原创力文档the role of basic health insurance on depression an epidemiological cohort study of a randomized community sample in northwest china基本医疗保险的作用在抑郁症的流行病学队列研究在中国西北社区随机样本.pdfVIP
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the role of basic health insurance on depression an epidemiological cohort study of a randomized community sample in northwest china基本医疗保险的作用在抑郁症的流行病学队列研究在中国西北社区随机样本
Tian et al. BMC Psychiatry 2012, 12:151
/1471-244X/12/151
RESEARCH ARTICLE Open Access
The role of basic health insurance on depression:
an epidemiological cohort study of a randomized
community sample in Northwest China
1,2 1,2* 1 1 2 1,2 3,4
Donghua Tian , Zhiyong Qu , Xiaohua Wang , Jing Guo , Fan Xu , Xiulan Zhang and Cecilia Lai-Wan Chan
Abstract
Background: Little research has focused on the relationship between health insurance and mental health in the
community. The objective of this study is to determine how the basic health insurance system influences
depression in Northwest China.
Methods: Participants were selected from 32 communities in two northwestern Chinese cities through a
three-stage random sampling. Three waves of interviews were completed in April 2006, December 2006, and
January 2008. The baseline survey was completed by 4,079 participants. Subsequently, 2,220 participants completed
the first follow-up, and 1,888 completed the second follow-up. Depression symptoms were measured by the Center
for Epidemiologic Studies Depression Scale (CES-D).
Results: A total of 40.0% of participants had at least one form of health insurance. The percentages of participants
with severe depressive symptoms in the three waves were 21.7%, 22.0%, and 17.6%. Depressive symptoms were
found to be more severe among participants without health insurance in the follow-up surveys. After adjusting for
confounders, participants without health insurance were found to experience a higher risk of developing severe
depressive symptoms than participants with health insurance (7 months: OR, 1.40; 95% CI, 1.09-1.82; p = 0.01;
20 months: OR, 1.89; 95% CI, 1.37-2.61; p 0.001).
Co
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