Socioeconomic Disparities in Health over the Life Course in China: A Cohort Analysis
Socioeconomic Disparities in Health over the Life Course in China: A Cohort Analysis
复制标题
DOI：
10.1177/0003122409359165
复制
发表时间：
2010-02-01
影响因子：
9.1
通讯作者：
Liu, Guangya
中科院分区：
文献类型：
--
作者：
Chen, Feinian;Yang, Yang;Liu, Guangya
本文在中国急剧变化的宏观社会环境背景下，考察了多个队列的个人健康轨迹中的社会分层。利用中国健康与营养调查的数据，我们发现，社会经济地位（SES）的平均健康水平显着的差异，这些SES差异一般在生命过程中发散。我们还发现，强有力的队列变化SES的平均水平的健康和健康轨迹的差距。教育对健康的影响在连续的队列中略有下降。相比之下，健康轨迹的收入差距在早期队列中有所不同，但在最近的队列中有所收敛。这两种影响在农村地区更为明显。鉴于这些队列效应与美国最近的研究报告相反，我们讨论了中国独特的社会，经济和政治环境。我们强调SES和健康行为之间的关联，中国的流行病学转型阶段，国家政府的权力变化及其对医疗保健的影响。
This article examines social stratification in individual health trajectories for multiple cohorts in the context of China's dramatically changing macro-social environment. Using data from the China Health and Nutrition Survey, we find significant socioeconomic status (SES) differences in the mean level of health and that these SES differentials generally diverge over the life course. We also find strong cohort variations in SES disparities in the mean levels of health and health trajectories. The effect of education on health slightly decreases across successive cohorts. By contrast, the income gap in health trajectories diverges for earlier cohorts but converges for most recent cohorts. Both effects are more pronounced in rural areas. Given that these cohort effects are opposite those reported in recent U.S. studies, we discuss China's unique social, economic, and political settings. We highlight the association between SES and health behaviors, China's stage of epidemiologic transition, and the changing power of the state government and its implications for health care.