Ssm-Population Health最新文献

{"title":"The impact of physical activity on household out-of-pocket medical expenditure among adults aged 45 and over in urban China: The mediating role of spousal health behaviour","authors":"Xiaodong Zhang ,&nbsp;Yanan Zhang ,&nbsp;Bin Guo ,&nbsp;Gong Chen ,&nbsp;Rui Zhang ,&nbsp;Qi Jing ,&nbsp;Hafiz T.A. Khan ,&nbsp;Lei Zhang","doi":"10.1016/j.ssmph.2024.101643","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101643","url":null,"abstract":"<div><h3>Background</h3><p>Increasing medical expenditure is viewed as one of the critical challenges in the context of population ageing. Physical activity (PA), as a primary prevention strategy for promoting health, is considered as an effective way to curb the excessive growth in medical expenditure. This study aimed to analyze the association between PA and the household out-of-pocket medical expenditure (HOPME) among Chinese urban adults aged 45 and over, and to explore the mediating role of spousal health behaviour.</p></div><div><h3>Methods</h3><p>This study analyzed a nationally longitudinal survey: 2014–2018 China Family Panel Studies (CFPS). Fixed effects regression model was applied to estimate the association between PA and annual HOPME. Sobel model was utilized to test the mediating effect.</p></div><div><h3>Results</h3><p>(1) PA was negatively associated with the annual HOPME among urban resident aged 45 and over in China. Exercising 1–5 times per week and maintaining the duration of each exercise session at 31–60 min were effective in reducing annual HOPME. (2) Spousal PA played a significant mediating role in the relationship between respondent's PA and annual HOPME. (3) The negative association between the respondent's PA and HOPME were found among women and those aged between 45 and 65, so was the mediating effect of spouse's PA.</p></div><div><h3>Conclusion</h3><p>Individual PA not only directly reduces HOPME but also indirectly contributes to this reduction by enhancing the PA levels of their spouses. To capitalize on these benefits, more actions should be taken to increase the availability of PA facilities, enhance the public awareness of PA's benefits, and encourage residents to consistently engage in regular PA.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101643"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000430/pdfft?md5=0c8e718f27c17df1b52816fa85f7410c&pid=1-s2.0-S2352827324000430-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140024184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of indoor air pollution from cooking fuel usage and practices on self-reported health among older adults in India: Evidence from LASI","authors":"Manik Halder ,&nbsp;Nuruzzaman Kasemi ,&nbsp;Doli Roy ,&nbsp;Malasree Majumder","doi":"10.1016/j.ssmph.2024.101653","DOIUrl":"10.1016/j.ssmph.2024.101653","url":null,"abstract":"<div><p>This research aims to explore the impact of various components of Indoor air pollution (IAP) on the Self-Reported Health (SRH) of older adults in India. Using a sample of 27,090 from the Longitudinal Aging Study in India (LASI) Wave-1, a multiple binary logistic regression model was employed to identify specific risk factors associated with poor SRH among older adults. Adjusting for demographic, socioeconomic, and IAP-related components, it was revealed that IAP significantly contributes to poor SRH. The adjusted model indicated that individuals using solid cooking fuels face a higher risk of poor SRH compared to those using liquid fuels. Additionally, individuals not using electric chimneys and cooking near windows are associated with an elevated risk of poor SRH, highlighting the importance of adequate ventilation. Health risk factors, including lung disease, diabetes, cough, and depression, further contribute to poor SRH among older adults exposed to IAP. Overall, the study offers crucial insights for policymakers, healthcare professionals, and environmentalists to improve the well-being of the vulnerable older population in India.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101653"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000533/pdfft?md5=29e2c05436a46fff8b98e78aa1a230a5&pid=1-s2.0-S2352827324000533-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140072607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The embodiment of parental death in early life through accelerated epigenetic aging: Implications for understanding how parental death before 18 shapes age-related health risk among older adults","authors":"Mateo P. Farina ,&nbsp;Eric T. Klopack ,&nbsp;Debra Umberson ,&nbsp;Eileen M. Crimmins","doi":"10.1016/j.ssmph.2024.101648","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101648","url":null,"abstract":"<div><p>Parental death in early life has been linked to various adverse health outcomes in older adulthood. This study extends prior research to evaluate how parental death in early life is tied to accelerated epigenetic aging, a potentially important biological mechanism from which social and environmental exposures impact age-related health. We used data from the 2016 Venous Blood Study (VBS), a component of the Health and Retirement Study (HRS), to examine the association between parental death in early life and accelerated epigenetic aging as measured by three widely used epigenetic clocks (PCPhenoAge, PCGrimAge, and DunedinPACE). We also assessed whether some of the association is explained by differences in educational attainment, depressive symptoms, and smoking behavior. Methods included a series of linear regression models and formal mediation analysis. Findings indicated that parental death in early life is associated with accelerated epigenetic aging for PCPhenoAge and DunedinPACE. The inclusion of educational attainment, depressive symptoms, and smoking behavior attenuated this association, with formal mediation analysis providing additional support for these observations. Parental death in early life may be one of the most difficult experiences an individual may face. The elevated biological risk associated with parental death in early life may operate through immediate changes but also through more downstream risk factors. This study highlights how early life adversity can set in motion biological changes that have lifelong consequences.