IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i4p526-d205382.html
   My bibliography  Save this article

The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study

Author

Listed:
  • Fanlei Kong

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Lingzhong Xu

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China
    Collaborative Innovation Center of Social Risks Governance in Health, School of Public health, Fudan University, Shanghai 200032, China)

  • Mei Kong

    (Research Center of Economics and Resource Management, Beijing Normal University, Beijing 100875, China)

  • Shixue Li

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Chengchao Zhou

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Jiajia Li

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Long Sun

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Wenzhe Qin

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

Abstract

This study aims to clarify the association between socioeconomic status (SES), mental health, and the need for long-term services and support (NLTSS) of the Chinese elderly, and further, to provide evidence-based suggestions for the development of the long-term services and support (LTSS) system in China. A cross-sectional survey using a multi-stage random sampling method was conducted in Shandong Province, China, in 2017. Data were collected from seniors aged over 60 years old through questionnaires by face-to face interviews. A total of 7070 subjects were included in the final database (40.3% male and 59.7% female). A chi-square test analysis and structural equation modeling (SEM) were employed to explore the relationship between SES, mental health, and NLTSS for both male and female elderly people. The SEM analysis showed that mental health was significantly and negatively associated with NLTSS for both male elderly and female elderly, and it was slightly stronger among the male elderly. A significant and negative relationship was observed between SES and NLTSS for both genders, and the association was stronger among the female elderly. SES exerted a positive effect on mental health for both male and female elderly people, and a slightly stronger effect was found among the male elderly. Advice for the development of a LTSS system in China was given based on the above results.

