A study of the influential factors for health inequality
Tóm tắt
Using a national dataset, this study investigates the inequalities in physical functional status, depressive symptoms, and self-rated health among groups of people with different socioeconomic status (SES) through the use of multilevel regression models. The results reveal that as age increases, differences in physical functional status among people with different SES expand and no significant differences in depressive symptoms are found. However, general conclusions on the trend of differences in self-rated health cannot be made. In wealthy regions, the differences in the three health indicators among people with different SES shrink, but these differences expand in poor regions. Finally, this study advocates that the emphasis of the structural reform of medical treatment and public health should be elderly with low SES who resides in poor regions.
Tài liệu tham khảo
Bassuk, Shari S, Lisa F. Berkman, and Benjamin C. Amick. 2002. Socioeconomic status and mortality among the elderly: Findings from four US communities. American Journal of Epidemiology 155(6): 520–533.
Black, Douglas. 1981. Inequality in health. British Medical Journal (Clinical Research Edition) 282(6274): 1468.
Beckett, Megan. 2000. Converging health inequalities in later life-an artifact of mortality selection? Journal of Health and Social Behavior: 106–19.
Beydoun M A, Popkin B M. 2005. The impact of socio-economic factors on functional status decline among community-dwelling older adults in China [J]. Social science & medicine 60(9): 2045–2057.
Dachs, J, W. Norberto, Marcela Ferrer, Carmen Elisa Florez, Aluisio J.D. Barros, Rory Narváez, and Martín Valdivia. 2002. Inequalities in health in Latin America and the Caribbean: Descriptive and exploratory results for self-reported health problems and health care in twelve countries. Revista Panamericana de Salud Pública 11(5): 335–355.
Dahl, Espen. 1996. Social mobility and health: Cause or effect?”. British Medical Journal 313(7055): 435–436.
Dowd, Jennifer Beam, and Anna Zajacova. 2010. Does self-rated health mean the same thing across socioeconomic groups? Evidence from biomarker data. Annals of Epidemiology 20(10): 743–749.
Dupre, Matthew E. 2008. Educational differences in health risks and illness over the life course: A test of cumulative disadvantage theory. Social Science Research 37(4): 1253–1266.
Ellaway, Anne, Michaela Benzeval, Michael Green, Alastair Leyland, and Sally Macintyre. 2012. Getting sicker quicker: Does living in a more deprived neighbourhood mean your health deteriorates faster?”. Health & Place 18(2): 132–137.
Evans, Gary W., and Elyse Kantrowitz. 2002. Socioeconomic status and health: The potential role of environmental risk exposure. Annual Review of Public Health 23(1): 303–331.
Feinstein, Jonathan S. 1993. The relationship between socioeconomic status and health: A review of the literature. The Milbank Quarterly 71(2): 279–322.
Feng, J, and Y. Yu. 2007. The income gap and health in China rural areas. Economic Research Journal 1: 79–88.
Glied, Sherry, and Adriana Lleras-Muney. 2008. Technological innovation and inequality in health. Demography 45(3): 741–761.
Guo, Y, and Z. Xie. 2009. Bridging the gap within a generation—the theory of the determinant for healthy societies and relevant international experience. Journal of Peking University (Health Sciences) 41(2): 125–128.
Hooyman, NR, and H. Asuman Kiyak. 2011. Social gerontology: A multidisciplinary perspective. Boston: Allyn & Bacon.
House, James S, Ronald C. Kessler, and A. Regula Herzog. 1990. Age, socioeconomic status, and health. The Milbank Quarterly 68(3): 383–411.
House, James S, James M. Lepkowski, Ann M. Kinney, Richard P. Mero, Ronald C. Kessler, and A. Regula Herzog. 1994. The social stratification of aging and health. Journal of Health and Social Behavior 35(3): 213–234.
Huurre, Taina, Ossi Rahkonen, Erkki Komulainen, and Hillevi Aro. 2005. Socioeconomic status as a cause and consequence of psychosomatic symptoms from adolescence to adulthood. Social Psychiatry and Psychiatric Epidemiology 40(7): 580–587.
Idler, Ellen L, and Yael Benyamini. 1997. Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior 38(1): 21–37.
Jylhä, Marja. 2009. What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science & Medicine 69(3): 307–316.
