Effect of long-term care insurance policy on depression in non-disabled people: evidence from China
- PMID: 38575900
- PMCID: PMC10993433
- DOI: 10.1186/s12889-024-18375-3
Effect of long-term care insurance policy on depression in non-disabled people: evidence from China
Abstract
Background: Policy effect might be multidimensional and spill over to non-recipients. It is unclear how the implementation of Long-Term Care Insurance (LTCI) policy affects depression in non-disabled people and how this effect differs in different non-disabled groups.
Methods: Using time-varying differences-in-differences method and nationally representative health survey data in wave 2011, wave 2013, wave 2015 and wave 2018 from the China Health and Retirement Longitudinal Study, we assessed the effect of LTCI policy on depression in non-disabled people aged 45 years and older, and discussed the heterogeneity of effect across different population characteristics: retirement, financial support and social participation status.
Results: We found LTCI policy statistically significant reduced depression by 0.76 units in non-disabled people compared to non-pilot cities. Depression in non-disabled people who unretired, with financial support and without social participation was reduced by 0.8267, 0.7079 and 1.2161 units, respectively.
Conclusions: Depression in non-disabled people was statistically significant reduced because of LTCI policy in China, and non-disabled people who unretired, with financial support and without social participation benefited more from LTCI policy. Our findings highlight the depression-reducing effect of LTCI policy in non-recipients and suggest that non-disabled people who unretired, with financial support and without social participation should be concerned during LTCI policy progress.
Keywords: Depression; Differences-in-differences; Long-term care insurance; Non-disabled people.
© 2024. The Author(s).
Conflict of interest statement
The authors declare no competing interests.
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References
-
- OECD. Video and slides for the webinar: COVID-19 and long-term care systems: perspectives from France, Italy and Portugal, and an overview of OECD responses. 2021, doi:https://ltccovid.org/2021/07/26/video-and-slides-for-the-webinar-covid-1....
-
- WHO. framework for countries to achieve an integrated continuum of long-term care. 2021, doi:https://www.who.int/publications/i/item/9789240038844.
-
- OECD. Long-Term Care Resources and Utilisation: Long-term care recipients. 2023, doi:https://stats.oecd.org/Index.aspx?QueryId=30142.
-
- WHO. Home/Health topics/Depression. 2023, doi:https://www.who.int/health-topics/depression#tab=tab_1.
-
- Knebelmann J, Prinz C. The Impact of Depression on Employment of Older Workers in Europe. 2016, doi:10.1787/106dbdae-en.
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- 72274145/The General Program of the National Natural Science Foundation of China
- 22YJA630101/the Planning Fund Project of the Ministry of Education of the People's Republic of China
- 413000138/the Fundamental Research Funds for the Central Universities
- 21JDZS04/the self-set project of the Key Research Institute of Humanities and Social Sciences of the Ministry of Education of the People's Republic of China
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