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Associations of Social Cohesion and Socioeconomic Status with Health Behaviours among Middle-Aged and Older Chinese People

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  • Zeyun Feng

    (Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands
    Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai 200031, China)

  • Jane M. Cramm

    (Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands)

  • Anna P. Nieboer

    (Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands)

Abstract

Background : An understanding of factors associated with health behaviours is critical for the design of appropriate health promotion programmes. Important influences of social cohesion, education, and income on people’s health behaviours have been recognised in Western countries. However, little is known about these influences in the older Chinese population. Objective : To investigate associations of social cohesion and socioeconomic status (SES) with health behaviours among middle-aged and older adults in China. Methods : We used data from the World Health Organization’s Study on Global AGEing and Adult Health. Logistic regression and multivariate linear regression were performed. Results : Participants who reported greater social cohesion were more likely to have adequate vegetable and fruit (VF) consumption, be socially active, and less likely to smoke daily, but were not physically more active; participants with lower education levels were less likely to have adequate VF consumption and be socially active, and more likely to smoke daily; higher incomes were associated with decreased odds of daily smoking, increased odds of adequate VF consumption, increased likelihood to be socially active, but also less likelihood to have sufficient physical activity (PA). Associations of social cohesion and SES with health behaviours (smoking, PA, and VF consumption) differed between men and women. Discussion : Our findings are an essential step toward a fuller understanding of the roles of social cohesion and SES in protecting healthy behaviours among older adults.

Suggested Citation

  • Zeyun Feng & Jane M. Cramm & Anna P. Nieboer, 2021. "Associations of Social Cohesion and Socioeconomic Status with Health Behaviours among Middle-Aged and Older Chinese People," IJERPH, MDPI, vol. 18(9), pages 1-14, May.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4894-:d:548752
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    References listed on IDEAS

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    1. Fernando Rajulton & Zenaida Ravanera & Roderic Beaujot, 2007. "Measuring Social Cohesion: An Experiment using the Canadian National Survey of Giving, Volunteering, and Participating," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 80(3), pages 461-492, February.
    2. Lynch, Jamie L. & von Hippel, Paul T., 2016. "An education gradient in health, a health gradient in education, or a confounded gradient in both?," Social Science & Medicine, Elsevier, vol. 154(C), pages 18-27.
    3. Joseph Chan & Ho-Pong To & Elaine Chan, 2006. "Reconsidering Social Cohesion: Developing a Definition and Analytical Framework for Empirical Research," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 75(2), pages 273-302, January.
    4. Muntrer, P. & Gu, D. & Wildman, R.P. & Chen, J. & Qan, W. & Whelton, P.K. & He, J., 2005. "Prevalence of physical activity among Chinese adults: Results from the International Collaborative Study of Cardiovascular Disease in Asia," American Journal of Public Health, American Public Health Association, vol. 95(9), pages 1631-1636.
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    Cited by:

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    2. Hiroko Kamide, 2021. "The Effect of Social Cohesion on Interest, Usefulness, and Ease of Use of a Driving Assistance System in Older Adults," IJERPH, MDPI, vol. 18(21), pages 1-11, October.

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