ArticleBMC health services research2024
Has socioeconomic inequality in perceived access to health services narrowed among older adults in China?
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Socioeconomic Inequalities in Health Service Utilization in the Peruvian Population: A National Population-Based Study.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Social determinants of intersectional inequalities in multimorbidity and its burden in China: a multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).International journal for equity in health · 2026Article
- What influences the perceived access to healthcare services? An investigation using Structural Equation Modeling.Frontiers in public health · 2026Article
- Construction of a home-based social support service content framework for Chinese patients with chronic heart failure based on Maslow's hierarchy of needs.Frontiers in medicine · 2026Article
- The global and regional burden and trends of migraine from 1990 to 2021: Global Burden of Disease Study 2021.Frontiers in neurology · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo analyze the degree, evolution and causes of socioeconomic inequality in perceived access to health services among the older adults in China.
methodsThe data used in this study were drawn from the 4 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011, 2014, 2018. Erreygers index (EI) was used to measure socioeconomic inequality in perceived access to health services in each survey wave. A panel logit regression model was used to examine the impact of socioeconomic status on perceived access to health services. The recentered influence function (RIF) regression decomposition method was used to explore the causes of socioeconomic inequality in perceived access to health services. Inverse probability weighting (IPW) was employed to adjust estimates for missing responses and loss to follow-up.
results"Pro-rich" socioeconomic inequality in perceived access to health services in China was found with inequality falling through time. The older adults with higher incomes, who had adequate financial support, and those who were wealthier compared with other residents reported lower socioeconomic inequality in perceived access to health services. Having basic health insurance and access to care resources when ill can help alleviate such inequalities.
conclusionsSocioeconomic inequality in perceived access to health services was shown to be responsive to policies that enhance health insurance coverage and support the provision of (paid and unpaid) caregiving for the older adults.
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