ArticleFrontiers in public health2025
The impact of chronic diseases on labor participation among rural older adults in China.
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 3 papers.
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3 citing papers in PubMed.
- 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
- Urban-rural differences in depressive symptoms and related factors among employed middle-aged and older adults: a national cross-sectional study in China.BMC public health · 2026Article
- Health literacy and urban-rural disparities: a cross-sectional study of access, adherence, and quality of life across the neurological spectrum.Frontiers in public health · 2026Article
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2 authors.
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Abstract
Objective: To examine the impact of chronic diseases on labor participation among rural older adults in China and test the mediating role of the New Rural Cooperative Medical Scheme (NRCMS) in this relationship, thereby providing evidence for formulating policies to enhance the health and labor welfare of rural seniors. Methods: Data from 6,584 rural older adults aged ≥60 years were obtained from the 2023 China Longitudinal Aging Social Survey (CLASS). Statistical analyses were conducted using Stata 17.0 software, including Results: The prevalence of chronic diseases among rural older adults was 76.6%, and the labor participation rate was 57.9%. After controlling for confounding factors, chronic diseases significantly reduced the risk of labor participation (OR = 0.61, 95%CI: 0.53-0.70). Among specific conditions, cerebrovascular disease had the strongest negative impact (OR = 0.59, 95%CI:0.49-0.71), followed by musculoskeletal disorders (OR = 0.70, 95% CI: 0.61-0.81) and hypertension (OR = 0.77, 95% CI: 0.68-0.87), with all results being statistically significant ( Conclusion: Chronic diseases constitute a major health risk factor that inhibits labor participation among the rural older adults. The NRCMS plays a significant mediating role in this process. Therefore, targeted measures are recommended, such as strengthening medical insurance coverage and chronic disease management for low-income individuals with multiple comorbidities. These measures would help mitigate the negative impact of health shocks on the labor capacity of the older adults and promote the rational utilization of the older rural workforce.
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