Association between medical insurance and life satisfaction among middle-aged and older adults in China: the mediating role of depression.

IF 2.5 4区医学 Q3 HEALTH POLICY & SERVICES

Cost Effectiveness and Resource Allocation Pub Date : 2025-04-10 DOI:10.1186/s12962-024-00584-7

Jian Sun, Peter C Coyte, Yujiang Liu, Qianqiang Wang

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Abstract

Background: While studies have reported a positive association between medical insurance and life satisfaction, there is a lack of studies assessing the underlying impact mechanism. The present study aims to investigate the association between Urban and Rural Resident Basic Medical Insurance (URRBMI) and life satisfaction in China, focusing on the mediating role of depression.

Methods: Using 2018 wave of China Health and Retirement Longitudinal Study, we employed ordered logit regression models to examine the correlation between URRBMI and life satisfaction. Causal mediation analysis was used to analyze the mediating effect of depression on this association.

Results: URRBMI participation was related to greater life satisfaction (p < 0.01). Depression mediated the correlation between URRBMI and life satisfaction, and the percentage of total effect mediated was 18.20%.

Discussion: Middle-aged and older adults covered by URRBMI were more likely to have greater life satisfaction than their counterparts because insurance relieved depression.

Conclusion: Our study highlighted many policy suggestions, such as improving its coverage, establishing a unified information platform, and mobilizing social forces to provide better life services.

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中国中老年人医疗保险与生活满意度的关系：抑郁的中介作用

背景：虽然研究报告了医疗保险与生活满意度之间的正相关，但缺乏评估潜在影响机制的研究。本研究旨在探讨中国城乡居民基本医疗保险（URRBMI）与生活满意度的关系，重点关注抑郁的中介作用。方法：利用2018年中国健康与退休纵向研究，采用有序logit回归模型检验URRBMI与生活满意度的相关性。采用因果中介分析分析抑郁对该关联的中介作用。结果：参与URRBMI与更高的生活满意度相关(p讨论：URRBMI覆盖的中老年成年人比他们的同龄人更有可能有更高的生活满意度，因为保险可以缓解抑郁。结论：我们的研究突出了许多政策建议，如提高其覆盖面，建立统一的信息平台，动员社会力量提供更好的生活服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-

CiteScore

3.40

自引率

4.30%

发文量

审稿时长

34 weeks

期刊介绍： Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.