Rural-urban disparities in healthy ageing: Evidence from a national study in China

Deng, SY; Zhao, IY; Ho, MH; Saravanakumar, P; Molassiotis, A; Montayre, J

Rural-urban disparities in healthy ageing: Evidence from a national study in China

Deng, SY Zhao, IY Ho, MH Saravanakumar, P

Molassiotis, A Montayre, J

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Collegian, 2022, 29, (6), pp. 843-849
Issue Date:: 2022-12-01

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Field	Value	Language
dc.contributor.author	Deng, SY
dc.contributor.author	Zhao, IY
dc.contributor.author	Ho, MH
dc.contributor.author	Saravanakumar, P https://orcid.org/0000-0001-6923-0355
dc.contributor.author	Molassiotis, A
dc.contributor.author	Montayre, J
dc.date.accessioned	2023-06-24T01:15:27Z
dc.date.available	2023-06-24T01:15:27Z
dc.date.issued	2022-12-01
dc.identifier.citation	Collegian, 2022, 29, (6), pp. 843-849
dc.identifier.issn	1322-7696
dc.identifier.uri	http://hdl.handle.net/10453/170848
dc.description.abstract	Background: The Chinese government has adopted the WHO healthy ageing framework to guide the development of services and initiatives to promote older people's health. Aim: To examine the rural-urban disparities within the WHO healthy ageing domains of functional ability. Methods: A secondary data analysis was conducted using a nationally representative survey from China Health and Retirement Longitudinal Study (CHARLS). Results: A total number of 10,746 older people were included, with the mean age of 69.10 years (SD = 7.15). More than 70% of older people lived in rural areas. Significant differences existed in all five domains of functional ability between rural and urban-dwelling older people, particularly in their ability to meet basic needs and in achieving psychosocial wellbeing. Urban respondents reported better self-perceived health status (2.95 ± 0.97) and had less functional difficulties. Rural respondents were more likely to have difficulties in making decisions for grocery shopping, taking medications and in managing finances (p < 0.001). Older people in urban areas were more supported with health insurance (97.4%) and retirement pension (57.3%) than rural residents, where only 554 (7.1%) received retirement pension (p < 0.001). In terms of contributing to society, urban respondents were more likely to participate in voluntary work, providing assistance to others, and were caregivers of individuals with disabilities than rural respondents (all p < 0.001). Conclusions: The rural-urban disparities in healthy ageing were prevalent in China. Further research and consideration toward health resource reallocation are needed to improve functional abilities of older people in rural areas.
dc.language	en
dc.publisher	Elsevier
dc.relation.ispartof	Collegian
dc.relation.isbasedon	10.1016/j.colegn.2022.06.008
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.title	Rural-urban disparities in healthy ageing: Evidence from a national study in China
dc.type	Journal Article
utslib.citation.volume	29
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2023-06-24T01:15:26Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	29
utslib.citation.issue	6

Abstract:

Background: The Chinese government has adopted the WHO healthy ageing framework to guide the development of services and initiatives to promote older people's health. Aim: To examine the rural-urban disparities within the WHO healthy ageing domains of functional ability. Methods: A secondary data analysis was conducted using a nationally representative survey from China Health and Retirement Longitudinal Study (CHARLS). Results: A total number of 10,746 older people were included, with the mean age of 69.10 years (SD = 7.15). More than 70% of older people lived in rural areas. Significant differences existed in all five domains of functional ability between rural and urban-dwelling older people, particularly in their ability to meet basic needs and in achieving psychosocial wellbeing. Urban respondents reported better self-perceived health status (2.95 ± 0.97) and had less functional difficulties. Rural respondents were more likely to have difficulties in making decisions for grocery shopping, taking medications and in managing finances (p < 0.001). Older people in urban areas were more supported with health insurance (97.4%) and retirement pension (57.3%) than rural residents, where only 554 (7.1%) received retirement pension (p < 0.001). In terms of contributing to society, urban respondents were more likely to participate in voluntary work, providing assistance to others, and were caregivers of individuals with disabilities than rural respondents (all p < 0.001). Conclusions: The rural-urban disparities in healthy ageing were prevalent in China. Further research and consideration toward health resource reallocation are needed to improve functional abilities of older people in rural areas.

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