# Multidimensional health status and its impact on health care consumption behavior among elderly people with chronic diseases: evidence from CHARLS in China

**Authors:** Qi Wang, Yuanyuan Zhang, Xin Miao, Jinao Chen, Linlin Zhang

PMC · DOI: 10.3389/fpsyg.2025.1543982 · 2025-04-16

## TL;DR

This study explores how different aspects of health affect healthcare use among elderly Chinese with chronic diseases, using data from CHARLS.

## Contribution

The study introduces a multidimensional health framework to analyze healthcare consumption behavior in elderly individuals with chronic diseases.

## Key findings

- Multidimensional health is significantly associated with healthcare consumption behavior (p < 0.05).
- Dyslipidemia, social activities, and children’s financial support influence healthcare use (p < 0.05).
- Physical and social health positively impact healthcare consumption among the elderly with chronic diseases.

## Abstract

This study aims to provide a comprehensive understanding of the multidimensional health status of elderly individuals with chronic diseases in China and examine its impact on their healthcare consumption behavior.

A chi-square test was conducted to assess the variations in healthcare consumption behavior across different multidimensional health categories. Additionally, a logistic regression model was employed to identify the key determinants influencing healthcare consumption among elderly individuals with chronic diseases from a multidimensional health perspective.

The chi-square test results indicated a statistically significant association between multidimensional health and healthcare consumption behavior (p < 0.05). Furthermore, the logistic regression analysis identified dyslipidemia, regular participation in social activities, and children’s financial support (≥¥5,801 yuan per year) as significant contributors to healthcare consumption behavior among elderly individuals with chronic conditions (p < 0.05).

The findings of this study suggest that both physical and social health play a positive role in enhancing healthcare consumption behavior among elderly individuals with chronic diseases (p < 0.05). These results highlight the importance of targeted policy interventions that integrate physical health management and social engagement strategies to improve healthcare accessibility and utilization in this population.

## Linked entities

- **Diseases:** dyslipidemia (MONDO:0002525)

## Full-text entities

- **Diseases:** dyslipidemia (MESH:D050171), chronic (MESH:D002908)

---
Source: https://tomesphere.com/paper/PMC12042454