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Health of midlife and older adults in China: the role of regional economic development, inequality, and institutional setting

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  • Xuejie Ding

    (University of Oxford)

  • Francesco C. Billari

    (Bocconi University)

  • Stuart Gietel-Basten

    (University of Oxford)

Abstract

Objectives To document the association between economic development, income inequality, and health-related public infrastructure, and health outcomes among Chinese adults in midlife and older age. Methods We use a series of multi-level regression models with individual-level baseline data from the China Health and Retirement Longitudinal Survey (CHARLS). Provincial-level data are obtained both from official statistics and from CHARLS itself. Multi-level models are estimated with different subjective and objective health outcomes. Results Economic growth is associated with better self-rated health, but also with obesity. Better health infrastructure tends to be negatively associated with health outcomes, indicating the likely presence of reverse causality. No supportive evidence is found for the hypothesis that income inequality leads to worse health outcomes. Conclusions Our study shows that on top of individual characteristics, provincial variations in economic development, income inequality, and health infrastructure are associated with a range of health outcomes for Chinese midlife and older adults. Economic development in China might also bring adverse health outcomes for this age group; as such specific policy responses need to be developed.

Suggested Citation

  • Xuejie Ding & Francesco C. Billari & Stuart Gietel-Basten, 2017. "Health of midlife and older adults in China: the role of regional economic development, inequality, and institutional setting," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 857-867, November.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:8:d:10.1007_s00038-017-0970-9
    DOI: 10.1007/s00038-017-0970-9
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    3. Lin Xie & Yuan-yang Wu & Ying-xi Shen & Wen-chao Zhang & An-qi Zhang & Xue-yu Lin & Shi-ming Ti & Yi-tong Yu & Hua-lei Yang, 2021. "Effect of Retirement on Work Hours: Evidence From China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 157(2), pages 671-688, September.
    4. Yue Zhou & Haishaerjiang Wushouer & Daniel Vuillermin & Xiaodong Guan & Luwen Shi, 2021. "Does the universal medical insurance system reduce catastrophic health expenditure among middle-aged and elderly households in China? A longitudinal analysis," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(3), pages 463-471, April.

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