ArticleBMC public health2024
Household structure and dietary diversity among older adults in rural and urban China: a cross-sectional study.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Sociodemographic, Economic, and Health Factors Associated with Ultra-Processed Food Intake Among Older Adults in Chile.Nutrients · 2026Article
- Nutrition literacy, dietary diversity, and frailty among older adults in China.BMC geriatrics · 2026Article
- Dietary diversity among reproductive aged women attending urban and rural healthcare facilities, Middle Delta, Egypt.BMC public health · 2026Article
- Dietary diversity, frailty, and cognitive function in community-dwelling older adults: a cross-sectional study from Türkiye.Frontiers in medicine · 2026Article
- The impact of population aging and rural food markets on the dietary quality of rural residents: a micro case study from China.Frontiers in nutrition · 2026Article
- Dietary diversity, migration experience, and brain volume in middle-aged and older adults in rural Japan: a cross-sectional magnetic resonance imaging study.Frontiers in public health · 2026Article
- Non-linear associations between serum manganese with chronic kidney disease: results from two nationwide studies in the United States and China.Renal failure · 2025Article
- Nutrition Quotient and nutrient intake among older adults in a rural Korean community: a cross-sectional study.Korean journal of community nutrition · 2025Article
- Reciprocal association between dietary diversity and subjective well-being in Chinese older adults: a three-wave longitudinal study.Archives of public health = Archives belges de sante publique · 2025Article
- Changing Dietary Patterns among Chinese Older Adults: A Rural-Urban Comparative Analysis (2008-2018).International journal of behavioral medicine · 2025Article
- Dietary diversity and associated factors among people with tuberculosis in Kampala, Uganda: A cross-sectional study.Journal of clinical tuberculosis and other mycobacterial diseases · 2025Article
- Article
- Study on the prevalence situation of malocclusion and the influence on oral health-related quality of life and social psychology in adults of Kunming and Gongshan County, Yunnan Province.BMC oral health · 2025Article
- Oral health and nutrition: addressing disparities in socioeconomically disadvantaged older adults in rural China.BMC public health · 2025Article
- Disparities in lifestyle among community-dwelling older adults with or without mild cognitive impairment: a population-based study in north-western China.Frontiers in public health · 2025Article
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2 authors.
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Abstract
backgroundHousehold structure can significantly affect older adults' eating behaviours and diet quality. However, the difference in dietary diversity in various household structures in urban and rural has rarely been investigated. This study aimed to investigate the association between household structure and dietary diversity among older Chinese adults and examine whether the association differed by urban and rural.
methodsThe study used data from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The participants were individuals aged 60 and over with available dietary and household structure data. Dietary diversity was defined as 'high' if respondents had a dietary diversity score (DDS) above the mean value. Household structures were classified into four mutually exclusive categories: (1) living alone; (2) spouse only; (3) at least with a great/grandchild(ren); (4) non-empty-nested. Binary logistic regression was applied to investigate the association between household structures and dietary diversity.
resultsNon-empty-nested older adults had the highest probability (OR = 1.64, 95% CI = 1.44-1.87) of having high dietary diversity. People who only lived with their spouse and at least lived with a great/grandchild(ren) were 1.45 (OR = 1.45, 95% CI = 1.23-1.71) and 1.23 (OR = 1.23, 95% CI = 1.08-1.41) times as likely to have diverse diets than older adults who lived alone. The difference in dietary diversity among various household structures is more evident in urban than rural areas. Solo-living older adults were the most disadvantaged regarding dietary diversity in urban and rural areas.
conclusionsHousehold structures are significantly associated with dietary diversity among older Chinese adults aged 60 years and over. The findings emphasise the need to reduce nutritional inequality, encourage dietary diversity, and consider both the household structures and residences when providing health intervention programs to the older population.
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