Association between social determinants of health and direct economic burden on middle-aged and elderly individuals living with diabetes in China

Jianwei Guo, Yun Wu, Xinlei Deng, Zifeng Liu, Lijin Chen and Yixiang Huang

PLOS ONE, 2021, vol. 16, issue 4, 1-16

Abstract: Aims: The aim of this study was to determine the association between social determinants of health and direct economic burden on Chinese middle-aged and elderly individuals living with diabetes in China. Methods: This study used data from the baseline wave of The China Health and Retirement Longitudinal Study (CHARLS) database, covering 17,708 middle-aged and elderly residents in China. The population with diabetes was grouped into those diagnosed with diabetes mellitus (DDM) and those undiagnosed with diabetes mellitus (UDM). Direct economic cost data, including total direct medical costs (TC) and out-of-pocket (OOP) payments, were extracted as outcome variables. A two-part model was applied to analyze the association between social determinants of health and direct economic burden. Results: In our analysis, we included 958 patients with DDM and 1,285 patients with UDM. The mean TC and OOP payments were 11,193 CNY (US $1,733; 6.46 CNY = 1 USD) and 7,266 CNY (US $1,125) in DDM patients, and 3,700 CNY (US $573) and 3,060 CNY (US $474) in UDM patients. Rural-urban status (p

Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0250200

DOI: 10.1371/journal.pone.0250200

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