The evolutionary trends of health inequality among elderly Chinese people and influencing factors of these trends from 2005 to 2017

Liu, Yiwei; Duan, Yanan

doi:10.1002/hpm.3529

Cited by 4 publications

(2 citation statements)

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“…Income is crucial in enabling older adults to access medical services, and higher income levels are associated with better health outcomes ( Pulok and Hajizadeh, 2022 ). Economic poverty is closely linked to the health of older adults, with poverty increasing the risk of health problems and economic disparities exacerbating health inequality ( Liu et al, 2022 ). Income is a significant indicator of social and economic status, and pension can have a direct impact on the mental health of older adults by providing them with a stable source of income ( Case and Wilson, 2000 ).…”

Section: Introductionmentioning

confidence: 99%

Happiness and mental health of older adults: multiple mediation analysis

Sun

2023

Front. Psychol.

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IntroductionThis study aims to explore the influence mechanism of older adult mental health. As the aging population grows, the mental health of older adults becomes a significant public health and social issue, with happiness serving as a key dimension of mental health.MethodsThis study utilizes public data from CGSS to investigate the relationship between happiness and mental health, with Process V4.1 used for mediating effects analysis.ResultsThe findings suggest a positive predictive effect of happiness on mental health, with three mediating paths identified: independent mediating effect paths of income satisfaction and health, as well as a multiple mediating effects path through income satisfaction and health.DiscussionThe study suggests that improving the multi-subject mental health support service system for older adults and creating public values for mental health risk coping mechanisms. This helps to understand the complex relationship between aging on individual and social levels. These results provide empirical support for healthy aging among older adults and future policymaking.

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Section: Introductionmentioning

confidence: 99%

Happiness and mental health of older adults: multiple mediation analysis

Sun

2023

Front. Psychol.

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“…More seriously, the prevalence of chronic diseases among the elderly in China is gradually increasing and is as high as 75.8% [ 2 ]. Thus increasing the demand for safe, effective, convenient primary health care services for the elderly, which has a positive role in safeguarding and improving their health [ 3 – 5 ]. Family doctor contracting service (FDCS) is a key initiative to improve the quality of primary health care services, and its development varies from country to country.…”

Section: Introductionmentioning

confidence: 99%

Effect of multiple chronic conditions on family doctor contracting in the elderly in China: the moderating role of socioeconomic status

Lv,

Zhang,

Meng

2023

BMC Public Health

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Background China's family doctor contracting service is an important part of deepening the reform of the healthcare systems, aiming to further develop chronic disease management services, enhance the capacity of primary health care services and improve the health of residents. The purpose of this study was to explore the influence of multiple chronic conditions in the elderly on family doctor contracting and whether socioeconomic status played a moderating role. Methods A cross-sectional survey was conducted in Beijing, China. A total of 1814 elderly people over 60 years old were included in this study using a whole-group sampling method. The univariate analysis and logistic regression analysis was used to analyze the data. Results 21.72% of the elderly signed up with family doctors. The multiple chronic conditions was a factor influencing the elderly to sign up with family doctors (OR = 1.44, 95%CI = 1.28–1.61), and the higher the degree of multiple chronic conditions, the stronger willingness to sign up. Socioeconomic status positively moderates the effect of multiple chronic conditions on signing. Also, physical activity intensity (OR = 1.25, 95%CI = 1.03–1.54) and willingness to first visit primary care facilities (OR = 1.38, 95%CI = 1.25–1.54) influenced the elderly to sign up with family doctors. Conclusions The elderly with a high degree of multiple chronic conditions, high activity intensity, and a strong willingness to first visit primary care facilities were more likely to sign up with family doctors. The health literacy of the elderly should be further improved, and publicity on the family doctor contracting service policies for the elderly with lower socioeconomic status should be strengthened to guide them to sign up with family doctors. At the same time, the service capacity of primary care facilities should be further improved to meet the health needs of the elderly.

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Socioeconomic deprivation, medical services accessibility, and income-related health inequality among older Chinese adults: evidence from a national longitudinal survey from 2011 to 2018

et al. 2023

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Background Health inequality poses a challenge to improving the quality of life of older adults as well as the service system. The literature rarely explores the moderating role of medical services accessibility in the association between socioeconomic deprivation and health inequality. Objective This study examines the socioeconomic deprivation and medical services accessibility associated with health inequality among older Chinese adults, which will contribute to the medical policy reform. Methods Using data from the 2011, 2014, and 2018 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we analyse 14,232 older adults. This paper uses a concentration index (CI) to measure the income-related health inequality among the target population and employs a recentered influence function–concentration index–ordinary least squares (RIF-CI-OLS) model to empirically analyse the correlation between socioeconomic deprivation and health inequality among older Chinese adults. Based on the correlation analysis, we discuss the moderating effect of medical services accessibility. Results We find that health inequality exists among older Chinese adults and that the relative deprivation in socioeconomic status (SES) is significantly associated with health inequality (β∈ [0.1109, 0.1909], P < 0.01). The correlation between socioeconomic deprivation and health inequality is moderated by medical services accessibility, which means that an increase in medical services accessibility can weaken the correlation between socioeconomic deprivation and health inequality. Conclusion China needs an in-depth reform of its medical services accessibility system to promote the equitable distribution of medical services resources, strengthen medical costs and quality management, and ultimately mitigate the SES reason for health inequality among older Chinese adults.

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The evolutionary trends of health inequality among elderly Chinese people and influencing factors of these trends from 2005 to 2017

Cited by 4 publications

References 80 publications

Happiness and mental health of older adults: multiple mediation analysis

Happiness and mental health of older adults: multiple mediation analysis

Effect of multiple chronic conditions on family doctor contracting in the elderly in China: the moderating role of socioeconomic status

Socioeconomic deprivation, medical services accessibility, and income-related health inequality among older Chinese adults: evidence from a national longitudinal survey from 2011 to 2018

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