ArticleRisk management and healthcare policy2020
Socioeconomic Inequality in Health Outcomes Among the Elderly: Evidence from a Cross-Sectional Study in China.
Article in Risk management and healthcare policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
- Examining the Impact of Availability and Accessibility of Community Benefit Provisions on County Health Outcomes.Risk management and healthcare policy · 2025Article
- Association between socioeconomic position of the household head, food insecurity and psychological health: an application of propensity score matching.BMC public health · 2024Article
- Does the population size of a city matter to its older adults' self-rated health? Results of China data analysis.Frontiers in public health · 2024Article
- Does the Healthy China 2030 Policy Improve People's Health? Empirical Evidence Based on the Difference-in-Differences Approach.Risk management and healthcare policy · 2024Article
- The Anesthesiologists' Perception of Malignant Hyperthermia and Availability of Dantrolene in China: A Cross-Sectional Survey.Risk management and healthcare policy · 2024Article
- Analysis of health risk factors for older adults living alone in China and establishment and evaluation of a nomogram prediction model.Frontiers in public health · 2024Article
- Socioeconomic inequality in health in older adults in Brazil.Dialogues in health · 2022Article
- Neighborhood health effects on the physical health of the elderly: Evidence from the CHRLS 2018.SSM - population health · 2022Article
- Hierarchical medical system and local medical performance: A quasi-natural experiment evaluation in Shanghai, China.Frontiers in public health · 2022Article
- Health-related quality of life and its association with socioeconomic status and diet diversity in Chinese older adults.Frontiers in public health · 2022Article
- Socioeconomic inequality in psychological distress among older adults in India: a decomposition analysis.BMC psychiatry · 2021Article
- Determinants of self-rated health among an older Tibetan population in a Chinese plateau area: analysis based on the conceptual framework for determinants of health.BMC public health · 2021Article
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Abstract
BACKGROUND AND
aimHealth is viewed as a form of human capital and a necessary basis for people to realize capabilities. Moreover, socioeconomic inequality in health outcome widens income inequality and exacerbates social inequality. The aim of this study is to measure socioeconomic inequality in health outcomes among the elderly in China.
methodsThe data used in this study were sourced from China Health and Retirement Longitudinal Study in 2015, including 5643 participants aged 60 and above. Concentration curve and concentration index were applied to measure the extent of socioeconomic inequality in health outcomes among older adults. Furthermore, the decomposition method of concentration index proposed by Wagstaff was employed to quantify each determinant's contribution to the measured socioeconomic inequality in health outcomes.
resultsThe concentration index of Activity of Daily Living Scale and Center of Epidemiological Survey-Depression Scale score were -0.0064 and -0.0158, respectively, indicating pro-rich inequality in physical and mental health among the elderly. The decomposition analysis revealed that household income (41.15%), aged 70-79 (17.37%), being male (8.38%), and living in urban area (5.78%) were key factors to explain the pro-rich inequality in physical health. Furthermore, the results also suggested that household income (68.41%), being male (17.55%), having junior high school education (10.67%), and living in urban area (6.49%) were key factors to explain the pro-rich inequality in mental health.
conclusionThis study revealed that there are pro-rich inequalities in physical and mental health among the elderly in China, and the degree of pro-rich inequality in mental health is higher than that in physical health. Moreover, the results also suggested that household income is the biggest contributor to socioeconomic inequality in physical and mental health. Furthermore, this study found that educational attainment makes a substantial contribution to socioeconomic inequality in health outcomes, while the contribution of health insurance to health inequality is limited.
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