ArticleInternational journal for equity in health2019
Measurement and decomposition of income-related inequality in self-rated health among the elderly in China.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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42 citing papers in PubMed.
- Decomposition of Wealth-Related Inequality in Child Immunization Among Aspirational and Non-Aspirational Districts in India.Indian journal of pediatrics · 2026Article
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- The impact of physical exercise on medical expenditure among middle-aged and older adults: digital literacy as a moderating variable.Frontiers in public health · 2026Article
- Assessment of Factors Associated with Treatment Adherence Among Elderly Patients with Multimorbid Type 2 Diabetes Mellitus Using Lasso-Logistic Regression.Patient preference and adherence · 2026Article
- Bridging the digital health divide: digital endowment, informal social participation, and health inequality among older adults.BMC health services research · 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
- Health inequalities for China's low-income population: trends, subgroup differences, and influencing factors, 2010-2022.Frontiers in public health · 2025Article
- Naps, night-time sleep and cognitive function among middle-aged and older people in China.PloS one · 2025Article
- Wealth-based disparities in the prevalence of short birth interval in India: insights from NFHS-5.Population health metrics · 2024Article
- Impact of indoor air pollution from cooking fuel usage and practices on self-reported health among older adults in India: Evidence from LASI.SSM - population health · 2024Article
- Activities of daily living limitations and the use of physical examination among older adults with informal care in China: do gender and residence make differences?BMC geriatrics · 2024Article
- Self-rated health status and associated factors in Ilam, west of Iran: results of a population-based cross-sectional study.Frontiers in public health · 2024Article
- Physical activity as a predictor of activities of daily living in older adults: a longitudinal study in China.Frontiers in public health · 2024Article
- Income inequality and healthcare utilization of the older adults-based on a study in three provinces and six cities in China.Frontiers in public health · 2024Article
- Socioeconomic inequalities associated with Geriatric syndrome in Thailand: The results of Fifth National Health Examination Survey.PloS one · 2024Article
- Decomposing income-related inequality in health-related quality of life in mainland China: a national cross-sectional study.BMJ global health · 2023Article
- Socioeconomic inequality in self-rated health and its determinants: an Oaxaca blinder decomposition in Ilam, West of Iran during 2023.BMC health services research · 2023Article
- Activities of daily living limitations and family doctor contract services among overweight and obese older adults: is there a rural-urban difference?BMC primary care · 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
- Estimating Income-Related Health Inequalities Associated with Tobacco and Alcohol Consumption in Namibia.International journal of environmental research and public health · 2023Article
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Abstract
backgroundPopulation ageing in China has brought increasing attention to the health inequalities of the elderly. The purpose of this paper is to measure income-related health inequality among the elderly in China and decompose its causes.
methodsThe data are from the China Health and Retirement Longitudinal Study (CHARLS) survey in 2013, which contains 6176 individuals aged 60 years and above. A multiple linear regression model was used to analyze the influencing factors of self-rated health (SRH) among the elder people. Furthermore, the corrected concentration index were used to measure income-related health inequality. Wagstaff-type decomposition analysis was employed to explore the cause of inequality. The measurement and decomposition of health inequality was also performed separately in the male and female subgroups.
resultsMost elderly declared their health status as "fair" (51.33%) or "poor" (21.88%). Income, gender, residence, region, health insurance and other factors had significant association with SRH (P < 0.05). The corrected concentration index (CCI) was 0.06, indicating pro-rich inequality in health among the elderly. Decomposition analyses revealed that the main contributors to health inequality included income, residence, region, health insurance, and employment. For female elderly, most of the inequality was due to residence (50.78%) and income (49.51%); for male elderly, most of the inequality was due to insurance (38.65%) and income (22.26%); for the total sample, employment had a negative contribution to health inequality (- 25.83%).
conclusionThe findings confirm a high proportion of elderly with poor SRH, and health inequality in the Chinese. Some socioeconomic strategies should be conducted to reduce this health inequality among the elderly, such as reducing income disparities, consolidating health insurance schemes, and narrowing urban-rural and regional gaps. Older females with low incomes in rural areas are a vulnerable subgroup and warrant targeted policy attention.
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