Reprint of: Health outcomes and socio-economic status among the mid-aged and elderly in China: Evidence from the CHARLS national baseline data
Reprint of: Health outcomes and socio-economic status among the mid-aged and elderly in China: Evidence from the CHARLS national baseline data
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DOI：
10.1016/j.jeoa.2014.10.001
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发表时间：
2014-12-01
影响因子：
2.2
通讯作者：
Yin, Xiangjun
中科院分区：
文献类型：
--
作者：
Lei, Xiaoyan;Sun, Xiaoting;Yin, Xiangjun
我们使用一组非常丰富的健康指标，包括来自CHARLS国家基线数据的自我报告测量和生物标志物，记录了中国中老年人的健康状况，研究了这些健康结果与社会经济地位之间的相关性，并按性别，户口状况和地区比较了这些关联。我们发现，中国中老年人正面临着包括高血压在内的慢性病的挑战。营养过剩已成为比营养不足更大的问题，特别是对妇女而言，这反映在超重率高于体重不足率。残疾率也很高，特别是女性、农村和内陆受访者，她们也报告说比男性、城市和沿海受访者遭受更多的痛苦。一般而言，教育和个人教育往往与更好的健康结果呈正相关，其他国家也是如此。对于PCE，关系是非常非线性的。在低水平的PCE下，与更好的健康结果存在正相关关系，而对于较高水平的PCE，这种关系不存在。不可测量的社区影响变得非常重要，比人们通常在其他国家发现的要重要得多。我们还发现，高血压的诊断严重不足，这是困扰老年人的一个主要健康问题，尽管其严重程度低于其他一些发展中国家。这意味着目前的卫生系统还没有做好充分准备，以应对中国人口的快速老龄化。(C)2014爱思唯尔有限公司版权所有。
Using a very rich set of health indicators that include both self-reported measures and biomarkers from the CHARLS national baseline data, we document health conditions of the Chinese mid-aged and elderly, examine correlations between these health outcomes and socio-economic status and compare these associations by gender, hukou status and region. As expected, we find that Chinese mid-aged and elderly are facing challenges from chronic diseases including hypertension. Overnutrition has become a bigger problem than undernutrition, particularly for women, reflected in a higher rate of overweight compared to underweight. Disability rates are also high, especially for female, rural and inland respondents, who also report suffering from more pain than male, urban and coastal ones. In general, education and PCE tend to be positively correlated with better health outcomes, as it is in other countries. For PCE the relationship is very nonlinear. At low levels of PCE, there exists a positive correlation with better health outcomes, while for higher levels of PCE the relationship flattens out. Unmeasured community influences turn out to be highly important, much more so than one usually finds in other countries. We also find a large degree of under-diagnosis of hypertension, a major health problems that afflicts the aged, although less large than in some other developing countries. This implies that the current health system is still not well prepared to address the rapid aging of the Chinese population. (C) 2014 Elsevier B.V. All rights reserved.