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The Economic Burden Associated with Depressive Symptoms among Middle-Aged and Elderly People with Chronic Diseases in China

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  • Yun Wu

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74, Zhongshan 2nd Road, Guangzhou 510030, China
    Yun Wu and Sihui Jin contributed equally to this study as co-first authors.)

  • Sihui Jin

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74, Zhongshan 2nd Road, Guangzhou 510030, China
    Yun Wu and Sihui Jin contributed equally to this study as co-first authors.)

  • Jianwei Guo

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74, Zhongshan 2nd Road, Guangzhou 510030, China)

  • Yi Zhu

    (Department of Epidemiology and Health Statistics, School of Public Health, Huazhong University of Science and Technology, 1037 Luoyu Road, Hongshan District, Wuhan 430074, China)

  • Lijin Chen

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74, Zhongshan 2nd Road, Guangzhou 510030, China)

  • Yixiang Huang

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74, Zhongshan 2nd Road, Guangzhou 510030, China)

Abstract

Coexisting physical diseases and depressive symptoms exacerbate morbidity and disability, but their incremental economic burden remains unclear. We used cross-sectional data from the China Health and Retirement Longitudinal Study (CHARLS) survey in 2018 to estimate the economic burden associated with depressive symptoms among middle-aged and elderly people with chronic diseases. A multivariable regression model was used to assess the annual health care utilization, expenditures, and productivity loss of depressive symptoms among people with 12 common chronic diseases. We found that depressive symptoms were associated with higher incremental economic burdens, as the total health care costs increased by 3.1% to 85.0% and annual productivity loss increased by 1.6% to 90.1%. Those with cancer or malignant tumors had the largest economic burden associated with depressive symptoms, with CNY 17,273.7 additional annual health care costs and a loss of CNY 2196.2 due to additional annual productivity loss. The effect of depressive symptoms on the economic burden of patients with chronic conditions did not increase by the number of chronic conditions. Considering the high economic burden associated with depressive symptoms among patients with chronic conditions, it is important to consider the mental health of patients in chronic disease treatment and management.

Suggested Citation

  • Yun Wu & Sihui Jin & Jianwei Guo & Yi Zhu & Lijin Chen & Yixiang Huang, 2022. "The Economic Burden Associated with Depressive Symptoms among Middle-Aged and Elderly People with Chronic Diseases in China," IJERPH, MDPI, vol. 19(19), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12958-:d:938058
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    References listed on IDEAS

    as
    1. Yun Wu & Dongbao Zhao & Jianwei Guo & Yingsi Lai & Lijin Chen & Sihui Jin & Yixiang Huang, 2021. "Economic Burden of Depressive Symptoms Conditions among Middle-Aged and Elderly People with Hypertension in China," IJERPH, MDPI, vol. 18(19), pages 1-11, September.
    2. Borislava Mihaylova & Andrew Briggs & Anthony O'Hagan & Simon G. Thompson, 2011. "Review of statistical methods for analysing healthcare resources and costs," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 897-916, August.
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