Suggested Citation

  • Fanlei Kong & Lingzhong Xu & Mei Kong & Shixue Li & Chengchao Zhou & Jiajia Li & Long Sun & Wenzhe Qin, 2019. "The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study," IJERPH, MDPI, vol. 16(4), pages 1-19, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:4:p:526-:d:205382
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/4/526/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/4/526/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. David M. Cutler & Adriana Lleras-Muney & Tom Vogl, 2008. "Socioeconomic Status and Health: Dimensions and Mechanisms," NBER Working Papers 14333, National Bureau of Economic Research, Inc.
    2. Alain Paraponaris & Bérengère Davin & Pierre Verger, 2012. "Formal and informal care for disabled elderly living in the community: an appraisal of French care composition and costs," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(3), pages 327-336, June.
    3. Damiano, Fiorillo & Fabio, Sabatini, 2011. "Quality and quantity: the role of social interactions in individual health," MPRA Paper 29777, University Library of Munich, Germany.
    4. Wang, Hufeng, 2009. "A dilemma of Chinese healthcare reform: How to re-define government roles?," China Economic Review, Elsevier, vol. 20(4), pages 598-604, December.
    5. Choi, HwaJung & Burgard, Sarah & Elo, Irma T. & Heisler, Michele, 2015. "Are older adults living in more equal counties healthier than older adults living in more unequal counties? A propensity score matching approach," Social Science & Medicine, Elsevier, vol. 141(C), pages 82-90.
    6. Oliver Schilling, 2006. "Development of Life Satisfaction in Old Age: Another View on the "Paradox''," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 75(2), pages 241-271, January.
    7. Sungwoo Lim & Pui Ying Chan & Sarah Walters & Gretchen Culp & Mary Huynh & L Hannah Gould, 2017. "Impact of residential displacement on healthcare access and mental health among original residents of gentrifying neighborhoods in New York City," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-12, December.
    8. Robert T. Jensen, 2004. "Socioeconomic Status, Nutrition, and Health among the Elderly," NBER Chapters, in: Perspectives on the Economics of Aging, pages 313-332, National Bureau of Economic Research, Inc.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tongbo Deng & Yafan Fan & Mengdi Wu & Min Li, 2022. "Older People’s Long-Term Care Preferences in China: The Impact of Living with Grandchildren on Older People’s Willingness and Family Decisions," IJERPH, MDPI, vol. 19(19), pages 1-18, September.
    2. Hyun Jin Lee & Dong Kun Lee & Wonkyong Song, 2019. "Relationships between Social Capital, Social Capital Satisfaction, Self-Esteem, and Depression among Elderly Urban Residents: Analysis of Secondary Survey Data," IJERPH, MDPI, vol. 16(8), pages 1-13, April.
    3. Fanlei Kong & Lingzhong Xu & Mei Kong & Shixue Li & Chengchao Zhou & Jianghua Zhang & Bin Ai, 2019. "Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly," IJERPH, MDPI, vol. 16(12), pages 1-19, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fanlei Kong & Lingzhong Xu & Mei Kong & Shixue Li & Chengchao Zhou & Jianghua Zhang & Bin Ai, 2019. "Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly," IJERPH, MDPI, vol. 16(12), pages 1-19, June.
    2. John F. Helliwell & Haifang Huang & Max B. Norton & Shun Wang, 2019. "Happiness at Different Ages: The Social Context Matters," Springer Books, in: Mariano Rojas (ed.), The Economics of Happiness, chapter 0, pages 455-481, Springer.
    3. Stefan Angel & Benjamin Bittschi, 2019. "Housing and Health," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 65(3), pages 495-513, September.
    4. Haoyu Wen & Cong Xie & Lu Wang & Fang Wang & Yafeng Wang & Xiaoxue Liu & Chuanhua Yu, 2019. "Difference in Long-Term Trends in COPD Mortality between China and the U.S., 1992–2017: An Age–Period–Cohort Analysis," IJERPH, MDPI, vol. 16(9), pages 1-15, April.
    5. Srikant Devaraj & Marcus T. Wolfe & Pankaj C. Patel, 2021. "Creative destruction and regional health: evidence from the US," Journal of Evolutionary Economics, Springer, vol. 31(2), pages 573-604, April.
    6. Raquel Fonseca Benito & Yuhui Zheng, 2011. "The Effect of Education on Health Cross-Country Evidence," Working Papers WR-864, RAND Corporation.
    7. Gerdtham, Ulf-G & Lundborg, Petter & Lyttkens, Carl Hampus & Nystedt, Paul, 2012. "Do Socioeconomic Factors Really Explain Income-Related Inequalities in Health? Applying a Twin Design to Standard Decomposition Analysis," Working Papers 2012:21, Lund University, Department of Economics.
    8. Shadi O. Tehrani & Shuling J. Wu & Jennifer D. Roberts, 2019. "The Color of Health: Residential Segregation, Light Rail Transit Developments, and Gentrification in the United States," IJERPH, MDPI, vol. 16(19), pages 1-19, September.
    9. Alexandra Mendoza-Graf & Rebecca L Collins & Madhumita Ghosh Dastidar & Robin Beckman & Gerald P Hunter & Wendy M Troxel & Tamara Dubowitz, 2023. "Changes in psychosocial wellbeing over a five-year period in two predominantly Black Pittsburgh neighbourhoods: A comparison between gentrifying and non-gentrifying census tracts," Urban Studies, Urban Studies Journal Limited, vol. 60(6), pages 1139-1157, May.
    10. Anthony Lepinteur, 2021. "The asymmetric experience of gains and losses in job security on health," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2217-2229, September.
    11. Giorgio Brunello & Margherita Fort & Nicole Schneeweis & Rudolf Winter‐Ebmer, 2016. "The Causal Effect of Education on Health: What is the Role of Health Behaviors?," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 314-336, March.
    12. Fiorillo, Damiano & Sabatini, Fabio, 2015. "Structural social capital and health in Italy," Economics & Human Biology, Elsevier, vol. 17(C), pages 129-142.
    13. Na’Taki Osborne Jelks & Viniece Jennings & Alessandro Rigolon, 2021. "Green Gentrification and Health: A Scoping Review," IJERPH, MDPI, vol. 18(3), pages 1-23, January.
    14. Michio Yuda & Jinkook Lee, 2016. "Effects of Informal Caregivers’ Health on Care Recipients," The Japanese Economic Review, Springer, vol. 67(2), pages 192-210, June.
    15. Yu, Xuan & Li, Cheng & Shi, Yuhua & Yu, Min, 2010. "Pharmaceutical supply chain in China: Current issues and implications for health system reform," Health Policy, Elsevier, vol. 97(1), pages 8-15, September.
    16. Fabio Sabatini, 2011. "Can a click buy a little happiness? The impact of business-to-consumer e-commerce on subjective well-being," EERI Research Paper Series EERI_RP_2011_12, Economics and Econometrics Research Institute (EERI), Brussels.
    17. Damiano Fiorillo, 2020. "Reasons for unmet needs for health care: the role of social capital and social support in some western EU countries," International Journal of Health Economics and Management, Springer, vol. 20(1), pages 79-98, March.
    18. Liping Fu & Ya’nan Fang & Yongqing Dong, 2022. "The healthcare inequality among middle-aged and older adults in China: a comparative analysis between the full samples and the homogeneous population," Health Economics Review, Springer, vol. 12(1), pages 1-17, December.
    19. Xue Han & Yunyue Yang & Feng Li & Yuhui Li, 2022. "Adding Life to Years: The Influence of Internet Use and Appearance Management on Life Satisfaction Among the Elderly," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 585-600, April.
    20. Sabatini, Fabio, 2014. "The relationship between happiness and health: Evidence from Italy," Social Science & Medicine, Elsevier, vol. 114(C), pages 178-187.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:4:p:526-:d:205382. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.