Socio-economic disparities in mortality among the elderly in China

Luo, Weixiang; Xie, Yu

doi:10.1080/00324728.2014.934908

Cited by 29 publications

(24 citation statements)

References 63 publications

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“…Although it is difficult to compare our results with these studies because of different study populations and how education was measured, the magnitude of education effect on mortality for older Chinese adults seems moderate. This finding is consistent with several studies in developing countries and in Asia (Liang et al, 2000;Liu et al, 1998;Luo and Xie, 2014;Zhu and Xie, 2007). In a meta-analysis of educationemortality relationship in Asia, Vathesatogkit et al (2014) found that the relationship between education and mortality varies in Asia, and it is weaker in older adults and in East Asia.…”

Section: Discussionsupporting

confidence: 91%

Education and mortality among older adults in China

Luo

Zhang

2015

Social Science & Medicine

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Section: Discussionsupporting

confidence: 91%

Education and mortality among older adults in China

Luo

Zhang

2015

Social Science & Medicine

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“…Luo and Xie [46] found that 74.5% of older adults were economically independent (i.e., their daily expenses could be paid by their retirement wage/pension or other income) in China. They also found older adults with economic independence had 26.4% lower risk of respiratory diseases mortality.…”

Section: Socioeconomic Statusmentioning

confidence: 99%

Cost-effectiveness of introducing national seasonal influenza vaccination for adults aged 60 years and above in mainland China: a modelling analysis

Yang

Atkins

Feng

et al. 2020

BMC Med

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Background: China has an aging population with an increasing number of adults aged ≥ 60 years. Influenza causes a heavy disease burden in older adults, but can be alleviated by vaccination. We assessed the cost-effectiveness of a potential government-funded seasonal influenza vaccination program in older adults in China. Methods: We characterized the health and economic impact of a fully funded influenza vaccination program for older adults using China-specific influenza disease burden, and related cost data, etc. Using a decision tree model, we calculated the incremental costs per quality-adjusted life year (QALY) gained of vaccination from the societal perspective, at a willingness-to-pay threshold equivalent to GDP per capita (US$8840). Moreover, we estimated the threshold vaccination costs, under which the fully funded vaccination program is cost-effective using GDP per capita as the willingness-to-pay threshold. Results: Compared to current self-paid vaccination, a fully funded vaccination program is expected to prevent 19, 812 (95% uncertainty interval, 7150-35,783) influenza-like-illness outpatient consultations per year, 9418 (3386-17, 068) severe acute respiratory infection hospitalizations per year, and 8800 (5300-11,667) respiratory excess deaths due to influenza per year, and gain 70,212 (42,106-93,635) QALYs per year. Nationally, the incremental costs per QALY gained of the vaccination program is US$4832 (3460-8307), with a 98% probability of being cost-effective. The threshold vaccination cost is US$10.19 (6.08-13.65). However, variations exist between geographical regions, with Northeast and Central China having lower probabilities of cost-effectiveness. Conclusions: Our results support the implementation of a government fully funded older adult vaccination program in China. The regional analysis provides results across settings that may be relevant to other countries with similar disease burden and economic status, especially for low-and middle-income countries where such analysis is limited.

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“…It is likely that the educational levels of family members will have a stronger association with mortality among the elderly in China than has been observed in other countries because of the commonness of intergenerational co-residence. Several studies have examined the effect of elderly Chinese people’s own socioeconomic status on their mortality risk, 17 , 18 but the extent to which the socioeconomic status of other family members, in particular spouses and children, does or does not affect their mortality is still unclear.…”

Section: Introductionmentioning

confidence: 99%

Effects of Individual, Spousal, and Offspring Socioeconomic Status on Mortality Among Elderly People in China

Yang

Martikainen

Silventoinen

2016

Journal of Epidemiology

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BackgroundThe relationship between socio-economic status and health among elderly people has been well studied, but less is known about how spousal or offspring’s education affects mortality, especially in non-Western countries. We investigated these associations using a large sample of Chinese elderly.MethodsThe data came from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from the years 2005 to 2011 (n = 15 355, aged 65–105 years at baseline; 5046 died in 2008, and 2224 died in 2011). Educational attainment, occupational status, and household income per capita were used as indicators of socio-economic status. Spousal and offspring’s education were added into the final models. The Cox proportional hazards model was used to study mortality risk by gender.ResultsAdjusted for age, highly educated males and females had, on average, 29% and 37% lower mortality risk, respectively, than those with a lower education. Particularly among men, this effect was observed among those whose children had intermediate education only. A higher household income was also associated with lower mortality risk among the elderly. Male elderly living with a well-educated spouse (HR 0.79; 95% CI, 0.64–0.99) had a lower mortality risk than those living with a low-educated spouse.ConclusionsBoth the socio-economic status of the individual and the educational level of a co-resident spouse or child are associated with mortality risk in elderly people. The socio-economic position of family members plays an important role in producing health inequality among elderly people.

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Socio-economic disparities in mortality among the elderly in China

Cited by 29 publications

References 63 publications

Education and mortality among older adults in China

Education and mortality among older adults in China

Cost-effectiveness of introducing national seasonal influenza vaccination for adults aged 60 years and above in mainland China: a modelling analysis

Effects of Individual, Spousal, and Offspring Socioeconomic Status on Mortality Among Elderly People in China

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