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"26 ","pages":"Article 101648"},"PeriodicalIF":4.7,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235282732400048X/pdfft?md5=b662067e2673f11e81d1676647ec9f86&pid=1-s2.0-S235282732400048X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140347533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does higher education matter for health in the UK?","authors":"Bomin Liu ,&nbsp;Sisi Ji ,&nbsp;Zheyi Zhu","doi":"10.1016/j.ssmph.2024.101642","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101642","url":null,"abstract":"<div><p>Using six sweeps of data from the 1958 British National Child Development Study (NCDS), we employ a quasi-parametric approach of propensity score matching to estimate the impacts of higher education attainment on a wide range of health-related outcomes for cohorts at ages 33, 42, and 50. The non-pecuniary benefits of higher education on health are substantial. Cohorts with higher levels of education are more likely to report better health, maintain a healthy weight, refrain from smoking, exhibit a lower frequency of alcohol consumption, and are less likely to be obese. The effects on self-reported health, body mass index (BMI), drinking alcohol increase with age, but continuously decrease with smoking frequency. When considering gender heterogeneity, higher education has a more significant effect on BMI and the likelihood of obesity for males, while it has a greater impact on self-reported health, drinking alcohol, and smoking frequencies for females. Furthermore, we find no significant evidence that higher education reduces the likelihood of depression. The results of the Rosenbaum bounds sensitivity analysis suggest that, although our overall results demonstrate robustness, there may still be unobserved hidden bias in the relationship between higher education and self-reported health.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101642"},"PeriodicalIF":4.7,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000429/pdfft?md5=d943bbc74f401bb67d56709a95e7ef5e&pid=1-s2.0-S2352827324000429-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139986114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Party membership and self-assessed health: Evidence from the Communist Party of China","authors":"Pengfei Zhang ,&nbsp;Jinghua Gao","doi":"10.1016/j.ssmph.2024.101631","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101631","url":null,"abstract":"<div><h3>Background</h3><p>In some countries, party membership is often associated with returns. We studied the relationship between party membership and self-assessed health.</p></div><div><h3>Methods</h3><p>Data were obtained from the 2017 Chinese General Social Survey (N = 11,641). Self-assessed health was defined as the personal evaluation of physical and psychological well-being. Logistic regression was used to explore relevant associations.</p></div><div><h3>Results</h3><p>Members of the Communist Party of China (CPC) were more likely than non-CPC respondents to register self-assessments of relatively healthy physical (beta = 0.319, SE = 0.098, P &lt; 0.01, CI: 0.127–0.512) and psychological (beta = 0.257, SE = 0.072, P &lt; 0.01, CI: 0.115–0.399) conditions.</p></div><div><h3>Conclusions</h3><p>Previous studies have overlooked the health-related rewards of CPC membership. Reforms to China's public health system can be smoothly implemented probably because of the health benefits accrued to party members.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101631"},"PeriodicalIF":4.7,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000314/pdfft?md5=11a25f3e38c51400bd4d6ef02d3e3511&pid=1-s2.0-S2352827324000314-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental cardiometabolic multimorbidity and subsequent cardiovascular incidence in middle-aged adults: A prospective cohort study","authors":"Chao Song ,&nbsp;Feiyun Ouyang ,&nbsp;Tianqi Ma ,&nbsp;Li Gong ,&nbsp;Xunjie Cheng ,&nbsp;Yongping Bai","doi":"10.1016/j.ssmph.2024.101634","DOIUrl":"10.1016/j.ssmph.2024.101634","url":null,"abstract":"<div><h3>Background</h3><p>The prevalence of cardiometabolic multimorbidity, defined as the coexistence of two or three cardiometabolic diseases (CMDs), including coronary heart disease (CHD), diabetes, and stroke, has increased rapidly in recent years, but the additive association between parental cardiometabolic multimorbidity and cardiovascular incidence in middle-aged adults remains unclear.