[6]. Chen L, Y.W., Chang MC, Lin HS, Lee SD, Chiu YL, Lin YH. , The effects of Taiwan's National Health Insurance on access and health status of the elderly. Health Econ, 2007. 16(3): p. 223-42.
[7]. Cooper-Patrick, L., Rosa M. Crum, Laura A. Pratt, William W. Eaton, et al., The Psychiatric Profile of Patients with Chronic Disease Who Do Not Receive Regular Medical Care. International Journal of Psychiatry 1999. 29(2): p. 165–180.
[8]. Escobar, M.-L., Griffin, C. C., & Shaw, R. P. (Eds.), ed. The Impact of Health Insurance in Low-and Middle-Income Countries. ed. C.C.G. Maria-Luisa Escobar, R. Paul Shaw. 2010.
[9]. Chang X, G.Q., Li C, Yue W, Yu X, Yao S, Feng J. , Psychiatric disorders in China: strengths and challenges of contemporary research and clinical services. Psychol Med, 2021. 51(12).
[10]. Lu, L., World Mental Health Day, Mental Health for All. China CDC Weekly, 2020. October 2020[J]. , 2020, 2(41)10,: p. 789-790.
[11]. Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A, No health without mental health. The lancet, 2007. 370(9590): p. 859-877.
[12]. Cardella E, D., B, The effect of health insurance coverage on the reported health of young adults. Economics Letters, 2014. 124(3): p. 406-410.
[13]. Hadley, J., Sicker and Poorer—The Consequences of Being Uninsured: A Review of the Research on the Relationship between Health Insurance, Medical Care Use, Health, Work, and Income. Medical Care Research and Review, 2002. 60(2): p. 3-75.
[14]. Winnie Yip , H.F., Angela T Chen , Tiemin Zhai , Weiyan Jian , Roman Xu , Jay Pan , Min Hu , Zhongliang Zhou , Qiulin Chen , Wenhui Mao , Qiang Sun , Wen Chen 10 years of health-care reform in China: progress and gaps in Universal Health Coverage. Lancet, 2019 Sep 28. 394(10204) p. 1192-1204.
[15]. Ohrnberger, J., Fichera, E., & Sutton, M., The relationship between physical and mental health: A mediation analysis. Social science & medicine, 2017. 195: p. 42-49.
[16]. Ma, X., & Oshio. T. , The impact of social insurance on health among middle-aged and older adults in rural China: A longitudinal study using a three-wave nationwide survey. BMC public health, 2020. 20: p. 1-9.
[17]. Meng, Y., Han, J., & Qin, S, The impact of health insurance policy on the health of the senior floating population-evidence from China. International journal of environmental research and public health, 2018. 15(10).
[18]. Sommers, B.D., Gawande, A. A., & Baicker, K, Health insurance coverage and health—what the recent evidence tells us. N Engl J Med, 2017. 377(6): p. 586-593.
[19]. Baker, D.W., Sudano, J. J., Albert, J. M., Borawski, E. A., & Dor, A. , Lack of health insurance and decline in overall health in late middle age. New England Journal of Medicine, 2001. 345(15): p. 1106-1112.
[20]. Darius Erlangga, M.S., Shehzad Ali, Karen Bloor, The impact of public health insurance on health care utilisation, financial protection and health status in low-and middle-income countries: a systematic review. PloS one, 2019. 14.8 (2019).
[21]. Jungtaek Lee, J.K., The role of health insurance in mental health care for young adults. Applied Economics, 2020. 52:42: p. 4577-4593.
[22]. Hamersma, S., & Ye, J, The effect of public health insurance expansions on the mental and behavioral health of girls and boys. Social Science & Medicine, 2021. 280.
[23]. Zhou, M., Zhao, S. & Zhao, Z. , Gender differences in health insurance coverage in China. Int J Equity Health 20, 2021: p. 52.
[24]. Guo B, X.X., Wu Q, Zhang X, Cheng H, Tao S, Quan H, Inequality in the health services utilization in rural and urban china: A horizontal inequality analysis. Medicine (Baltimore). Medicine (Baltimore), 2020. 99(2).
[25]. Qi W, L.F., Zhang T, Qi X. , Can China's New Rural Cooperative Medical System Improve Farmers' Subjective Well-Being? . Front Public Health, 2022 Feb 7.
Cite this article
Tang,Z.;Yang,Z. (2024). The Effect of Public Health Insurance on Mental Health of Middle-aged and Elderly People in China. Advances in Economics, Management and Political Sciences,106,54-64.
Data availability
The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.
Disclaimer/Publisher's Note
The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of EWA Publishing and/or the editor(s). EWA Publishing and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.
About volume
Volume title: Proceedings of the 3rd International Conference on Business and Policy Studies
© 2024 by the author(s). Licensee EWA Publishing, Oxford, UK. This article is an open access article distributed under the terms and
conditions of the Creative Commons Attribution (CC BY) license. Authors who
publish this series agree to the following terms:
1. Authors retain copyright and grant the series right of first publication with the work simultaneously licensed under a Creative Commons
Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this
series.
2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the series's published
version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial
publication in this series.
3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and
during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See
Open access policy for details).