ArticleBMC psychiatry2025
Household catastrophic health expenditure and depressive mood among Chinese adults, children, and adolescents: a population-based panel study.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Financial toxicity among patients with breast cancer: a systematic review and meta-analysis.The oncologist · 2026Pooled it
- Analysis of influencing factors and urban-rural difference decomposition of mental health literacy among residents in Chongqing, Southwest China: a large-scale multistage random sampling survey.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundNumerous studies have suggested that catastrophic health expenditure (CHE) is associated with depressive mood. However, most published studies have examined the relationship between CHE and depressive mood only among middle-aged and older people who are already susceptible to depressive mood. The objective of our analysis was to determine the associations between household CHE and depressive mood among adults and children/adolescents.
methodsOur study population consisted of Chinese residents who participated in the 2016 CFPS, 2018 CFPS, and 2020 CFPS. Our analytical sample was restricted to children/adolescents aged 10-17 years and adults aged 18 years and older. We utilized multilevel random effects multivariate logistic regression models to investigate the associations between CHE and depressive mood among both adults and children/adolescents.
resultsOur study revealed that 15% of adults and 12.61% of children/adolescents had experienced CHE and that CHE was positively associated with depressive mood among adults (OR = 1.34, 95% CI: 1.21, 1.50) and among children/adolescents (OR = 1.48, 95% CI: 1.12, 1.96) after adjustment for potential confounding factors. This positive association persisted in different subgroup analyses. In addition, we found that being insured with either urban or rural health insurance was associated with decreased odds of depressive mood.
conclusionOur study indicated that CHE is common in Chinese families and may increase the risk of depressive mood for both adults and children/adolescents. These findings emphasize the need to focus on expanding health insurance coverage, as well as implementing family-based mental health resources and financial literacy programs to reduce the psychological impact of CHE across all age groups.
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Registered trials
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