Understanding the Wellbeing of the Oldest-Old in China: A Study of Socio-Economic and Geographical Variations Based on CLHLS Data

Gu, Lijuan; Cheng, Yang; Phillips, David; Rosenberg, Mark W.

doi:10.3390/ijerph16040601

Cited by 24 publications

(18 citation statements)

References 30 publications

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“…Results from several prior studies could partially support the health advantage in Northeastern China. For example, Gu et al found that the oldest-old in Northeastern China had the highest probability of self-reporting good health relative to those in Eastern and Western China [31]. The reasons for the variation, however, are not clear and may be attributed to multiple factors.…”

Section: Discussionmentioning

confidence: 99%

All-cause mortality rate in China: do residents in economically developed regions have better health?

Zhang

2020

Int J Equity Health

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Background: Urban-rural disparities have been extensively investigated, while most investigators overlooked urbansuburban-rural variations in population health. Although regional disparities in East-West China have been largely discussed, limited attention has been directed to the interaction between regional differences and urban-suburbanrural disparities. This study aims to analyze urban-suburban-rural variations in all-cause mortality rates across four geographic regions in China. Methods: Data came from China's National Census Survey and public statistical yearbooks in 2000 and 2010. Urban districts, county-level cities, and counties were respectively defined as urban, suburban, and rural areas. We obtained 2322 areas, including 2148 areas with two observations and 174 areas with only one observation. Data visualization was performed to depict geographic variations and changes in all-cause mortality rates. Five hierarchical linear regression analyses with generalized estimating equations (GEE) were employed to analyze variations in all-cause mortality rates over time. Demographic and socioeconomic attributes were introduced as covariates. Results: Despite an overall decline in all-cause mortality rate, rural residents generally achieved worse health than urban and suburban counterparts. In contrast, urban-suburban disparities could be fully explained by demographic and socioeconomic differences. In addition, Northeastern and Central residents achieved better health than Eastern and Western residents. Last, there existed urban/suburban-rural disparities in all regions, except Northeastern, where urban/suburban-rural disparities were eliminated after controlling for socioeconomic and demographic attributes. Conclusion: Even though suburban and rural areas were often merged, there exist urban/suburban-rural disparities in population health. Furthermore, urban/suburban-rural disparities vary across regions.

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Section: Discussionmentioning

confidence: 99%

All-cause mortality rate in China: do residents in economically developed regions have better health?

Zhang

2020

Int J Equity Health

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“…For example, a study of Slovenia, Lithuania, and the UK showed that the most influential factors associated with poor SRH were low education, chronic diseases, inadequate physical activity, and poor mental health, not gender differences[ 17 ]. Similarly, the other two studies based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) suggested no gender differences in SRH[ 18 , 19 ]. However, some studies using CLHLS data have revealed contradictory findings which show that older males report better SRH than older females[ 20 – 24 ].…”

Section: Introductionmentioning

confidence: 99%

Are there gender differences in the trajectories of self-rated health among chinese older adults? an analysis of the Chinese Longitudinal Healthy Longevity Survey (CLHLS)

Cui

Dong

et al. 2021

BMC Geriatr

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Background Self-rated health (SRH) is a good predictor of morbidity and mortality. Extensive research has shown that females generally report poorer SRH than males but still tend to live longer. Previous studies used cross-sectional or pooled data for their analyses while ignoring the dynamic changes in males’ and females’ SRH statuses over time. Furthermore, longitudinal studies, especially those that focus on older adults, typically suffer from the incompleteness of data. As such, the effect of dropout data on the trajectories of SRH is still unknown. Our objective is to examine whether there are any gender differences in the trajectories of SRH statuses in Chinese older adults. Methods The trajectories of SRH were estimated using the pattern-mixture model (PMM), a special latent growth model, under non-ignorable dropout data assumption. We analyzed the Chinese Longitudinal Healthy Longevity Survey (CLHLS) data of 15,613 older adults aged 65 years and above, collected from 2005 to 2014. Results The results demonstrated the effect of non-ignorable dropout data assumptions in this study. The previous SRH score was negatively associated with the likelihood of dropping out of the study at the next follow-up survey. Our results showed that both males and females in China perceive their SRH as decreasing over time. A significant gender difference was found in the average SRH score (female SRH was lower than male SRH) in this study. Nonetheless, based on the results obtained using the PMM, there are no gender differences in the trajectories of SRH at baseline as well as in the rate of decline among the total sample. The results also show that males and females respond to SRH predictors similarly, except that current drinking has a more pronounced positive effect on males and healthcare accessibility has a more pronounced positive effect on females. Conclusions Our results suggest that missing data have an impact on the trajectory of SRH among Chinese older adults. Under the non-ignorable dropout data assumptions, no gender differences were found in trajectories of SRH among Chinese older adults. Males and females respond to SRH predictors similarly, except for current drinking habit and healthcare accessibility.

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“…Many problems related to the system design and policy directions ensued along with the development of AIP in recent years all over the world. The majority of publications examined the older people's well-being related to AIP, including acquired aging services, nursing practices, emotional concerns, and welfare, [5,6,9,16,[20][21][22][23][24]. Besides, other researchers have conducted studies from the government's perspective and evaluated the performance of different kinds of government policies on AIP [25,26].…”

Section: Stakeholder Research On Aipmentioning

confidence: 99%

“…Among these stakeholders, there are also various activities and interactions that form intricate social networks [9]. In such social networks, stakeholders are faced with multifarious problems, like loose connections between stakeholders, unbalanced distributions of authorities among government departments, and unreasonable allocations of stakeholder duties [9,[15][16][17][18]. Besides, the lack of supervision for a few institutions, as well as the low-quality of aging services delivered by some vendors, critically hinder the sustainable development of AIP systems [15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Characterizing Stakeholders of Aging-in-Place through Social Network Analysis: A Study of Nanjing, China

Zhou

et al. 2019

Sustainability

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China currently has an elderly population of 249 million with over 97% of them ending up aging in place. Although various regional pilot programs have been conducted, a sustainable aging-in-place system has not been established to effectively and efficiently provide aging services in many cities of China. The characteristics of stakeholder networks in the aging-in-place systems have not attracted great attention from researchers. This research applies social network analysis to characterize the interactions of stakeholders in aging-in-place systems to facilitate cooperation and coordination amongst them. Using Nanjing as a case study, 23 stakeholders in Nanjing’s aging-in-place system are identified, such as the Aging Affairs Committee, Aging-in-Place Service Association, and aging-in-place service centers; and then the relationship networks of these stakeholders in terms of communication, supervision, and trust are developed and analyzed. The results show that the aging-in-place system suffers from certain defects, including the loose connection of government departments, redundant information channels, low trustworthiness of certain aging-in-place service centers, poor credibility of third-party training and assessment institutions, and excess power of the industry association. To tackle these issues, a wide spectrum of actionable measures applicable to Nanjing’s conditions, as well as high-level policy implications for other cities of China, are proposed for augmenting the communication, supervision, and trust among stakeholder groups.

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Understanding the Wellbeing of the Oldest-Old in China: A Study of Socio-Economic and Geographical Variations Based on CLHLS Data

Cited by 24 publications

References 30 publications

All-cause mortality rate in China: do residents in economically developed regions have better health?

All-cause mortality rate in China: do residents in economically developed regions have better health?

Are there gender differences in the trajectories of self-rated health among chinese older adults? an analysis of the Chinese Longitudinal Healthy Longevity Survey (CLHLS)

Characterizing Stakeholders of Aging-in-Place through Social Network Analysis: A Study of Nanjing, China

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