ArticleFrontiers in public health2025
Analysis of the dynamic correlation between chronic comorbidities and health shocks among middle-aged and older adults people in rural mountainous areas of southern Ningxia-from 14 years of follow-up panel data.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Resource endowment, medical services utilization and health poverty vulnerability: evidence from middle-aged and older households in rural western China.Frontiers in public health · 2026Article
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Abstract
Background: With the acceleration of the aging process, the health shock on the middle-aged and older adults people has become a key issue that urgently needs to be solved. Health shock refers to the long-term fluctuating effect on the future level of family health welfare due to the uncertainty of the health status of family members in the short term. The occurrence of health shocks is related to many factors, among which chronic comorbidity is an important factor affecting the occurrence of health shocks in the middle-aged and older adults people. The purpose of this study was to explore the developmental trajectories and interactions of chronic comorbidities and health shocks in rural residents in the southern mountainous areas of Ningxia. Methods: On the basis of health follow-up data from rural middle-aged and older adults people in Ningxia in 2009, 2015, 2019 and 2022, the dynamic associations between chronic comorbidities and health shocks in rural residents in mountainous areas of southern Ningxia were analyzed via the latent growth model (LGM) and cross-lagged model (CLM). Results: The unconditional latent growth model (ULGM) revealed that chronic comorbidities ( Conclusion: Based on a 14-year tracking data study, this research found that both chronic comorbidities and health shocks were on the rise, and there was a dynamic interaction and bidirectional causal relationship between the two, which could predict each other's development trends. Based on the empirical results, it is recommended to strengthen the monitoring and management chronic comorbidities to reduce the risk of health shocks. Meanwhile, it is also necessary to closely monitor health shock events, and accordingly optimize the management strategies for chronic comorbidities, thereby reducing the incidence of health shocks among the middle-aged and older adults population, improving the quality of life and health, and promoting the realization of the goal of healthy aging.
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