</p></div><div><h3>Methods</h3><p>All the data analysed in this study were derived from the UK Biobank, and a total of 71,923 participants aged 40–55 years old without CVD were included in the main analyses. A weighted score was developed and grouped participants into four parental CMDs patterns: non-CMD, low burden, middle burden, and high burden. Cox proportional hazard models were used to estimate the associations between parental CMDs pattern and CVD incidence before 65 years old. Improvement in CVD risk prediction by adding parental CMDs pattern to a basic model was evaluated.</p></div><div><h3>Results</h3><p>Among the 71,923 participants, 3070 CVD events were observed during a median 12.04 years of follow-up. Compared to non-CMD groups, adults in high burden group had a 94% (73–117%) increased risk of CVD. The restricted cubic spline analysis revealed an exposure-response association between parental CMDs burden and risk of CVD (<em>P</em>_nonlinear = 0.24). Additionally, models involving parental CMDs pattern showed slightly improvements in CVD risk prediction, especially for CHD.</p></div><div><h3>Conclusion</h3><p>An increased burden of parental CMDs was associated with an increased risk of CVD incidence in middle-aged adults. Parental CMDs pattern may provide valuable information in primary prevention of CVD in middle-aged adults.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101634"},"PeriodicalIF":4.7,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235282732400034X/pdfft?md5=c173748d7e52b8ed0731452882609f98&pid=1-s2.0-S235282732400034X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of premature mortality due to smoking, alcohol use, obesity and physical activity varies by income: A population-based cohort study","authors":"Laura C. Rosella ,&nbsp;Emmalin Buajitti","doi":"10.1016/j.ssmph.2024.101638","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101638","url":null,"abstract":"<div><h3>Background</h3><p>Premature deaths are a strong population health indicator. There is a persistent and widening pattern of income inequities for premature mortality. We sought to understand the combined effect of health behaviours and income on premature mortality in a large population-based cohort.</p></div><div><h3>Methods</h3><p>We analyzed a cohort of 121,197 adults in the 2005–2014 Canadian Community Health Surveys, linked to vital statistics data to ascertain deaths for up to 5 years following baseline. Information on household income quintile and mortality-relevant risk factors (smoking status, alcohol use, body mass index (BMI), and physical activity) was captured from the survey. Hazard ratios (HR) for combined income-risk factor groups were estimated using Cox proportional hazards models. Stratified Cox models were used to identify quintile-specific HR for each risk factor.</p></div><div><h3>Results</h3><p>For each risk factor, HR of premature mortality was highest in the lowest-income, highest-risk group. Additionally, an income gradient was seen for premature mortality HR for every exposure level of each risk factor. In the stratified models, risk factor HRs did not vary meaningfully between income groups. All findings were consistent in the unadjusted and adjusted models.</p></div><div><h3>Conclusion</h3><p>These findings highlight the need for targeted strategies to reduce health inequities and more careful attention to how policies and interventions are distributed at the population level. This includes targeting and tailoring resources to those in lower income groups who disproportionately experience premature mortality risk to prevent further widening health inequities.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101638"},"PeriodicalIF":4.7,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000387/pdfft?md5=d53d0b9a0e4941f7ea73b1474ff598c2&pid=1-s2.0-S2352827324000387-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139945185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between gentrification, census tract-level socioeconomic status, and cycling infrastructure expansions in Montreal, Canada","authors":"Behzad Kiani ,&nbsp;Benoit Thierry ,&nbsp;Philippe Apparicio ,&nbsp;Caislin Firth ,&nbsp;Daniel Fuller ,&nbsp;Meghan Winters ,&nbsp;Yan Kestens","doi":"10.1016/j.ssmph.2024.101637","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101637","url":null,"abstract":"<div><h3>Background</h3><p>Cycling infrastructure investments support active transportation, improve population health, and reduce health inequities. This study examines the relationship between changes in cycling infrastructure (2011–2016) and census tract (CT)-level measures of material deprivation, visible minorities, and gentrification in Montreal.</p></div><div><h3>Methods</h3><p>Our outcomes are the length of protected bike lanes, cyclist-only paths, multi-use paths, and on-street bike lanes in 2011, and change in total length of bike lanes between 2011 and 2016 at the CT level. Census data provided measures of the level of material deprivation and of the percentage of visible minorities in 2011, and if a CT gentrified between 2011 and 2016. Using a hurdle modeling approach, we explore associations among these CT-level socioeconomic measures, gentrification status, baseline cycling infrastructure (2011), and its changes (2011–2016). We further tested if these associations varied depending on the baseline level of existing infrastructure, to assess if areas with originally less resources benefited less or more.