Is China Moving toward Healthy Aging? A Tracking Study Based on 5 Phases of CLHLS Data

Yang, Yinan; Meng, Ying‐Ying

doi:10.3390/ijerph17124343

Cited by 24 publications

(25 citation statements)

References 17 publications

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“…This divergence may be due to the failure of previous studies to consider health interlinkages [ 14 ]. In line with other studies [ 16 ], for most participants, worsening healthy aging status was attributed to physical and functional health. Meanwhile, mental health could be improved for some participants, suggesting that prevention and even reversal of aging could occur to some extent.…”

Section: Discussionsupporting

confidence: 90%

Healthy aging index and its link with relative education between individual and neighborhood: a population-based, cohort study

Zong

Wang

et al. 2022

BMC Geriatr

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Objectives There is increasing recognition of the importance of neighborhood socioeconomic status (SES) for establishing an age-friendly society. Despite the benefits of improved neighborhood SES, little is known about the link of relative education between individuals and neighborhoods with healthy aging. This study aims to construct a healthy aging index (HAI) accounting for indicators’ interlinkages and to test the association of the HAI with relative education between neighborhoods and individuals. Methods The study used data from the China Health and Retirement Longitudinal Study from 2011 to 2018, including middle-aged and older adults (≥ 45 years). The final sample comprised 11633 participants residing in 443 neighborhoods with 34123 observations. Based on 13 health indicators, a hybrid method integrating network analysis with TOPSIS was applied to construct a HAI accounting for health interlinkages. Weighted multilevel linear and ordered logistic models were used to estimate the effects of neighborhood education. Results Among the 11633 participants (mean [SD] age, 58.20 [8.91] years; 6415 women [52.82%]), the mean (SD) HAI was 48.94 (7.55) at baseline, showing a downward trend with age. Approximately 10% of participants had a HAI trajectory characterized by a low starting point and fast decline. A one-year increase in neighborhood education was independently associated with a 0.37-point increase (95% CI, 0.23–0.52) in HAI. Regardless of individual education, each participant tended to gain benefits from a neighborhood with higher education. However, the effects of increased neighborhood education were weaker for individuals whose education was lower than the neighborhood average. Conclusions The HAI is an interaction system. Improving neighborhood education was beneficial to healthy aging, but individuals with lower education relative to the neighborhood average may experience poor person–environment fit and obtain fewer benefits from improved neighborhood education. Thus, in the process of improving neighborhood SES, individual-based interventions should be conducted for individuals whose education level is lower than the neighborhood average to achieve person–environment fit.

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Section: Discussionsupporting

confidence: 90%

Healthy aging index and its link with relative education between individual and neighborhood: a population-based, cohort study

Zong

Wang

et al. 2022

BMC Geriatr

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“…Chinese Longitudinal Healthy Longevity Survey (CLHLS) covered 23 provinces and is the largest set of survey data of the old adults in China [33]. CLHLS conducted population surveys with 15,874 individuals in 2017-2018 (wave 8), including rural and urban areas, using a domiciliary face-to-face questionnaire, in the countries' native language.…”

Section: Study Design and Populationmentioning

confidence: 99%

Association between social capital and sleep duration among rural older adults in China

2022

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Objective Sleep disturbances are great challenges to older adults’ health promotion. The study tested gender differences in the association between different dimensions of social capital and self-reported sleep duration of Chinese rural older adults. Design The data of rural older adults were extracted from a national cross-sectional survey of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) and analyzed in this study. Setting CLHLS covered 23 provinces in China. Participants The 6552 rural respondents aged ≥65 years old were involved. Main outcome measures Generalized trust, informal social participation, formal social participation and social support were used to assess social capital. Self-reported sleep duration was measured as health outcome. Results Low level of generalized trust had harmful effect on insufficient sleep (AOR 1.110, 95% CI 1.018-1.324), and having no formal or informal social participation was significantly positively associated with long sleep (AORformal 1.424, 95% CI 1.007-2.013; AORinformal 1.241, 95% CI 1.016-1.516). Rural older female adults with no emotional social support had higher odds of insufficient sleep (AOR 1.502, 95% CI 1.258-1.978). Meanwhile, both informal and formal social participation showed inverse association with long sleep for females. Conclusions This study found the relationship between social capital, sleep duration and the gender differences in Chinese rural older adults. More targeted sleep disturbance interventions could be taken in social capital of rural older adults, and gender differences should be considered when making social capital-embedded health promotion policies and interventions.

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“…The data used in this study were obtained from the Chinese Longitudinal Healthy Longevity Survey in 2018 (CLHLS was downloaded from (accessed on 1 November 2021)), which is a national-wide and longitudinal survey of the elderly organized by the Center for Healthy Aging and Development Research/National Development Research Institute of Peking University. The detailed information about the survey design has been reported in previous research [ 22 , 23 , 24 ]. The samples were collected from 23 provinces of China, and the total number of valid samples was 15,874.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Family Socioeconomic Status on Elderly Health in China: Based on the Frailty Index

Zhou

Hou

Sun

et al. 2022

IJERPH

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China is about to enter a moderate aging society. In the process of social and economic development, the family socioeconomic status and health status of the elderly have also changed significantly. Learning the impact of family socioeconomic status on elderly health can help them improve family socioeconomic status and better achieve healthy and active aging. Using the data of the Chinese Longitudinal Healthy Longevity Survey in 2018, this study firstly analyzed the impact of family socioeconomic status on elderly health using the multivariate linear regression model and quantile regression model, the heterogeneity of different elderly groups using subsample regression, and the mediation effects of three conditions associated with the family socioeconomic status of the elderly. The results show that family socioeconomic status has a negative effect on the frailty index, that is, it has a positive impact on elderly health. Family socioeconomic status has a higher positive impact on the health status of the middle and lower age elderly and rural elderly. Overall living status and leisure and recreation status both have mediation effects, while health-care status has no mediation effect.

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Is China Moving toward Healthy Aging? A Tracking Study Based on 5 Phases of CLHLS Data

Cited by 24 publications

References 17 publications

Healthy aging index and its link with relative education between individual and neighborhood: a population-based, cohort study

Healthy aging index and its link with relative education between individual and neighborhood: a population-based, cohort study

Association between social capital and sleep duration among rural older adults in China

The Impact of Family Socioeconomic Status on Elderly Health in China: Based on the Frailty Index

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