ArticleInternational journal of environmental research and public health2021
Rural-Urban Inequalities in Poor Self-Rated Health, Self-Reported Functional Disabilities, and Depression among Chinese Older Adults: Evidence from the China Health and Retirement Longitudinal Study 2011 and 2015.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Quality of Life as a Predictor of Successful Aging in Urban and Rural Older Adults: A Cross-Sectional Study in Eastern Croatia-Slavonia.Healthcare (Basel, Switzerland) · 2026Article
- Association of mold exposure and solid household fuel use with depression and anxiety among older adults in China.Environmental health : a global access science source · 2025Article
- Heterogeneity and the determinants of multidimensional health transition among Chinese middle-aged and older people: a person-centered approach.Frontiers in medicine · 2025Article
- Oral Function, Loneliness, Depression, and Social Participation Among Physically Disabled Middle-Aged and Older Adult Individuals: Insights from a Japanese Cross-Sectional Study.Geriatrics (Basel, Switzerland) · 2024Article
- Long-term inequalities in health among older Mexican adults: An outcome-wide analysis.SSM - population health · 2024Article
- Decomposing income-related inequality in health-related quality of life in mainland China: a national cross-sectional study.BMJ global health · 2023Article
- Urban/rural differences in preferences for EQ-5D-5L health states: a study of a multi-ethnic region in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- The relationship between home and community-based healthcare services utilization and depressive symptoms in older adults in rural China: a moderated mediation model.BMC public health · 2023Article
- Factors influencing treatment status of syphilis among pregnant women: a retrospective cohort study in Guangzhou, China.International journal for equity in health · 2023Article
- The association between financial support of adult children to their parents and informal care provision in China and its differences in household registration, residence arrangement and community-based care services: 2008 ~ 2018.International journal for equity in health · 2023Article
- Community-Level Social Support to Mitigate the Impact of Combined Frailty and Multimorbidity on Psychological Distress Among Rural Chinese Older Adults During the COVID-19 Pandemic: Multilevel Modeling Study.JMIR public health and surveillance · 2023Article
- The Mediation Effect of Perceived Attitudes toward Medical Service on the Association between Public Satisfaction with the Overall Medical Service and Self-Rated Health among the General Population in China: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Factors Explaining the Change in Socioeconomic Inequality of Disability in Iran: A Repeated Cross-sectional Study.Medical journal of the Islamic Republic of Iran · 2023Article
- Ecological Sustainability and Households' Wellbeing: Linking Households' Non-Traditional Fuel Choices with Reduced Depression in Rural China.International journal of environmental research and public health · 2022Article
- Prevalence and factors associated with the depressive symptoms in rural and urban Mexican older adults: evidence from the Mexican Health and Aging Study 2018.Salud publica de Mexico · 2022Article
- Rural population's preferences matter: a value set for the EQ-5D-3L health states for China's rural population.Health and quality of life outcomes · 2022Article
- Determining the association between different living arrangements and depressive symptoms among over-65-year-old people: The moderating role of outdoor activities.Frontiers in public health · 2022Article
- Nonlinear Associations between Medical Expenditure, Perceived Medical Attitude, and Sociodemographics, and Older Adults' Self-Rated Health in China: Applying the Extreme Gradient Boosting Model.Healthcare (Basel, Switzerland) · 2021Article
- Association Between Sensory Loss and Falls Among Middle-Aged and Older Chinese Population: Cross-Sectional and Longitudinal Analyses.Frontiers in medicine · 2021Article
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4 authors.
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Abstract
The household registration system (Hukou) in China classifies persons into rural or urban citizens and determines eligibility for state-provided services and welfare. Not taking actual residence into account may underestimate rural-urban differences. This study investigates rural-urban inequalities in self-reported health outcomes among older adults aged 60+, taking into account both Hukou and actual residence, adjusting for sociodemographic determinants, based on the China Health and Retirement Longitudinal Study (CHARLS) in 2011 and 2015. Self-Rated Health (SRH) was assessed with a single question, functional abilities were assessed with the Basic Activities of Daily Living (BADLs) and Instrumental Activities of Daily Living (IADLs) scales, and depression was assessed with the 10-item version of the Center for Epidemiologic Studies Depression Scale. Rural respondents had poorer socioeconomic status and higher prevalence of poor SRH, functional disabilities, and depression than urban respondents in both years, which were closely related to rural-urban differences in educational level and income. Impairments appeared at a younger age among rural respondents. Analyses using only Hukou registration and not actual residence resulted in underestimation of rural-urban differences. This study may serve as a basis for interventions to address rural-urban differences in health and social services and reduce health inequalities among Chinese older adults.
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