Self-Reported Functional and General Health Status Among Older Respondents in China

Wu, Bei; Yue, Yuwen; Mao, Zongfu

doi:10.1177/1010539511428350

Cited by 15 publications

(12 citation statements)

References 23 publications

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“…Second, according to the mean-based Shapley-Shorrocks decomposition, we find that rural/urban residence and province of residence make the largest contribution to the total IOp in most domains of biomarkers. This is in accordance with earlier studies that underscore the importance of region of residence in explaining health disparities among elderly Chinese adults (Wu et al, 2015;Zimmer & Kwong, 2004). In addition, gender and age play a relatively important role in IOp for most of biomarkers.…”

Section: Discussionsupporting

confidence: 93%

Ex ante Inequality of Opportunity in Health among the Elderly in China: A Distributional Decomposition Analysis of Biomarkers

Ding¹,

Jones

Wang

2021

Review of Income and Wealth

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We present a comprehensive analysis of ex ante inequality of opportunity (IOp) in health among Chinese adults aged 60+ and decompose the contributions of different sets of circumstances. Data are drawn from the 2011 and 2015 waves of the China Health and Retirement Longitudinal Study (CHARLS) linked with the 2014 CHARLS Life History Survey. We use a range of blood-based biomarkers, and apply a re-centered influence function (RIF) approach and a Shapley-Shorrocks decomposition to partition the contribution of circumstances across different quantiles of the biomarker distributions. We find that IOp accounts for between 3.75% and 29.57% of total health inequality in old age across the range of biomarkers. Shapley-Shorrocks decompositions show that spatial circumstances such as urban/rural residence and province of residence are the dominant determinants of IOp for most of the biomarkers. Distributional decompositions further reveal that the relative contributions to IOp in health of household socioeconomic status and health and nutrition conditions in childhood increase towards the right tails of the distribution for most of the biomarkers, where the clinical risk is focused.

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Section: Discussionsupporting

confidence: 93%

Ex ante Inequality of Opportunity in Health among the Elderly in China: A Distributional Decomposition Analysis of Biomarkers

Ding¹,

Jones

Wang

2021

Review of Income and Wealth

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“…SRHS has been reported as a significant risk factor for communicable disease [ 8 ], non-communicable illness [ 9 ] and mortality [ 10 ]. This has been found across countries [ 11 , 12 ], ethnic backgrounds [ 13 ] and age groups [ 14 , 15 ]. Hence, subjective SRHS is a widely used measure of health.…”

Section: Introductionmentioning

confidence: 94%

Did Socioeconomic Inequality in Self-Reported Health in Chile Fall after the Equity-Based Healthcare Reform of 2005? A Concentration Index Decomposition Analysis

Cabieses¹,

Cookson

Espinoza

et al. 2015

PLoS ONE

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ObjectiveChile, a South American country recently defined as a high-income nation, carried out a major healthcare system reform from 2005 onwards that aimed at reducing socioeconomic inequality in health. This study aimed to estimate income-related inequality in self-reported health status (SRHS) in 2000 and 2013, before and after the reform, for the entire adult Chilean population.MethodsUsing data on equivalized household income and adult SRHS from the 2000 and 2013 CASEN surveys (independent samples of 101 046 and 172 330 adult participants, respectively) we estimated Erreygers concentration indices (CIs) for above average SRHS for both years. We also decomposed the contribution of both “legitimate” standardizing variables (age and sex) and “illegitimate” variables (income, education, occupation, ethnicity, urban/rural, marital status, number of people living in the household, and healthcare entitlement).ResultsThere was a significant concentration of above average SRHS favoring richer people in Chile in both years, which was less pronounced in 2013 than 2000 (Erreygers corrected CI 0.165 [Standard Error, SE 0.007] in 2000 and 0.047 [SE 0.008] in 2013). To help interpret the magnitude of this decline, adults in the richest fifth of households were 33% more likely than those in the poorest fifth to report above-average health in 2000, falling to 11% in 2013. In 2013, the contribution of illegitimate factors to income-related inequality in SRHS remained higher than the contribution of legitimate factors.ConclusionsIncome-related inequality in SRHS in Chile has fallen after the equity-based healthcare reform. Further research is needed to ascertain how far this fall in health inequality can be attributed to the 2005 healthcare reform as opposed to economic growth and other determinants of health that changed during the period.

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“…Second, the participants all lived in an urban area, which may differ significantly from older adults’ experience in underdeveloped areas in China. Given other research of the health disparities between urban and rural areas in China (Wu et al, 2015), this would be an area for future research, as well. Finally, although we were able to focus on PWCI and their key care partners, other family members were not included in the current study so that we are unable to identify roles taken by them and provide family-centered implications for intervention development.…”

Section: Limitationsmentioning

confidence: 99%

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens

et al. 2020

Self Cite

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China has experienced a substantial increase in the number of older adults with dementia and milder forms of cognitive impairment. Being spouses of Persons with cognitive impairment (PWCI) and living with them for several decades does not necessarily mean that it is easier for them to provide person-centered care and maintain a valued and healthy relationship. The current study explored how elements of PCC, as operationalized by the Senses Framework, operate or fail to operate in the dyadic experiences of PWCI and their spousal care partners within the socio-cultural context of China. Our findings suggest that PWCI and their spouses experience the six senses through the person-centeredness in their daily interactions with each other. It also indicated successes and challenges to being person-centered early in the disease and identified their unmet needs as well as barriers and facilitators to improve their well-being.

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Self-Reported Functional and General Health Status Among Older Respondents in China

Cited by 15 publications

References 23 publications

Ex ante Inequality of Opportunity in Health among the Elderly in China: A Distributional Decomposition Analysis of Biomarkers

Ex ante Inequality of Opportunity in Health among the Elderly in China: A Distributional Decomposition Analysis of Biomarkers

Did Socioeconomic Inequality in Self-Reported Health in Chile Fall after the Equity-Based Healthcare Reform of 2005? A Concentration Index Decomposition Analysis

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens

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