Decomposition and comparative analysis of health inequities between the male and female older adults in China: a national cross-sectional study

BMC Public Health

Research

Chao Zheng¹  Zhe Zhao²  Jinhai Sun²  Lei Yuan²  Fangyuan Hu³  Jing Gui⁴  Boyang Yu⁵  Jinhao Shi⁶  Jiahao Liu⁷ 

[1] Department of Acupuncture and Rehabilitation, the Second Affiliated Hospital of Guizhou, University of Traditional Chinese Medicine, Guiyang, China;Department of Health Management, Second Military Medical University, Shanghai, China;Department of Medical Service, Naval Hospital of Eastern Theater, Zhoushan, China;Department of Military Health Service Training, Second Military Medical University, Shanghai, China;Department of Military Health Service, Second Military Medical University, Shanghai, China;Department of Research and Academic Management, Second Military Medical University, Shanghai, China;Xiamen Special Service Health Center of The Army, Xiamen, China;

关键词: Older adults;    Self-rated health;    Fairlie decomposition analysis;    Health inequities;   

DOI  :  10.1186/s12889-023-15814-5

 received in 2022-12-22, accepted in 2023-05-04,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThis study aimed to examine the factors influencing self-rated health (SRH) among Chinese older adults by gender differences and provide suggestions and theoretical references to help make policies for older adults’ health concerns by government agencies.MethodsChinese Longitudinal Health Longevity Survey (CLHLS) in 2018 was adopted, the chi-squared test and the logistic regression analysis were performed to analyse self-rated health reported by Chinese female and male older adults and its influencing factors. In addition, Fairlie decomposition analysis was performed to quantify the contribution level of different influencing factors.ResultsAmong older adults, males (48.0%) reported a significantly higher level of good self-rated health than females (42.3%). Residence, body mass index (BMI), self-reported income, smoking, drinking, exercise, and social activity were the factors that influenced SRH reported by male and female respondents, with age, marital status and education reaching the significance level only in women. The Fairlie decomposition model can explain the underlying reasons for 86.7% of the gender differences in SRH, with self-reported income (15.3%), smoking (32.7%), drinking (42.5%), exercise (17.4%), social activity (15.1%) and education (-14.6%) being the major factors affecting gender differences in SRH.ConclusionsThe study results can help promote the implementation of the Healthy China Initiative, inform intervention measures, and offer new proposals on creating policies for older adults’ health issues by the Chinese government to improve health equity.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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