ArticleInternational journal for equity in health2017
Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China: a new decomposition approach.
Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Green Space and Health in Mainland China: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
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- Can family health alleviate income-related health disparity in China? A population-based study.Archives of public health = Archives belges de sante publique · 2026Article
- Identification of depression types and key influencing factors among rural elderly in China: a comprehensive analysis based on machine learning and network analysis.BMC geriatrics · 2026Article
- Multidimensional health poverty among diabetic adults in China: evidence from the China Kadoorie Biobank.Archives of public health = Archives belges de sante publique · 2026Article
- Determinants of equitable public health human resource allocation in China: a multidimensional analysis using RIF-I-OLS decomposition.Human resources for health · 2025Article
- Changes in health-related quality of life and inequality in China: evidence from a nationwide repeated cross-sectional survey (2021-2023).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Intended and Unintended Impacts of '4+7' Volume-Based Drug Procurement on the Use of Drugs in China: A Natural Experimental Study.Healthcare (Basel, Switzerland) · 2025Article
- China's standardized residency training in the context of public health: a controversial decade-Signs of hope?Frontiers in public health · 2025Article
- The association between confidence in health system and self-rated health: from the perspective of regional comparison.Frontiers in public health · 2025Article
- Decomposing socioeconomic inequality in skilled birth attendant utilization in Ethiopia: A secondary data analysis.PloS one · 2025Article
- Does the New Rural Cooperative Medical Scheme Provincial Pooling Policy Improve Health Equity Among Older Adults? - Evidence From China Longitudinal Healthy Longevity Survey Data.International journal of health policy and management · 2025Article
- Health inequalities for China's low-income population: trends, subgroup differences, and influencing factors, 2010-2022.Frontiers in public health · 2025Article
- Emptying villages, overflowing glasses: Out-migration and drinking patterns in Rural China.Journal of migration and health · 2025Article
- Article
- Thinkings on the reform of medical education system in China.Medical education online · 2024Review
- Has socioeconomic inequality in perceived access to health services narrowed among older adults in China?BMC health services research · 2024Article
- Decomposing socioeconomic inequality in household out of pocket health expenditures in Pakistan (2010-11-2018-19).BMC health services research · 2024Article
- Rural-urban inequalities in health care utilization in Bhutan: a decomposition analysis.International journal for equity in health · 2024Article
- Measuring socioeconomic inequalities in postnatal health checks for newborns in Ethiopia: a decomposition analysis.Frontiers in public health · 2024Article
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3 authors.
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Abstract
backgroundIn recent decades, China has experienced tremendous economic growth and also witnessed growing socioeconomic-related health inequality. The study aims to explore the potential causes of socioeconomic-related health inequality in urban and rural areas of China over the past two decades.
methodsThis study used six waves of the China Health and Nutrition Survey (CHNS) from 1991 to 2006. The recentered influence function (RIF) regression decomposition method was employed to decompose socioeconomic-related health inequality in China. Health status was derived from self-rated health (SRH) scores. The analyses were conducted on urban and rural samples separately.
resultsWe found that the average level of health status declined from 1989 to 2006 for both urban and rural populations. Average health scores were greater for the rural population compared with those for the urban population. We also found that there exists pro-rich health inequality in China. While income and secondary education were the main factors to reduce health inequality, older people, unhealthy lifestyles and a poor home environment increased inequality. Health insurance had the opposite effects on health inequality for urban and rural populations, resulting in lower inequality for urban populations and higher inequality for their rural counterparts.
conclusionThese findings suggest that an effective way to reduce socioeconomic-related health inequality is not only to increase income and improve access to health care services, but also to focus on improvements in the lifestyles and the home environment. Specifically, for rural populations, it is particularly important to improve the design of health insurance and implement a more comprehensive insurance package that can effectively target the rural poor. Moreover, it is necessary to comprehensively promote the flush toilets and tap water in rural areas. For urban populations, in addition to promoting universal secondary education, healthy lifestyles should be promoted, including measures such as alcohol control.
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