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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

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...[Show more]

dc.contributor.authorKendig, Hal
dc.contributor.authorGong, Cathy Honge
dc.contributor.authorYiengprugsawan, Vasoontara
dc.contributor.authorSilverstein, Merril
dc.contributor.authorNazroo, James
dc.date.accessioned2018-01-03T01:09:34Z
dc.date.available2018-01-03T01:09:34Z
dc.identifier.issn2352-8273
dc.identifier.urihttp://hdl.handle.net/1885/139041
dc.description.abstractChina’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.
dc.format.mimetypeapplication/pdf
dc.publisherElsevier
dc.rights© 2017 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/)
dc.sourceSSM - Population Health
dc.subjectLater life health
dc.subjectChildhood health
dc.subjectDirect and indirect influences
dc.subjectKHB decomposition
dc.subjectExposure-mediator interaction
dc.subjectChina
dc.titleLife course influences on later life health in China: Childhood health exposure and socioeconomic mediators during adulthood
dc.typeJournal article
local.identifier.citationvolume3
dc.date.issued2017
local.publisher.urlhttps://www.elsevier.com/
local.type.statusAccepted Version
local.contributor.affiliationKendig, H., Centre for Research on Ageing, Health and Wellbeing, Research School of Population Health, The Australian National University
local.contributor.affiliationGong, C. G., Centre for Research on Ageing, Health and Wellbeing, Research School of Population Health, The Australian National University
local.contributor.affiliationYiengprugsawan, V., Centre for Research on Ageing, Health and Wellbeing, Research School of Population Health, The Australian National University
local.bibliographicCitation.startpage795
local.bibliographicCitation.lastpage802
local.identifier.doi10.1016/j.ssmph.2017.10.001
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

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