ArticleInternational journal of environmental research and public health2021
Health Disparities between the Rural and Urban Elderly in China: A Cross-Sectional Study.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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32 citing papers in PubMed, 46 citations in OpenAlex.
- Disparities Between Rural and Urban Communities: Response to 18 Months of Diet and Exercise Versus Control for Knee Osteoarthritis and Overweight or Obesity.Arthritis care & research · 2025Trial
- Validation of the Chinese version of the EORTC Quality of Life Questionnaire-ELD14 for assessing quality of life in elderly cancer patients.Palliative & supportive care · 2026Article
- Article
- 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
- The experience of social isolation among community-dwelling older adults: a qualitative study.BMC geriatrics · 2025Article
- Observational
- Urinary incontinence and subjective well-being among Chinese old adults: the multiple mediation effect of social participation and sleep quality.BMC geriatrics · 2025Article
- Reduced Risk of Benign Paroxysmal Positional Vertigo in Patients with Parkinson's Disease: A Nationwide Korean Cohort Study.Healthcare (Basel, Switzerland) · 2025Article
- Decomposition and Comparative Analysis of Urban-Rural Disparities in eHealth Literacy Among Chinese University Students: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Bridging the urban-rural divide: digital literacy as a catalyst for enhancing physical exercise participation in China.Frontiers in public health · 2025Article
- Configurational pathways to effective rural older adult sports participation: a necessity and sufficiency analysis using NCA and QCA.Frontiers in public health · 2025Article
- The mediating roles of activities of daily living and depression in the relationship between pain and sleep duration among rural older adults in China: a cross-sectional study.Frontiers in public health · 2025Article
- Gender differences in quality of dying and death among older adults: a cross-sectional study in China.Frontiers in public health · 2025Article
- The mediating effect of expectations regarding aging between psychological resilience and quality of life in rural elderly.Archives of public health = Archives belges de sante publique · 2024Article
- Decomposition Analysis of the Prevalence of Denture Use Between Rural and Urban Older Individuals With Edentulism in China: Cross-Sectional Study.Interactive journal of medical research · 2024Article
- Correlation between medical coping style and mindfulness level of hospitalized elderly: implications for enhancing psychological well-being.BMC geriatrics · 2024Article
- Personality and Health-Related Quality of Life of Older Chinese Adults: Cross-Sectional Study and Moderated Mediation Model Analysis.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
- The effect of social pension on health-related quality of life of the rural older people: a panel study from China.BMC geriatrics · 2024Article
- Challenges in Accessing Community-Based Rehabilitation and Long-Term Care for Older Adult Stroke Survivors and Their Caregivers: A Qualitative Study.Journal of multidisciplinary healthcare · 2024Article
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Authors and funding
3 authors at 2 institutions in 1 country.
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Abstract
backgroundChina is becoming an aging society, and the proportion of the population aged 60 years and above is increasing. There is a dualistic urban-rural economic structure between urban and rural areas in China, but there are few comparative health studies on the self-assessed health (SAH) status of the elderly between urban and rural areas. The aim of this study is to explore the SAH status of the elderly in China, and to identify the health disparity between the urban and rural elderly.
methodsThe data from the fourth wave of the China Health and Retirement Longitudinal Study (CHARLS) in 2018 were adopted. A total of 9630 participants aged 60 and above were included in this study. SAH was used as the indicator, measuring the health status. Fairlie decomposition analysis was conducted to find the SAH disparity.
resultsThe proportion of good SAH of the rural elderly (24.01%) was significantly higher than the urban elderly (19.99%). The association of SAH was widely different between the rural and urban elderly. There was a stronger association between SAH and sleeping time in the urban elderly (Odds ratios (OR) = 3.347 of 4-8 h; OR = 3.337 of above 8 h) than the rural elderly (OR = 1.630 of 4-8 h; OR = 2.293 of above 8 h). Smoking and social activity were significant only in the urban elderly, while region and assets were significant only in the rural elderly. Drinking (11.45%), region (-33.92%), and assets (73.50%) were the main factors contributing to the urban-rural health disparities.
conclusionsThis is the first comparative study examining SAH disparity, focusing on the elderly aged 60 and above in China. From the perspective of drinking, region, and assets, our study highlighted substantial urban-rural health disparities, and provided evidence for policy making on narrowing the health gap between urban and rural areas in China.
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