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Village characteristics and health of rural Chinese older adults: Examining the CHARLS Pilot Study of a rich and poor province

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  • Yeatts, Dale E.
  • Pei, Xiaomei
  • Cready, Cynthia M.
  • Shen, Yuying
  • Luo, Hao
  • Tan, Junxin

Abstract

Community (or village) characteristics have received growing attention as researchers have sought factors affecting health. This study examines the association between a variety of environmental, economic, and social village characteristics and health of Chinese older rural adults with health measured in terms of physical limitations. The Chinese Health and Retirement Longitudinal Survey (CHARLS) Pilot Study data were used. Older villagers from a low-income province (Gansu) and a relatively wealthy province (Zhejiang) were surveyed between July and September, 2008. The sample included 1267 respondents in 73 villages age 45 and older. The relationship between a variety of village characteristics and physical limitations of older adults was examined using negative binomial regression (NBR) with standard errors adjusted to account for non-independence of respondents in a village. A comparison of means/percentages shows that Gansu and Zhejiang were significantly different on the dependent and most independent variables. The NBR models show that at the personal-level, decreased risk of physical limitations was associated with being male, less than 60 years old, married, higher in education, and higher in household expenditures (proxy for income). At the village-level, decreased risk of limitations was associated with a continuous supply of electricity, not using coal in the household, the existence of a sewage system, low cost of electricity, and village wealth. Decreased risk of physical limitations was also associated with various characteristics of China's New Cooperative Medical Scheme (NCMS), an insurance program for rural older adults. Policy implications for improved health of rural older adults include: (1) continued use of China's NCMS, (2) establishment of village sewage systems, (3) ending the use of coal in the home, and (4) increased educational opportunities focused on health.

Suggested Citation

  • Yeatts, Dale E. & Pei, Xiaomei & Cready, Cynthia M. & Shen, Yuying & Luo, Hao & Tan, Junxin, 2013. "Village characteristics and health of rural Chinese older adults: Examining the CHARLS Pilot Study of a rich and poor province," Social Science & Medicine, Elsevier, vol. 98(C), pages 71-78.
    • Handle: RePEc:eee:socmed:v:98:y:2013:i:c:p:71-78
    DOI: 10.1016/j.socscimed.2013.08.041
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    1. Chen, Zhuo & Meltzer, David, 2008. "Beefing up with the Chans: Evidence for the effects of relative income and income inequality on health from the China Health and Nutrition Survey," Social Science & Medicine, Elsevier, vol. 66(11), pages 2206-2217, June.
    2. Tara L. Gruenewald & Diana H. Liao & Teresa E. Seeman, 2012. "Contributing to Others, Contributing to Oneself: Perceptions of Generativity and Health in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(6), pages 660-665.
    3. Roberta Zavoretti, 2006. "Family-based care for China’s ageing population," Asia Europe Journal, Springer, vol. 4(2), pages 211-228, June.
    4. Beydoun, May A. & Popkin, Barry M., 2005. "The impact of socio-economic factors on functional status decline among community-dwelling older adults in China," Social Science & Medicine, Elsevier, vol. 60(9), pages 2045-2057, May.
    5. Zachary Zimmer & Toshiko Kaneda & Laura Spess, 2007. "An Examination of Urban Versus Rural Mortality in China Using Community and Individual Data," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(5), pages 349-357.
    6. Berkman, Lisa F. & Glass, Thomas & Brissette, Ian & Seeman, Teresa E., 2000. "From social integration to health: Durkheim in the new millennium," Social Science & Medicine, Elsevier, vol. 51(6), pages 843-857, September.
    7. Li, Hongbin & Zhu, Yi, 2006. "Income, income inequality, and health: Evidence from China," Journal of Comparative Economics, Elsevier, vol. 34(4), pages 668-693, December.
    8. Herrin, William E. & Amaral, Michelle M. & Balihuta, Arsene M., 2013. "The relationships between housing quality and occupant health in Uganda," Social Science & Medicine, Elsevier, vol. 81(C), pages 115-122.
    9. Yip, Winnie & Subramanian, S.V. & Mitchell, Andrew D. & Lee, Dominic T.S. & Wang, Jian & Kawachi, Ichiro, 2007. "Does social capital enhance health and well-being? Evidence from rural China," Social Science & Medicine, Elsevier, vol. 64(1), pages 35-49, January.
    10. Hou, Feng & Myles, John, 2005. "Neighbourhood inequality, neighbourhood affluence and population health," Social Science & Medicine, Elsevier, vol. 60(7), pages 1557-1569, April.
    11. Katja Pynnönen & Timo Törmäkangas & Riitta-Liisa Heikkinen & Taina Rantanen & Tiina-Mari Lyyra, 2012. "Does Social Activity Decrease Risk for Institutionalization and Mortality in Older People?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(6), pages 765-774.
    12. Xiaomei Pei & Youcai Tang, 2010. "Old Age Protection in the Context of Rural Development," IDS Bulletin, Blackwell Publishing, vol. 41(4), pages 22-30, July.
    13. Hongmei Yi & Linxiu Zhang & Kim Singer & Scott Rozelle & Scott Atlas, 2009. "Health insurance and catastrophic illness: a report on the New Cooperative Medical System in rural China," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 119-127, July.
    14. Zeng, Y. & Gu, D. & Purser, J. & Hoenig, H. & Christakis, N., 2010. "Associations of environmental factors with elderly health and mortality in china," American Journal of Public Health, American Public Health Association, vol. 100(2), pages 298-305.
    15. Veenstra, Gerry & Luginaah, Isaac & Wakefield, Sarah & Birch, Stephen & Eyles, John & Elliott, Susan, 2005. "Who you know, where you live: social capital, neighbourhood and health," Social Science & Medicine, Elsevier, vol. 60(12), pages 2799-2818, June.
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    3. Mathieu Philibert & Robert Pampalon & Mark Daniel, 2015. "Conceptual and Operational Considerations in Identifying Socioenvironmental Factors Associated with Disability among Community-Dwelling Adults," IJERPH, MDPI, vol. 12(4), pages 1-21, April.

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