Trends and socio-economic disparities in catastrophic health expenditure and health impoverishment in China: 2010 to 2016

Abstract

OBJECTIVES: To investigate trends and socioeconomic disparities in the Catastrophic Health Expenditure (CHE) and health impoverishment in China after major reform of the health system; and to examine the impacts of the chronic disease on CHE and impoverishment. METHODS: We obtained data from four rounds of the China Family Panel Studies 2010-2016, with a sample size of 14,960 households. We defined CHE as the point at which annual household health payments exceeded 40% of annual capacity to pay. Impoverishment is measured by the $1.90 per day poverty line. Multivariate logistic regression models were performed to identify impacts of the family member with chronic disease on CHE and impov..