Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood.
Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood.
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DOI：
10.1016/j.ssmph.2017.10.001
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Nazroo J
中科院分区：
文献类型：
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作者：
Kendig H;Gong CH;Yiengprugsawan V;Silverstein M;Nazroo J
中国前所未有的人口老龄化和社会经济变化提出了重要的问题，有关生命过程的决定因素的优势或劣势到以后的生活。对2013年中国健康与退休纵向研究（CHARLS）的数据进行了分析，以确定儿童健康对晚年健康的影响，如自测健康所示，以及这种影响如何通过社会和经济地位（SEP）以及生命后期的资源来介导。CHARLS提供了大约150个地区和450个村庄的18000名45岁及以上的个人的全国代表性数据。采用多元Logit回归模型和KHB方法（Karlson/霍尔姆/Breen方法）对寿命对晚年健康的影响进行检验和分解。结果表明，儿童期的健康，约占一半的直接影响和另一半的影响，间接通过社会和经济的变化在成年期。相对生活水平、婚姻状况和城市居住地是男性最显著和最重要的社会经济中介变量;对女性而言，生活水平和中等教育程度的影响最大，而婚姻状况的影响不显著。社会和经济政策，以改善晚年健康的影响进行了讨论。生命早期健康影响生命后期健康生命早期健康使妇女、少数民族和农村居民能够获得更好的教育、成年后的社会经济地位和资源在健康方面终身处于不利地位儿童健康的影响可能部分地受到成年后社会经济地位和资源的影响社会经济地位和资源对男子健康的影响大于妇女
China’s unprecedented population aging and social and economic change raise important issues concerning life course determinants of advantage or disadvantage into later life. Data from the China Health and Retirement Longitudinal Study (CHARLS) 2013 were analysed to identify the influence of childhood health on later life health as indicated by self-rated health and how this influence could be mediated by social and economic positions (SEP) and resources later in the life span. CHARLS provides nationally representative data on 18, 000 individuals aged 45 years and above in approximately 150 districts and 450 villages. Both multivariate logit regression model and KHB method (Karlson/Holm/Breen method) were applied to examine and decompose the life span influences on later life health. The results show that the childhood health, accounts for approximately half of the effect directly and another half of the effect indirectly through social and economic variations during adulthood. Relative living standard, marital status and urban residence are the most significant and important social and economic mediators for men; For women, living standard and secondary schooling are most influential while marital status is not significant. Implications for social and economic policies to improve later life health are discussed. Early life health influences later life health Early life health enables better education, adulthood SEP and resources Lifelong disadvantage existed in health for women, minorities and rural residents Impact of childhood health can be partially mediated by adulthood socio-economic positions and resources Socio-economic positions and resources have larger influence on health for men than women