ArticleBMC public health2020
Individual-level factors attributable to urban-rural disparity in mortality among older adults in China.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 31 citations in OpenAlex.
- Effectiveness of a community-based mobile rehabilitation program for older adults in underserved areas: functional and pain outcomes.BMC public health · 2026Article
- Functional disability and urban-rural differences in depressive symptoms among older adults in China.BMC geriatrics · 2026Article
- Gender differences in the association between community care and quality of life among older adults in China.Scientific reports · 2025Article
- Association between social participation and hope levels in stroke patients: a cross-sectional study.Frontiers in psychology · 2025Article
- Association of lifestyles and multimorbidity with mortality among individuals aged 60 years or older: Two prospective cohort studies.SSM - population health · 2024Article
- Association between socioeconomic status and post-stroke depression in middle-aged and older adults: results from the China health and retirement longitudinal study.BMC public health · 2024Article
- The effect of urban-rural resident basic medical insurance on physical health of the rural older adult in China.Frontiers in public health · 2024Article
- Associations between regular physical exercise and physical, emotional, and cognitive health of older adults in China: an 8-year longitudinal study with propensity score matching.Frontiers in public health · 2024Article
- Gender differences in caregiver attitudes and unmet needs for activities of daily living (ADL) assistance among older adults with disabilities.BMC geriatrics · 2023Article
- How do inpatients' costs, length of stay, and quality of care vary across age groups after a new case-based payment reform in China? An interrupted time series analysis.BMC health services research · 2023Article
- Socio-demographic disparities in health-related quality of life after hip fracture in China: evidence from the China Health and Retirement Longitudinal Study.Archives of osteoporosis · 2023Article
- Dual Sensory Impairment as a Predictor of Loneliness and Isolation in Older Adults: National Cohort Study.JMIR public health and surveillance · 2022Article
- Comparing Effects of FOXO3 and Residing in Urban Areas on Longevity: A Gene-Environment Interaction Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Thirty-Year Urbanization Trajectories and Obesity in Modernizing China.International journal of environmental research and public health · 2022Article
- Factors associated with access to healthcare services for older adults with limited activities of daily living.Frontiers in public health · 2022Article
- Longitudinal Association Between Depressive Symptoms and Cognitive Function Among Older Adults: A Latent Growth Curve Modeling Approach.International journal of public health · 2022Article
- Article
- Impact of Optimism on Cognitive Performance of People Living in Rural Area: Findings From a 20-Year Study in US Adults.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUrban-rural disparity in mortality at older ages is well documented in China. However, surprisingly few studies have systemically investigated factors that contribute to such disparity. This study examined the extent to which individual-level socioeconomic conditions, family/social support, health behaviors, and baseline health status contributed to the urban-rural difference in mortality among older adults in China.
methodsThis research used the five waves of the Chinese Longitudinal Healthy Longevity Survey from 2002 to 2014, a nationally representative sample of older adults aged 65 years or older in China (n = 28,235). A series of hazard regression models by gender and age group examined the association between urban-rural residence and mortality and how this association was modified by a wide range of individual-level factors.
resultsOlder adults in urban areas had 11% (relative hazard ratio (HR) = 0.89, p < 0.01) lower risks of mortality than their rural counterparts when only demographic factors were taken into account. Further adjustments for family/social support, health behaviors, and health-related factors individually or jointly had a limited influence on the mortality differential between urban and rural older adults (HRs = 0.89-0.92, p < 0.05 to p < 0.01). However, we found no urban-rural difference in mortality (HR = 0.97, p > 0.10) after adjusting for individual socioeconomic factors. Similar results were found in women and men, and among the young-old and the oldest-old populations.
conclusionsThe urban-rural disparity in mortality among older adults in China was largely attributable to differences in individual socioeconomic resources (i.e., education, income, and access to healthcare) regardless of gender and age group.
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