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The impact of urban-rural health insurance integration on depression among rural middle-aged and elderly individuals——An Empirical Study Based on CHARLS Data
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Tai-nan LI, Jing ZHAO, Ke-man QU, Ying CHEN, Ya-ru LI
Modern Preventive Medicine | 2026, 53(2) : 225 - 231
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Modern Preventive Medicine | 2026, 53(2): 225-231
• Epidemiology and Statistical Methods Advances •
The impact of urban-rural health insurance integration on depression among rural middle-aged and elderly individuals——An Empirical Study Based on CHARLS Data
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Tai-nan LI, Jing ZHAO, Ke-man QU, Ying CHEN, Ya-ru LI
Affiliations
  • School of Management, Beijing University of Chinese Medicine, Beijing 102401, China
Published: 2026-01-25 doi: 10.20043/j.cnki.MPM.202509049
Outline
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Objective

To examine the impact of the integrated urban-rural health insurance policy on depression levels among rural middle-aged and elderly populations.

Methods

A multi-period difference-in-differences model was constructed using five waves of the China Health and Retirement Longitudinal Study (CHARLS) data from 2011-2020 to evaluate policy effects.

Results

The integration policy reduced depression scores among rural middle-aged and elderly individuals by 0.426 points (β=-0.426, P<0.05), with significant effects observed among rural males (β=-0.416, P<0.01) and middle-aged cohorts (β=-0.570, P<0.1). Improved chronic disease conditions partially mediated this effect.

Conclusion

The integration of health insurance significantly reduces depression levels among rural middle-aged and elderly individuals. Future efforts should focus on deepening institutional reforms, optimizing chronic disease coverage, and strengthening targeted interventions to enhance the physical and mental health security of this demographic.

Urban-Rural Health Insurance Integration  /  Rural middle-aged and elderly individuals  /  Depression  /  Difference-in-differences
李台南, 赵静, 屈可曼, 陈颖, 李雅茹. 城乡医保整合对农村中老年人抑郁的影响——基于CHARLS数据的实证研究. 现代预防医学, 2026 , 53 (2) : 225 -231 . DOI: 10.20043/j.cnki.MPM.202509049
Tai-nan LI, Jing ZHAO, Ke-man QU, Ying CHEN, Ya-ru LI. The impact of urban-rural health insurance integration on depression among rural middle-aged and elderly individuals——An Empirical Study Based on CHARLS Data[J]. Modern Preventive Medicine, 2026 , 53 (2) : 225 -231 . DOI: 10.20043/j.cnki.MPM.202509049
Year 2026 volume 53 Issue 2
16
8
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doi: 10.20043/j.cnki.MPM.202509049
  • Receive Date:2025-09-03
  • Online Date:2026-11-02
  • Published:2026-01-25
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  • Received:2025-09-03
Affiliations
    School of Management, Beijing University of Chinese Medicine, Beijing 102401, China
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表12种不同金属材料的力学参数
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Family
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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