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Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood

China’s unprecedented population aging and social and economic change raise important issues concerning life course determinants of advantage or disadvantage into later life. Data from the China Health and Retirement Longitudinal Study (CHARLS) 2013 were analysed to identify the influence of childho...

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Autores principales: Kendig, Hal, Gong, Cathy Honge, Yiengprugsawan, Vasoontara, Silverstein, Merril, Nazroo, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769110/
https://www.ncbi.nlm.nih.gov/pubmed/29349264
http://dx.doi.org/10.1016/j.ssmph.2017.10.001
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author Kendig, Hal
Gong, Cathy Honge
Yiengprugsawan, Vasoontara
Silverstein, Merril
Nazroo, James
author_facet Kendig, Hal
Gong, Cathy Honge
Yiengprugsawan, Vasoontara
Silverstein, Merril
Nazroo, James
author_sort Kendig, Hal
collection PubMed
description China’s unprecedented population aging and social and economic change raise important issues concerning life course determinants of advantage or disadvantage into later life. Data from the China Health and Retirement Longitudinal Study (CHARLS) 2013 were analysed to identify the influence of childhood health on later life health as indicated by self-rated health and how this influence could be mediated by social and economic positions (SEP) and resources later in the life span. CHARLS provides nationally representative data on 18, 000 individuals aged 45 years and above in approximately 150 districts and 450 villages. Both multivariate logit regression model and KHB method (Karlson/Holm/Breen method) were applied to examine and decompose the life span influences on later life health. The results show that the childhood health, accounts for approximately half of the effect directly and another half of the effect indirectly through social and economic variations during adulthood. Relative living standard, marital status and urban residence are the most significant and important social and economic mediators for men; For women, living standard and secondary schooling are most influential while marital status is not significant. Implications for social and economic policies to improve later life health are discussed.
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spelling pubmed-57691102018-01-18 Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood Kendig, Hal Gong, Cathy Honge Yiengprugsawan, Vasoontara Silverstein, Merril Nazroo, James SSM Popul Health Article China’s unprecedented population aging and social and economic change raise important issues concerning life course determinants of advantage or disadvantage into later life. Data from the China Health and Retirement Longitudinal Study (CHARLS) 2013 were analysed to identify the influence of childhood health on later life health as indicated by self-rated health and how this influence could be mediated by social and economic positions (SEP) and resources later in the life span. CHARLS provides nationally representative data on 18, 000 individuals aged 45 years and above in approximately 150 districts and 450 villages. Both multivariate logit regression model and KHB method (Karlson/Holm/Breen method) were applied to examine and decompose the life span influences on later life health. The results show that the childhood health, accounts for approximately half of the effect directly and another half of the effect indirectly through social and economic variations during adulthood. Relative living standard, marital status and urban residence are the most significant and important social and economic mediators for men; For women, living standard and secondary schooling are most influential while marital status is not significant. Implications for social and economic policies to improve later life health are discussed. Elsevier 2017-10-07 /pmc/articles/PMC5769110/ /pubmed/29349264 http://dx.doi.org/10.1016/j.ssmph.2017.10.001 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Kendig, Hal
Gong, Cathy Honge
Yiengprugsawan, Vasoontara
Silverstein, Merril
Nazroo, James
Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood
title Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood
title_full Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood
title_fullStr Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood
title_full_unstemmed Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood
title_short Life course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood
title_sort life course influences on later life health in china: childhood health exposure and socioeconomic mediators during adulthood
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769110/
https://www.ncbi.nlm.nih.gov/pubmed/29349264
http://dx.doi.org/10.1016/j.ssmph.2017.10.001
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