A multi-level analysis of urban/rural and socioeconomic differences in functional health status transition among older Chinese.

Social Science & Medicine
Zachary ZimmerToshiko Kaneda

Abstract

The main purpose of the study is to assess urban versus rural differences in functional status transitions among older Chinese, aged 55+, and to examine how individual and community level socioeconomic indicators alter the rural/urban effects and themselves influence transitions. The study uses a hierarchical linear modeling approach that considers individual responses to be embedded within communities. Data come from the 2004 and 2006 rounds of the Chinese Health and Nutrition Survey. The study considers the functional transitions of 2944 individuals living across 209 communities in nine Chinese provinces. Functioning is measured at baseline as being able or not being able to conduct all of the following: walking, standing, climbing stairs, lifting, kneeling. Outcomes include having or not having a functional limitation, measured the same way, dying, or not responding. Outcomes are modeled adjusted for baseline functional status. Findings indicate urbanites have substantial advantages. They are less likely to have a limitation at follow-up and less likely to die over the study period. Some of this is explained by socioeconomic indicators measured at two levels. Cross-level interactions suggest education and having insurance op...Continue Reading

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Citations

Dec 18, 2012·International Journal of Epidemiology·Cheng HuangZhiwen Li
Apr 10, 2015·International Journal of Environmental Research and Public Health·Mathieu PhilibertMark Daniel
Sep 30, 2014·Social Science & Medicine·Ye LuoDanan Gu
Sep 20, 2012·BMC Public Health·Wei Yang, Panos Kanavos
Dec 18, 2013·Journal of Aging and Health·Zachary ZimmerZhe Tang
Jun 24, 2015·Journal of Aging and Health·Lydia W LiZhenmei Zhang
Feb 26, 2014·Health Informatics Journal·Jessica BernerJohan Berglund
Aug 31, 2018·Journal of Aging and Health·Pei-Chun Ko, Wei-Jun Jean Yeung
Jul 5, 2019·Journal of Ethnicity in Substance Abuse·Yen-Han LeeYen-Chang Chang
Oct 23, 2019·International Journal of Environmental Research and Public Health·Changjian PanDasong Deng
Oct 18, 2014·Journal of Cross-cultural Gerontology·Lydia W LiYan Long
Mar 27, 2020·International Journal of Environmental Research and Public Health·Xiang ZouJing-Bao Nie
Mar 11, 2020·International Journal of Environmental Research and Public Health·Liangwen ZhangYa Fang
Jul 13, 2019·African Journal of Primary Health Care & Family Medicine·Karl PeltzerSupa Pengpid
Mar 20, 2021·Economics and Human Biology·Chang LiuFujin Yi

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