Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (4): 113-118.doi: 10.6040/j.issn.1671-7554.0.2021.0062

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Relationship between medical insurance participation and risk of suicide among rural elderly

ZHAO Sibo, PENG Li, LING Hongxiang   

  1. School of Sociology and Psychology, Central University of Finance and Economics, Beijing 100081, China
  • Published:2022-04-22

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Abstract: Objective To investigate the relationship between medical insurance participation and risk of suicide among rural elderly. Methods The “2010 China Urban and Rural Elderly Population Tracking Survey Data” were mined. Using a stratified random sampling method of proportional to the scale, elderly aged 60 years and above were surveyed in 20 provinces, autonomous regions, and municipalities. Altogether 7 873 subjects were enrolled, who were surveyed with a questionnaire composed of basic demographic information, medical insurance participation, suicidal behaviors and other related questions. Data collected were analyzed with a binary Logistic regression model. Results The reported risk of suicide among rural elderly was 6.03%, and there was significant differences among groups with different insurance participations(χ2=9.42, P=0.002). The binary Logistic regression model showed that factors related to risk of suicide included health insurance(OR=0.513, 95%CI=0.285-0.922), education level(elementary school: OR=0.718, 95%CI=0.573-0.898; junior high school and above: OR=0.670, 95%CI=0.453-0.989), debt status(OR=1.557, 95%CI=1.236-1.962), financial security(OR=0.719, 95%CI=0.574-0.900), health status(poor: OR=0.768, 95%CI=0.572-1.031; fair: OR=0.307, 95%CI=0.224-0.420; good: OR=0.316, 95%CI=0.206-0.486; very good: OR=0.175, 95%CI=0.061-0.494), chronic diseases(OR=1.970, 95%CI=1.448-2.681), psychological burden(OR=1.027, 95%CI=1.015-1.039), family relationship(OR=0.350, 95%CI=0.253-0.484), and so on. Conclusion Medical insurance participation is significantly related to the risk of suicide. Enhancing the coverage rate and insurance level and improving the rural serious diseases relief system will help improve the mental health of rural elderly and reduce the risk of suicide.

Key words: Rural elderly, Medical insurance, Risk of suicide, Influencing factors

CLC Number: 

  • R574
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