Table 1

Dependent and independent variables

CategoriesIndicators/survey questions
Dependent variables
 Non-use of outpatient servicesReported non-use of outpatient/no reported non-use of outpatient servicesQuestions: Have you been ill in the last month? What was the main reason for not seeking outpatient treatment?
 Non-use of inpatient servicesReported non-use of inpatient/no reported non-use of inpatient servicesQuestion: In the past year, did a doctor suggest that you needed inpatient care but you were not get hospitalised?
 Non-use of physical examinationsNot undergoing physical examination/undergoing physical examinationQuestion: Did you have a physical examination in the last 2 years?
Independent variables
Predisposing factors
 SexMale/female
 Age (years)≤55/56–65/66–75/≥75
 Marital statusNot married/marriedQuestion: What is your marital status?
 Employment/retirement statusEmployed/not employed/retiredEmployed: respondents reported that they had engaged in any type of employment; not employed: not working in the last year or retired without pension; retired: retired with pension.
 EducationLess than lower secondary/upper secondary and vocational training/tertiaryQuestion: What is your highest level of education?
 Household numbers≤2 persons in household/≥3 persons in householdNumber of household members
Enabling factors
 Social health insurance0, no social health insurance/1, UEMI/2, URMI/3, NCMIQuestion: Are you the policy holder/primary beneficiary of any type of health insurance?
 Income level≤¥1495/¥1496–8126/¥8127–20 533/≥¥20 533Yearly household income divided by the number of household members; first household member with a weight of 1, all following household members with a weight of 0.5.
 Transfer receivedFinancial transfers received from others/no financial transfers received from othersThe total amount of financial transfers that the respondent and spouse received in the past year.
 Transfer givenFinancial transfers given to others/no financial transfers given to othersThe total amount of financial transfers that the respondent and spouse gave in the past year.
 Area of residenceUrban/rural
Need factors
 Self-reported healthExcellent/very good/good/fair/poorQuestion: Would you say your health is excellent, very good, good, fair or poor?
 ChronicNo chronic/one chronic/multiple chronic diseasesQuestion: Have you been diagnosed with any chronic diseases (conditions listed below; respond to each one) by a doctor?
 Depression (Center for Epidemiological Survey (CESD) scores)No depression (CESD<10)/probability of being depression (10≤CESD < 20)/depression (CESD≥20)Ten questions of the CESD (Depression Scale)
 BMI≤18.5/18.624/≥24.1BMI is the weight divided by the square of the height.
 ADLWithout ADL/with any ADLThe ADLs proposed by Wallace and Herzog30 in their paper, including bathing, dressing and eating. Getting in/out of bed was added in CHARLS.
 DrinkingNo/yesWhether the respondent drank alcoholic beverages in the past
 SmokingNo/yesWhether the respondent reports ever having smoked or presently smoking
  • ADL, activities of daily living; BMI, body mass index; CHARLS, China Health and Retirement Longitudinal Study; NCMI, new cooperative medical insurance; UEMI, urban employee medical insurance; URMI, urban resident medical insurance.