Socioeconomic Status and Health among Older Adults in Rural and Urban China

Journal of Aging and Health - Tập 16 Số 1 - Trang 44-70 - 2004
Zachary Zimmer1, Julia Kwong2
1The Population Council
2University of Manitoba

Tóm tắt

Objective: The association between socioeconomic status (SES) and health, which has proven to be quite robust, is rarely tested in societies where levels of economic development and systems of stratification differ from those in Western developed countries. This article examines associations in rural and urban China. Method: Techniques include logit equation estimates of separate and pooled samples. The latter employ interaction terms to test rural and urban effects. Socioeconomic indicators include those more customarily used in these types of studies (e.g., education) and several that are less traditional (e.g., pension eligibility). Results: Results indicate associations exist in China. Bank savings is the strongest predictor. Some unexpected results are also found, including a positive association between socioeconomic status and chronic conditions (e.g., cardiovascular disease) among older adults in urban China. Discussion: Use and access to a health care professional might explain part of this anomaly.

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Tài liệu tham khảo

Agresti, A. (1996). An introduction to categorical data analysis. New York: John Wiley.

10.1097/00006842-199505000-00003

10.2307/3348839

Arber, S. (1989). Gender and class inequalities in health: Understanding the differentials. In J. Fox (Ed.), Health inequalities in European countries (pp. 250-279). Aldershot, UK: Gower.

Blaxter, M. (1989). A comparison of measures of inequality in morbidity. In J. Fox (Ed.), Health inequalities in European countries (pp. 199-230). Aldershot, UK: Gower.

10.1177/089826439300500402

Chen, C. (1992). Health and lifestyle transition. HYGIE: International Journal of Health Education, 11, 36-45.

Cheung, F. C-H. (1988). Implications of the one-child family policy on the development of the welfare state in the People’s Republic of China. Journal of Sociology and Social Welfare, 15, 5-25.

Chi, I., Chappell, N. L. & Lubben, J. (Eds.). (2001). Elderly Chinese in Pacific Rim countries: Social support and integration. Hong Kong: Hong Kong University Press.

China Research Center on Aging. (1992). Data on the Survey of Support Systems of the Elderly. Beijing, China: Author.

China Research Center on Aging. (1994). A data compilation of the Survey on China’s Support Systems for the Elderly. Beijing, China: Hua Ling Press.

Christiansen, F. (1991). Social division and peasant mobility in Mainland China: The implications of the Hu-K’ou system. Issues and Studies, 26, 23-42.

Cohen, M. (1976). House united, house divided: The Chinese family in Taiwan. New York: Columbia University Press.

10.1093/geront/30.4.503

Elo, I. T. & Preston, S. H. (1995). Educational differentials in morality: United States, 1979-85. Social Science and Medicine, 42, 47-57.

Fox, A. J., Goldblat, P. O. & Jones, D. R. (1986). Social class mortality differentials: Artifact, selection or life circumstances? In R. G. Wilkinson (Ed.), Class and health (pp. 34-49). London: Tavistock.

Fox, J. (Ed.). (1989). Health inequalities in European countries. Aldershot, UK: Gower.

Greene, W. H. (1997). Econometric analysis. Upper Saddle River, NJ: Prentice Hall.

10.1056/NEJM199307083290208

Haan, M. N., Kaplan, G. A. & Syme, L. S. (1989). Socioeconomic status and health: Old observations and new thoughts. In J. Bunker, J. D. Gomby, & D. Kerher (Eds.), Pathways to health: The role of social factors (pp. 76-135). Menlo Park, CA: Henry H. Kaiser Family Foundation.

10.1016/0277-9536(88)90196-7

Hermalin, A. I., Ofstedal, M. B. & Chang, M-C. (1996). Types of supports for the aged and their providers in Taiwan. In T. Hareven (Ed.), Aging and generational relations over the life course: A historical and cross-cultural perspective (pp. 400-437). New York: Walter de Gruyter.

10.2307/3350111

House, J. S., Lepkowski, J. M., Kinney, A. M., Mero, R. P., Kessler, R. C. & Herzog, R. A. (1994). The social stratification of aging and health. Journal of Health and Social Behavior, 38, 553-578.

10.2307/2955359

10.1177/089826439300500107

Kitagawa, E. M. & Hauser, P. M. (1973). Differential mortality in the United States: A study of socioeconomic epidemiology. Cambridge, MA: Harvard University Press.

Lassey, M. L., Lassey, W. R. & Jinks, M. J. (1997). Health care systems around the world: Characteristics, issues, reforms. Upper Saddle River, NJ: Prentice Hall.

10.1023/A:1006607707655

Liang, J., McCarthy, J. F., Jain, A., Krause, N., Bennett, J. M. & Gu, S. (2000). Socioeconomic gradientin old age mortalityin Wuhan,China. Journal of Gerontology: Social Sciences, 55B, S222-S233.

Link, B. G. & Phelan, J. (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior (Extra issue), 36, 80-94.

10.1093/geronb/53B.2.S71

10.1056/NEJM199712253372606

Marmot, M. (1995). Social differentials in mortality: The Whitehall Studies. In A. D. Lopez, G. Caselli, & T. Valkonon (Eds.), Adultmortalityin developed countries: From description to explanation (pp. 243-260). Oxford, UK: Clarendon.

National Research Council. (2001). Preparing for an aging world: The case for cross-national research. Washington, DC: National Academy Press.

10.1056/NEJM199307083290207

10.2190/QXLM-PN99-GPN7-32XF

Pol, L. G. & Thomas, R. K. (1992). The demography of health and health care. New York: Plenum.

10.1177/019251300021006003

Preston, S. H. & Taubman, P. (1994). Socioeconomic differences in adult mortality and health status. In L. G. Martin & S. H. Preston (Eds.), Demography of aging (pp. 279-318). Washington, DC: National Academic Press.

10.2307/2061732

10.1177/089826439200400102

10.2307/2137234

Shi, L. (1993). Health care in China: A rural-urbancomparison after the socioeconomic reforms. Bulletin of the World Health Organization, 71, 723-736.

10.2105/AJPH.83.12.1665

Smith, J. P. (1999). Healthy bodies and thick wallets: The dual relation between health and economic status. Journal of Economic Perspectives 13, 145-166.

Stockman, N. (2000). Understanding Chinese society. Malden, MA: Polity.

10.1177/089826439400600104

Townsend, P. & Davidson, N. (1982). Social inequalities in health: The Black report. London: Penguin Books.

United Nations. (2000). World population prospects. New York: Author.

10.1017/S0144686X00003810

10.2307/3350259

10.2307/2786672

10.2105/AJPH.82.6.816

World Bank. (1997). Old age security: Pension reform in China. Washington, DC: Author.

Yao, C., Wu, Z. & Wu, Y. (1993). The changing pattern of cardiovascular diseases in China. World Health Statistics Quarterly, 46, 113-118.

10.1111/j.1728-4457.2002.00251.x

10.1177/0164027502238343

Yuan, F. (1990). Support for the elderly: The Chinese way. In Y. Zeng, C. Zhang, & S. Peng (Eds.), Changing family structure and population aging in China: A comparative approach (pp. 341-358). Beijing, China: Peking University Press.

10.2307/1533631

Zhai, S. & McGarvey, S. T. (1992). Temporal changes and rural-urban differences in cardiovascular disease risk factors and mortality in China. Human Biology, 64, 807-819.

10.1016/S0277-9536(00)00232-X

10.1353/dem.2003.0010