ArticleSSM - population health2023
Decomposition analysis of health inequalities between the urban and rural oldest-old populations in China: Evidence from a national survey.
Article in SSM - population health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Associations between government-supported institutional long-term care and health outcomes among socioeconomically disadvantaged older adults in China.International journal for equity in health · 2026Article
- Rural residents' cognition of healthy lifestyles: a qualitative study in Shanxi Province, China.Scientific reports · 2026Article
- Exploring Maternal Mental Health Conditions and Urban-Rural Disparities in Hypertensive Disorders of Pregnancy in South Carolina: A Fairlie Decomposition Approach.Maternal and child health journal · 2026Article
- The Association Between Urbanization and Frailty Status in China.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Perceived age discrimination and life satisfaction among older adults in China: mediating roles of leisure and social satisfaction.Frontiers in psychology · 2026Article
- Analysis of influencing factors and urban-rural difference decomposition of mental health literacy among residents in Chongqing, Southwest China: a large-scale multistage random sampling survey.Frontiers in public health · 2026Article
- Trends in breast cancer mortality and analysis of years of life lost among Chinese residents, 2013-2021.Frontiers in oncology · 2026Article
- Measuring and decomposing inequalities in intrinsic capacity among older adults in china: from an urban-rural divide perspective.Aging clinical and experimental research · 2025Article
- Urban-town-rural disparities in subjective life expectancy among middle-aged and elderly adults in China: evidence from the CHARLS 2020.BMC public health · 2025Observational
- Modeling determinants of accessibility for healthcare services in rural and urban areas of Dodoma, Tanzania.BMC public health · 2025Article
- The Association Between the Digital Divide and Health Inequalities Among Older Adults in China: Nationally Representative Cross-Sectional Survey.Journal of medical Internet research · 2025Article
- The association between confidence in health system and self-rated health: from the perspective of regional comparison.Frontiers in public health · 2025Article
- Leveraging Large Language Models for Predicting Postoperative Acute Kidney Injury in Elderly Patients.BME frontiers · 2025Article
- Decomposing social groups differential in stunting among children under five in India using nationally representative sample data.Scientific reports · 2024Article
- Barriers and facilitators for accepting health education of Chinese rural older adults in Henan Province: a qualitative study.BMC public health · 2024Article
- Urban-Rural Differences in the Association of eHealth Literacy With Medication Adherence Among Older People With Frailty and Prefrailty: Cross-Sectional Study.JMIR public health and surveillance · 2024Article
- Interpersonal interactions, sense of loneliness and perceived depressive emotions among older adults: A cultural-psychological perspective from heterogeneous roles of different relationships.SSM - population health · 2024Article
- Decomposition Analysis of Depressive Symptom Differences Among Older Adults With Hypertension Between Urban and Rural Areas: Cross-Sectional Study.JMIR public health and surveillance · 2024Article
- The relationship between childhood adversity and sleep quality among rural older adults in China: the mediating role of anxiety and negative coping.BMC psychiatry · 2024Article
- Exploring factors influencing farmers' health self-assessment in China based on the LASSO method.BMC public health · 2024Article
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7 authors.
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Abstract
The number of Chinese oldest-old (aged 80+) is growing rapidly and some studies have shown that the health status is unequal among older persons in different regions. However, to the best of our knowledge, no study to date has analyzed health inequalities among the oldest-old in urban and rural areas in China. This study therefore aimed to examine the correlation between health inequalities among the oldest-old in urban and rural areas of China. From the 8th wave of the Chinese Longitudinal Health Longevity Survey (CLHLS), we selected 8124 oldest-old participants who met the requirements of the study. Chi-square tests were used to analyze the distribution characteristics of indicators and a logistic model was performed to determine the factors associated with different self-rated health (SRH). The Fairlie model was adopted to decompose the causes and related contributions to health inequality. Our results found that of the Chinese oldest-old, 46.57% were in good health. Urban residents reported significantly better SRH than rural residents (50.17% vs. 45.13%). Variables associated with good and poor SRH had different distribution characteristics. The logistic model suggested that marital status, alcohol consumption, and annual income were important factors underlying the SRH differences. Our decomposition analysis indicated that 76.64% of the SRH differences were caused by observational factors, and validated that the difference in SRH between urban and rural areas was significantly (P<0.05) associated with exercise status (45.44%), annual income (37.64%), social activity status (3.75%), age (-5.27%), and alcohol consumption (-2.66%). Therefore, socioeconomic status and individual lifestyle status were the main factors underlying the health inequality between urban and rural Chinese oldest-old.
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