ArticleInternational journal for equity in health2018
Improving health equity: changes in self-assessed health across income groups in China.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Can family health alleviate income-related health disparity in China? A population-based study.Archives of public health = Archives belges de sante publique · 2026Article
- Association between depression and subjective well-being among older adults in China: the mediating effect of self-assessed health.BMC public health · 2026Article
- Utilization of public health services and health outcomes among China's migrant population: an equity analysis.Frontiers in health services · 2026Article
- Pro-Rich Inequality in Health-Related Quality of Life Among Primary Care Diabetes Patients: A Cross-Sectional Study.Patient preference and adherence · 2026Article
- 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
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- Decomposition analysis of public health service utilization and health disparities among urban and rural older adult migrants in China.Frontiers in public health · 2025Article
- Evolving trends, regional differences, determinants, and disease sources of provincial-level health inequalities in china 1990-2019: a temporal convergence and novel triple decomposition analysis.International journal for equity in health · 2024Article
- Research on the health status and influencing factors of the older adult floating population in Shanghai.Frontiers in public health · 2024Article
- A study on the impact and mechanism of action of public health education on the health of the migrant population: evidence from the 2018 China migrants dynamic survey.Frontiers in public health · 2024Article
- Decomposing income-related inequality in health-related quality of life in mainland China: a national cross-sectional study.BMJ global health · 2023Article
- Article
- 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
- Income-related health inequality among rural residents in western China.Frontiers in public health · 2022Article
- Impact of public health education on the health status of the older migrant population.Frontiers in public health · 2022Article
- The effect of social participation on income-related inequality in health outcome among Chinese older adults.International health · 2021Article
- Equity of Health Services Utilisation and Expenditure among Urban and Rural Residents under Universal Health Coverage.International journal of environmental research and public health · 2021Article
- Measurement of the Equality of the Drug Welfare Induction Level of Chinese Patients With Chronic Diseases in Gansu, Sichuan, Hebei, and Zhejiang Based on the Bivariate Theil-T Index Method.Frontiers in public health · 2020Article
- Socioeconomic Inequality in Health Outcomes Among the Elderly: Evidence from a Cross-Sectional Study in China.Risk management and healthcare policy · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundBeginning in 2010, China has endeavoured to expand health coverage and provide residents with fair access to primary health care with the intention of improving health equity. This study aims to measure changes in income-related health inequity in China between 2010 and 2014.
methodsData were extracted from the nationally representative annual survey of the China Family Panel Studies in 2010 and 2014 with a first wave of 31,743 respondents and a second wave of 32,006 respondents over age 15. In both years, subjects were stratified into the following five categories of income: poorest 20%, lower 20%, medium 20%, higher 20% and richest 20%. The concentration curve and index was used to compare the distribution of health status in income quintiles, and a logistic model was used to examine the relationship between health and socioeconomic indicators with self-assessed health as the primary outcome of interest.
resultsIncome was significantly associated with self-assessed health in China. The concentration curve was above the line of equality in both years, while the self-assessed health line in 2014 was closer to the equality line. The concentration index (CIN) displayed the similar result of decreasing inequality, with the CIN in 2014 (- 0.157) closer to zero (the line of equality) than that of 2010 (- 0.167). In 2010, there was a decreasing trend of people reporting poor health from the poorest to the richest, while in 2014, there was no significant difference between the poorest and lower 20% or between the higher 20% and the medium 20%. The odds ratio of the prevalence of self-reporting poor health between the poorest and richest increased from 0.555 (95% CI: 0.484-0.636) in 2010 to 0.598 (95% CI: 0.513-0.696) in 2014.
conclusionsFrom 2010 to 2014, the self-assessed health gap between income groups in China decreased, and health equity improved. However, health differences remain. In order to achieve better health for all, China should further strengthen the role of primary care in reducing health inequity.
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