ArticleInternational journal for equity in health2017
Gender, childhood and adult socioeconomic inequalities in functional disability among Chinese older adults.
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 46 papers.
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46 citing papers in PubMed, 111 citations in OpenAlex.
- Five-year disability trajectories and associated factors among adults aging with HIV in the Ontario HIV Treatment Network Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Socioeconomic status and the relationship of physical performance with activities of daily living among US older adults.PloS one · 2026Article
- Explaining higher functional disability in women compared to men among older adults - the Singapore Chinese Health Study.BMC geriatrics · 2025Article
- Sociodemographic Factors Associated with Physical Functioning in Elderly Males and Females from Serbia: Population-Based Modeling Study.Healthcare (Basel, Switzerland) · 2025Article
- Association between central obesity and ADL impairment among the middle-aged and elderly population in China based on CHARLS.Scientific reports · 2025Article
- Mapping inequalities in the health of older adults around the world: Heterogeneities in cognitive and physical functioning.Vienna yearbook of population research · 2025Article
- Early-life famine exposure increases the risk of subsequent physical disability: evidence from a national population-based survey.Frontiers in public health · 2025Article
- Association of triglyceride-glucose index and its related parameters with functional disability: evidence from the China Health and Retirement Longitudinal Study.Frontiers in aging neuroscience · 2025Article
- Life course socioeconomic position and care dependency in later life: a longitudinal multicohort study from 17 countries.EClinicalMedicine · 2025Article
- Prevalence and correlates of disability in older adults, Ghana: evidence from the Ghana 2021 Population and Housing Census.BMC geriatrics · 2024Article
- Associations between cardiovascular-kidney-metabolic syndrome and disability in activities of daily living: a nationwide longitudinal study among the middle-aged and older adults in China.Frontiers in public health · 2024Article
- Childhood and adult socioeconomic status influence on late-life healthy longevity: evidence from the Chinese longitudinal healthy longevity survey.Frontiers in public health · 2024Article
- Exploring the Intersectionality of Place and Gender Among Older Adults in Ghana: An Examination of Women's Disability Disadvantage.Innovation in aging · 2024Article
- Inequalities in health-related quality of life and functional health of an aging population: A Canadian community perspective.PloS one · 2024Article
- The pathways from disadvantaged socioeconomic status in childhood to edentulism in mid-to-late adulthood over the life-course.International journal for equity in health · 2023Article
- Machine Learning-Based Prediction of Functional Disability: a Cohort Study of Japanese Older Adults in 2013-2019.Journal of general internal medicine · 2023Article
- Association of maternal physical and mental health characteristics with the hazard of having any medical condition or disability in Australian children: A 15-year birth cohort study.SSM - population health · 2023Article
- Cross-country comparison of income-related inequality in physical functional disability among middle-aged and older adults: Evidence from 33 countries.Journal of global health · 2023Article
- Can government subsidies and public mechanisms alleviate the physical and mental health vulnerability of China's urban and rural residents?International journal for equity in health · 2023Article
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGender difference and life-course socioeconomic inequalities in functional disability may exist among older adults. However, the association is less well understood among Chinese older population. The objective is to provide empirical evidences on this issue by exploring the association between gender, childhood and adult socioeconomic inequalities in functional disability.
methodsData from the 2013 wave of the China Health and Retirement Longitudinal Study (CHARLS) was utilized. Functional disability was assessed by the activities of daily living (ADL) and instrumental activities of daily living (IADL). Childhood socioeconomic status (SES) was measured by birthplace, father's education and occupation. Adult SES was measured in terms of education and household income. Multivariate logistic regressions were conducted to assess the association between gender, childhood and adult SES and functional disability.
resultsBased on a sample of 18,448 older adults aged 45 years old and above, our results showed that the prevalence of ADL and IADL disability was higher among women than men, but gender difference disappeared after adult SES and adult health were controlled. Harsh conditions during childhood were associated with functional disability but in multivariate analyses only father's education was associated with IADL disability (OR for no education = 1.198; 95% CI = 1.062-1.353). Current SES such as higher education and good economic situation are protective factors of functional disability.
conclusionsChildhood and adult SES were both related to functional disability among older adults. Our findings highlight the need for policies and programs aimed at decreasing social inequalities during childhood and early adulthood, which could reduce socioeconomic inequalities in functional disability in later life.
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