دورية أكاديمية
Health inputs and cumulative health deficits among the older Chinese
| العنوان: | Health inputs and cumulative health deficits among the older Chinese |
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| المؤلفون: | Gu, Danan, Sautter, Jessica, Huang, Cheng, Zeng, Yi |
| المساهمون: | Gu, DN (reprint author), UN, Populat Div, 2 Untied Nations Plaza,DC2-1910, New York, NY 10017 USA., UN, Populat Div, New York, NY 10017 USA., Duke Univ, Med Ctr, Dept Gen Internal Med, Durham, NC 27705 USA., Emory Univ, Rollins Sch Publ Hlth, Hubert Dept Global Hlth, Atlanta, GA 30322 USA., Duke Univ, Ctr Study Aging & Human Dev, Durham, NC 27706 USA., Peking Univ, Ctr Hlth Aging & Dev Studies, Beijing 100871, Peoples R China., UN, Populat Div, 2 Untied Nations Plaza,DC2-1910, New York, NY 10017 USA. |
| المصدر: | SCI |
| بيانات النشر: | social science medicine |
| سنة النشر: | 2011 |
| المجموعة: | Peking University Institutional Repository (PKU IR) / 北京大学机构知识库 |
| مصطلحات موضوعية: | China, Cumulative health deficits, Health stock, Earlier life investments, Older adults, ELDERLY-PEOPLE, ADVANCED AGES, MEDICAL-CARE, LIFE, MORTALITY, CHILDHOOD, SURVIVAL, FRAILTY, DEMAND, LENGTH |
| الوصف: | Using a health economics framework, we examined how both individual level investments at different life stages and current community-level environmental factors affect individual health stock and flows at old ages. We used a nationwide dataset from the 2002 and 2005 waves of the Chinese Longitudinal Healthy Longevity Survey, which included more than 15,000 adults aged 65 and older from 22 provinces in mainland China. We measured health stock with a cumulative health deficit index, a measure developed in geriatrics and gerontology that reflects deficits, illnesses, and functional impairment in numerous domains of health. The cumulative health deficit index has not been used in health economics before, but is a significant contribution because it captures the health stock concept very well and overcomes the problems of inconsistency resulting from the use of different measures of health stock in research. Our results show that several proxy measures for individual health investments in both childhood (nutritional status and parental survival status) and adulthood (family financial condition and access to healthcare) yielded positive returns to health stock measured by the cumulative health deficit index. Investments in social connections and healthy behaviors (religious involvement, alcohol use, and exercise) also produced positive returns in health stock. Current community-level factors such as air quality and labor force participation rate were significantly associated with levels of health deficits in old age as well. Yet, most of these individual investment and community environment variables did not significantly affect short-term health flows (improvement or deterioration in health status over three years). Our findings have important implications for developing preventive health programs in the context of population aging by focusing on policy-relevant predictors and a comprehensive indicator of health status in later life. (C) 2011 Elsevier Ltd. All rights reserved. ; Public, Environmental & ... |
| نوع الوثيقة: | journal/newspaper |
| اللغة: | English |
| ردمك: | 978-0-00-289911-6 0-00-289911-6 |
| تدمد: | 0277-9536 |
| العلاقة: | SOCIAL SCIENCE & MEDICINE.2011,72,(5),806-814.; 906954; http://hdl.handle.net/20.500.11897/239904Test; WOS:000289911600022 |
| DOI: | 10.1016/j.socscimed.2010.12.014 |
| الإتاحة: | https://doi.org/20.500.11897/239904Test https://doi.org/10.1016/j.socscimed.2010.12.014Test https://hdl.handle.net/20.500.11897/239904Test |
| رقم الانضمام: | edsbas.83C693A |
| قاعدة البيانات: | BASE |
| ردمك: | 9780002899116 0002899116 |
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| تدمد: | 02779536 |
| DOI: | 10.1016/j.socscimed.2010.12.014 |