ArticleBMC public health2022
Urban-rural disparities in the healthy ageing trajectory in China: a population-based study.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed, 76 citations in OpenAlex.
- Exploring the Spiritual Needs of Elderly Patients with Chronic Wounds in Chinese Communities: A Qualitative Study.Journal of religion and health · 2026Article
- Who is more fearful of being dependent? A Blinder-Oaxaca decomposition analysis of rural-urban difference among middle-aged and older Chinese adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- The Association Between Urbanization and Frailty Status in China.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Digital engagement and physical activity patterns across Chinese populations: a secondary analysis of national survey data.Frontiers in public health · 2026Article
- Correlation analysis between sleep quality and depressive symptoms among rural elderly in China: An observational study.World journal of psychiatry · 2025Article
- Urban-rural differences and bidirectional association between social participation and cognitive function among Chinese older adults: a 10-year prospective cohort study.Archives of public health = Archives belges de sante publique · 2025Article
- The association between subjective well-being and physical-psychological-cognitive multimorbidity: a longitudinal analysis of a nationally representative survey.Scientific reports · 2025Article
- Adapting health, economic and social policies to address population aging in China.Nature aging · 2025Review
- How urban versus rural residency relates to basic activities of daily living among older people in Central China.Scientific reports · 2025Article
- Black Carbon Air Pollution and Incident Mortality Among the Advance-Aged Adults in China: A Prospective Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- Residents' Internet use, family economic status, and self-rated health: gender-based differences.BMC public health · 2025Article
- Prevalence and associated factors of healthy aging among community-dwelling older adults in Lishui city, China: a cross-sectional study.BMC public health · 2025Article
- The moderating role of caring for grandchildren in the relationship between functional abilities and depression of aged parents in rural China.Frontiers in public health · 2025Article
- Factors contributing to differences in physical activity levels in (pre)frail older adults living in rural areas of China.PloS one · 2025Article
- Associations of serum carotene levels and decline for the ability of attention: a longitudinal study in the Japanese general population.Environmental health and preventive medicine · 2025Article
- Bidirectional intergenerational support and mental health in older adults based on latent profile analysis: a moderated mediation model.Frontiers in public health · 2025Article
- Association Between Chronic Pain, Coping Strategies, and Sleep Quality in Rural Chinese Older Adults: A Cross-Sectional Study.Clinical interventions in aging · 2025Observational
- Equity and Efficiency of Medical Resource Allocation in National Central Cities, China.Risk management and healthcare policy · 2025Article
- Barriers and facilitators of exercise behaviour for frail older adults in nursing homes: protocol for a qualitative study in China.BMJ open sport & exercise medicine · 2025Article
- Physical activity dynamically moderates the impact of multimorbidity on the trajectory of healthy aging over sixteen years.BMC geriatrics · 2024Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study is to measure the trajectory of healthy ageing among Chinese middle-aged and older population, and explore the disparity of the trajectory, as well as contributing factors, between urban and rural areas in China.
methodsA total of 9402 respondents aged 45 years and older interviewed in four waves (2011, 2013, 2015 and 2018) were selected from the China Health and Retirement Longitudinal Study. Healthy ageing score was calculated through item response theory. A latent growth mixture model (LGMM) was applied to distinguish the trajectory of healthy aging. A multinomial logistics regression model (MLRM) was used to explore the relationship between urban-rural areas and healthy aging trajectories, and further to explore associated factors in rural and urban areas separately.
resultsThe healthy ageing score was lower in rural areas than urban areas in each survey wave. Five classes ("continuing-low", "continuing-middle", "continuing-middle-to-high", "significantly-declining", "continuing-high") were grouped through LGMM. The MLRM results showed that urban living was significantly associated with a higher likelihood of being healthy (for [continuing-low/continuing-high]: β = - 1.17, RRR = 0.31, P < 0.001, 95% CI = 0.18-0.53; and for [continuing-middle/continuing-high]: β = - 0.53, RRR = 0.59, P < 0.001, 95% CI = 0.49-0.71).
conclusionHealthy ageing is a prominent objective in the development of a country, and rural-urban disparities are an essential obstacle to overcome, with the rural population more likely to develop a low level of healthy ageing trajectory. Prevention and standardized management of chronic diseases should be enhanced, and social participation should be encouraged to promote healthy ageing. The policy inclination and resource investment should be enhanced to reduce disparity in healthy ageing between urban and rural areas in China.
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