Estimating healthcare expenditures after becoming divorced or widowed using propensity score matching

被引：3

作者：

Meulman, Iris ^{[1
,2
]}

Loef, Bette ^{[3
]}

Stadhouders, Niek ^{[6
]}

Moger, Tron Anders ^{[4
]}

Wong, Albert ^{[5
]}

Polder, Johan J. ^{[1
,2
]}

Uiters, Ellen ^{[3
]}

机构：

[1] Natl Inst Publ Hlth & Environm, Ctr Hlth & Soc, POB 1, NL-3720 BA Bilthoven, Netherlands

[2] Tilburg Univ, Tilburg Sch Social & Behav Sci, Dept Tranzo, Tilburg, Netherlands

[3] Natl Inst Publ Hlth & Environm, Ctr Nutr Prevent & Hlth Serv, Bilthoven, Netherlands

[4] Univ Oslo, Dept Hlth Management & Hlth Econ, Oslo, Norway

[5] Natl Inst Publ Hlth & Environm, Dept Stat Informat & Modeling, Bilthoven, Netherlands

[6] Radboud Univ Nijmegen Med Ctr, Sci Ctr Qual Healthcare, Nijmegen, Netherlands

来源：

EUROPEAN JOURNAL OF HEALTH ECONOMICS | 2023年 / 24卷 / 07期

关键词：

Divorce; Healthcare expenditure; Healthcare utilization; Marital status change; Propensity score matching; Widowhood; MARITAL-STATUS TRANSITIONS; GENDER-DIFFERENCES; PSYCHOLOGICAL DISTRESS; MENTAL-HEALTH; LIFE EVENTS; SPOUSAL BEREAVEMENT; SEX-DIFFERENCES; SERVICE USE; SHORT-TERM; WIDOWHOOD;

D O I：

10.1007/s10198-022-01532-z

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

Becoming divorced or widowed are stressful life events experienced by a substantial part of the population. While marital status is a significant predictor in many studies on healthcare expenditures, effects of a change in marital status, specifically becoming divorced or widowed, are less investigated. This study combines individual health claims data and registered sociodemographic characteristics from all Dutch inhabitants (about 17 million) to estimate the differences in healthcare expenditure for individuals whose marital status changed (n = 469,901) compared to individuals who remained married, using propensity score matching and generalized linear models. We found that individuals who were (long-term) divorced or widowed had 12-27% higher healthcare expenditures (RR = 1.12, 95% CI 1.11-1.14; RR = 1.27, 95% CI 1.26-1.29) than individuals who remained married. Foremost, this could be attributed to higher spending on mental healthcare and home care. Higher healthcare expenditures are observed for both divorced and widowed individuals, both recently and long-term divorced/widowed individuals, and across all age groups, income levels and educational levels.

引用

页码：1047 / 1060

页数：14

共 69 条

[1]

[Anonymous], 2008, LEVENSLOOP ZORGKOSTE

[2] WIDOWHOOD AND WELL-BEING - AN EXAMINATION OF SEX-DIFFERENCES WITHIN A CAUSAL MODEL [J].