Lantz, Paula M, James S. House, James M. Lepkowski, David R. Williams, Richard P. Mero, and Jieming Chen. 1998. Socioeconomic factors, health behaviors, and mortality: Results from a nationally representative prospective study of US adults. The Journal of the American Medical Association 279(21): 1703–1708.
Lauderdale, Diane S. 2001. Education and survival: Birth cohort, period, and age effects. Demography 38(4): 551–561.
Liu, L, and J. Tang. 2004. The effects of socioeconomic status on residents’ health equality. Chinese Health Economics 23(6): 40–42.
Liu, Guiping, and Zhen Zhang. 2004. Sociodemographic differentials of the self-rated health of the oldest-old Chinese. Population Research and Policy Review 23(2): 117–133.
Lowry, Deborah, and Yu Xie. 2009. Socioeconomic status and health differentials in China: Convergence or divergence at older ages? Population Studies Center, University of Michigan.
Lynch, Scott M. 2003. Cohort and life-course patterns in the relationship between education and health: A hierarchical approach. Demography 40(2): 309–331.
Mackenbach, Johan P, Anton E. Kunst, Adrienne E.J.M. Cavelaars, Feikje Groenhof, and Jose J.M. Geurts. 1997. Socioeconomic inequalities in morbidity and mortality in Western Europe. The EU Working Group on Socioeconomic Inequalities in Health. The Lancet 349(9066): 1655–1659.
Meng, Q. 2007. The Chinese public health and medical care reformation and health equality. Chinese Health Economics 26(1): 9–14.
Mirowsky, John, and Catherine E Ross. 2005. Education, cumulative advantage, and health. Ageing International 30(1):27–62.
Mirowsky, John, and Catherine E. Ross. 2008. Education and self-rated health cumulative advantage and its rising importance. Research on Aging 30(1): 93–122.
Phelan, Jo C, Bruce G. Link, Ana Diez-Roux, Ichiro Kawachi, and Bruce Levin. 2004. Fundamental causes of social inequalities in mortality: A test of the theory. Journal of Health and Social Behavior 45(3): 265–285.
Pickett, Kate E, and Michelle Pearl. 2001. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: A critical review. Journal of Epidemiology and Community Health 55(2): 111–122.
Robert, Stephanie A. 1998. Community-level socioeconomic status effects on adult health. Journal of Health and Social Behavior 39(1): 18–37.
Ross, Catherine E, and Chia-Ling Wu. 1996. Education, age, and the cumulative advantage in health. Journal of Health and Social Behavior 37(1): 104–120.
Rostad, Berit, Dorly J.H. Deeg, and Berit Schei. 2009. Socioeconomic inequalities in health in older women. European Journal of Ageing 6(1): 39–47.
Sun, Q, K. Rao, and Y. Guo. 2003. The impact of different health indicators on health equality index. Chinese Health Statistics 20(4): 197–200.
Victora, Cesar G, J. Patrick Vaughan, Fernando C. Barros, Anamaria C. Silva, and Elaine Tomasi. 2000. Explaining trends in inequities: Evidence from Brazilian child health studies. The Lancet 356(9235): 1093–1098.
Wang, F. 2011. Will social mobility help reduce the health inequality?”. Sociology Research 2: 78–101.
Wang, F. 2012. Socioeconomic status, lifestyle and health inequality. Society 32(2): 125–143.
West, Patrick. 1991. Rethinking the health selection explanation for health inequalities. Social Science & Medicine 32(4): 373–384.
Wilkinson, Richard G. 1997. Socioeconomic determinants of health: Health inequalities: Relative or absolute material standards? British Medical Journal 314(7080): 591.
Wu, Xiaogang, and Donald J. Treiman. 2004. The household registration system and social stratification in China: 1955–1996. Demography 41(2): 363–384.
Xie, E. 2009. A study on the income-related health and the inequality of accessing medical care services. Economic Research Journal 2: 92–105.
Yen, Irene H, and S. Leonard Syme. 1999. The social environment and health: A discussion of the epidemiologic literature. Annual Review of Public Health 20(1): 287–308.
Zhu, Haiyan, and Yu Xie. 2007. Socioeconomic differentials in mortality among the oldest old in China. Research on Aging 29(2): 125–143.
Zimmer, Zachary, Napaporn Chayovan, Hui-Sheng Lin, and Josefina Natividad. 2004. How indicators of socioeconomic status relate to physical functioning of older adults in three Asian societies. Research on Aging 26(2): 224–258.