Association of adverse childhood experiences with health service use and catastrophic health expenditures in China: evidence from the China Health and Retirement Longitudinal Study.

ABSTRACT:

Backgrounds

Associations between adverse childhood experiences (ACEs) and catastrophic health expenditures (CHEs) among middle-aged or older Chinese individuals remain inadequately documented. In addition, the role of chronic diseases is not entirely clear. This study used data from the China Health and Retirement Longitudinal Study (CHARLS) to investigate the association of ACEs with hospital visits and medical expenditures and the mediating effect of chronic diseases.

Methods

Data were collected from CHARLS in 2014 and 2015 (N = 11,072). Zero-inflated negative binomial regression was used to assess associations of the ACEs with the number of outpatient visits and inpatient hospital days. Logistic regression was used to assess associations between the ACEs and CHEs. The inf

SUBMITTER: Xie S 

PROVIDER: S-EPMC12783321 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature