ArticleBMJ open2019
Disparity of the Chinese elderly's health-related quality of life between urban and rural areas: a mediation analysis.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Mental health status and associated factors among Chinese postoperative breast cancer survivors of working age: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
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- The Association Between Urbanization and Frailty Status in China.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- The dual impact of physical exercise on depression and fall risk in older Chinese adults - evidence from CHARLS 2020.Frontiers in public health · 2025Article
- Cost-Effectiveness Analysis of Vaccination Compliance Strategies Using a Novel Hybrid Model for Influenza Vaccination.China CDC weekly · 2024Article
- Mediating roles of activities of daily living and depression on the relationship between sleep quality and health-related quality of life.Scientific reports · 2024Article
- Preferences of patients with multiple chronic diseases for medication in rural areas of an Eastern Province China: a discrete choice experiment.Frontiers in medicine · 2024Article
- Health-related quality of life assessed by EQ-5D-5L and its determinants among Chinese adults.Frontiers in public health · 2024Article
- Enjoying the golden years: social participation and life satisfaction among Chinese older adults.Frontiers in public health · 2024Article
- The association between falls and depressive symptoms among older adults: evidence from the China Health and Retirement Longitudinal Study.Frontiers in public health · 2023Article
- An analysis of the influencing factors of depression in older adults under the home care model.Frontiers in public health · 2023Article
- Article
- Factors Affecting Quality of Life among Older Adults with Hypertension in Urban and Rural Areas in Thailand: A Cross-Sectional Study.International journal of aging & human development · 2022Article
- Differences in Health-Related Quality of Life and Its Associated Factors Among Older Adults in Urban and Rural Areas.Risk management and healthcare policy · 2022Article
- Trajectories of middle-aged and elderly people's chronic diseases Disability Adjusted Life Years (DALYs): cohort, socio-economic status and gender disparities.International journal for equity in health · 2021Article
- Health-promoting behaviors mediate the relationship between eHealth literacy and health-related quality of life among Chinese older adults: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Trends in equity of inpatient health service utilization for the middle-aged and elderly in China: based on longitudinal data from 2011 to 2018.BMC public health · 2021Article
- A New Perspective of Urban-Rural Differences: The Impact of Social Support on the Mental Health of the Older Adults: A Case from Shaanxi Province, China.Healthcare (Basel, Switzerland) · 2021Article
- Urban-rural differences in the impacts of multiple chronic disease on functional limitations and work productivity among Chinese adults.Global health action · 2021Article
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8 authors.
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Abstract
objectivesThis study aimed to examine the urban-rural disparity in health-related quality of life (HRQoL) of the Chinese elderly and to explore the mediating roles of socioeconomic status (SES) and frequency of contact with children in the relationship between urban/rural areas and HRQoL.
methodsThis cross-sectional study used data from China Health and Retirement Longitudinal Study for 2015-2016, involving 12 369 Chinese aged 45 years and over. HRQoL of respondents was measured by three-level EuroQol five dimensions (EQ-5D-3L). SES, based on principal components analysis, was combined by the individual possessions of durable consumer goods and houses. Frequency of contact with children was derived from the responses to whether they live with children and how often they contact with them. Mediation analyses were performed to examine the mediating effects of SES and frequency of contact in the relationship between urban/rural areas and HRQoL.
resultsUrban respondents had higher scores of HRQoL than rural respondents (p<0.05). As SES and frequency of contact with children increased, the scores of HRQoL of the elderly went up as well. Mediation analyses proved the possible mediating effects of SES and frequency of contact in the relationship between urban/rural areas and HRQoL (0.0713 and 0.0064). The indirect effects induced by SES and frequency of contact were 65.45% and 5.90%, respectively.
conclusionsThere was a significant difference in HRQoL between urban and rural middle-aged and elderly participants, which was partially mediated by urban-rural disparities in SES and frequency of contact with children. Higher SES and frequency of contact with children contributed to higher health status in the Chinese elderly.
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