</p></div><div><h3>Results</h3><p>In 2011, CTs with higher level of material deprivation or greater percentages of visible minorities had less cycling infrastructure. Overall, between 2011 and 2016, cycling infrastructure increased from 7.0% to 10.9% of the road network, but the implementation of new cycling infrastructure in CTs with no pre-existing cycling infrastructure in 2011 was less likely to occur in CTs with a higher percentage of visible minorities. High-income CTs that were ineligible for gentrification between 2011 and 2016 benefited less from new cycling infrastructure implementations compared to low-income CTs that were not gentrified during the same period.</p></div><div><h3>Conclusion</h3><p>Montreal's municipal cycling infrastructure programs did not exacerbate socioeconomic disparities in cycling infrastructure from 2011 to 2016 in CTs with pre-existing infrastructure. However, it is crucial to prioritize the implementation of cycling infrastructure in CTs with high populations of visible minorities, particularly in CTs where no cycling infrastructure currently exists.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101637"},"PeriodicalIF":4.7,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000375/pdfft?md5=23517277d0b7702212bec4bca697c8e5&pid=1-s2.0-S2352827324000375-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First-generation college graduates have similar depressive symptoms in midlife as multi-generational college graduates","authors":"Erika Meza ,&nbsp;Jillian Hebert ,&nbsp;Maria E. Garcia ,&nbsp;Jacqueline M. Torres ,&nbsp;M. Maria Glymour ,&nbsp;Anusha M. Vable","doi":"10.1016/j.ssmph.2024.101633","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101633","url":null,"abstract":"<div><h3>Purpose</h3><p>Higher education may protect an individual against depressive symptoms, yet, disadvantaged socioeconomic status (SES) during childhood, often measured by lower parental education, may put them at higher risk for depressive symptoms later in life. This study evaluates if midlife depression is similar for first-generation and multi-generation college graduates.</p></div><div><h3>Methods</h3><p>For US Health and Retirement Study (HRS) participants ages 55–63 (N = 16,752), we defined a 4-category exposure from parents' (highest of mother or father's) and participant's own years of education, with 16 years indicating college completion: multi-gen (both <span><math><mrow><mo>≥</mo></mrow></math></span> 16 years: reference); first-gen (parents &lt;16; own <span><math><mrow><mo>≥</mo></mrow></math></span> 16); only parent(s) (parents <span><math><mrow><mo>≥</mo></mrow></math></span> 16; own &lt;16); and neither (both &lt;16) college graduates across three birth cohorts. We used linear regressions to evaluate relationships between college completion and depressive symptoms measured by an 8-item Center for Epidemiologic Studies – Depression (CES-D) scale. Models pooled over time evaluated differences by sex, race/ethnicity, and birthplace.</p></div><div><h3>Results</h3><p>First-gen and multi-gen college graduates averaged similar depressive symptoms in midlife (<span><math><mrow><mi>β</mi></mrow></math></span>: 0.01; 95% CI: 0.15, 0.13). Results were similar by sex and race/ethnicity.</p></div><div><h3>Conclusion</h3><p>Consistent with resource substitution theory, college completion may offset the deleterious effects of lower parental education on midlife depressive symptoms for first-generation graduates.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101633"},"PeriodicalIF":4.7,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000338/pdfft?md5=331fdc1868c1e6d81fd6dbf6ec9789ad&pid=1-s2.0-S2352827324000338-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139942494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of long-term care insurance pilot on the mental health of older adults: Quasi-experimental evidence from China","authors":"Lianjie Wang","doi":"10.1016/j.ssmph.2024.101632","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101632","url":null,"abstract":"<div><p>The Chinese government launched pilot programs for a long-term care insurance system in response to the ongoing increase in the aging population. This study uses the difference-in-differences (DID) model to analyze the impact of long-term care insurance on older adults' mental health based on China Health and Retirement Longitudinal Study (CHARLS) four-period panel data from 2011 to 2018. This study found that long-term care insurance reduced Center for Epidemiological Studies Depression Scale (CES-D) scores among older adults by 1.059 points. Moreover, there was an improvement of 0.181 and 0.870 points in mental status and scenario memory scores, respectively. The impact of the long-term care insurance pilot program on improving the mental health of older adults was more pronounced, especially for those with chronic diseases or disabilities as well as those living in rural and western regions. This study also revealed that long-term care insurance enhances mental health by reducing medical expenses and increasing daily companionship and social interaction. Therefore, a pilot study of long-term care insurance showed a significant improvement in the mental health of older adults. To provide a comprehensive care service system for older adults, the government should expand the scope of the pilot program and increase the accessibility of mental health services for older adults.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101632"},"PeriodicalIF":4.7,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000326/pdfft?md5=f6da0329889d0ed7fc3878432d189be2&pid=1-s2.0-S2352827324000326-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}