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Multi-Dimensional Comparison of the Impact Mechanism of the Self-Rated Health Status of Urban and Rural Residents in Chinese Social Environments

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  • Chao Yu

    (School of Geographic Sciences, Xinyang Normal University, Xinyang 464000, China
    The Center of Targeted Poverty Alleviation and Rural Revitalization, Xinyang Normal University, Xinyang 464000, China)

  • Xinyi Zhang

    (School of Geographic Sciences, Xinyang Normal University, Xinyang 464000, China
    The Center of Targeted Poverty Alleviation and Rural Revitalization, Xinyang Normal University, Xinyang 464000, China)

  • Junbo Gao

    (The Center of Targeted Poverty Alleviation and Rural Revitalization, Xinyang Normal University, Xinyang 464000, China
    School of Tourism, Xinyang Normal University, Xinyang 464000, China)

Abstract

Self-rated health status (SRHS) reflects individuals’ social environment, and the difference between urban and rural areas in China further highlights the impact of social environment on health. This paper aimed to systematically analyze and compare the impact mechanism of the SRHS of urban and rural residents from multiple dimensions, i.e., time, space, and scale. Drawing on data from the Chinese General Social Survey (CGSS) and China Statistical Yearbook, we used spatial, cross, and HLM analyses. Results indicate that: (1) From 2010 to 2017, the overall SRHS level of Chinese residents gradually declined; the gradient pattern of east, middle, and west became more marked, and the health level in rural areas generally fell behind that of urban areas. (2) The focus of SRHS moved toward mental health, and people’s perceptions of the social environment gradually became a key factor affecting health. (3) In the long term, the gradient allocation of medical service resources could narrow the gap between urban and rural areas to comprehensively improve regional health levels.

Suggested Citation

  • Chao Yu & Xinyi Zhang & Junbo Gao, 2022. "Multi-Dimensional Comparison of the Impact Mechanism of the Self-Rated Health Status of Urban and Rural Residents in Chinese Social Environments," IJERPH, MDPI, vol. 19(17), pages 1-16, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10625-:d:897906
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    References listed on IDEAS

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    1. Audrey Dorélien & Hongwei Xu, 2020. "Estimating rural–urban disparities in self-rated health in China: Impact of choice of urban definition," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(49), pages 1429-1460.
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    1. Ningning Liu & Yujing He & Zhirong Li, 2022. "The Relationship between Internet Use and Self-Rated Health among Older Adults in China: The Mediating Role of Social Support," IJERPH, MDPI, vol. 19(22), pages 1-16, November.

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