Assessing the Effectiveness of Anchoring Vignettes in Bias Reduction for Socioeconomic Disparities in Self-rated Health among Chinese Adults

ObjectiveChina’s Great Famine between 1959 and 1961 has contributed to numerous adverse health outcomes in Chinese. This study aimed to examine the association between exposure to famine in early life and self-rated health (SRH) in adulthood.Methods4418 Chinese adults from the 2011 China Health and Retirement Longitudinal Study were included in the analysis. Multivariable logistic regression was conducted to estimate adjusted ORs (aORs) and 95% CIs of the association between exposure to famine in early life and SRH, stratified by sex.ResultsParticipants exposed to famine during infancy were more likely to report poor SRH (aOR 1.33; 95% CI 1.04 to 1.70) compared with the non-exposed group, adjusting for confounders. Males were 32% less likely than females to report poor SRH (aOR 0.68; 95% CI 0.54 to 0.86). Participants diagnosed with chronic diseases (aOR 3.11; 95% CI 2.68 to 3.61), disability (aOR 1.82; 95% CI 1.38 to 2.38) and vision impairment (aOR 2.07; 95% CI 1.72 to 2.49) were more likely to report poor SRH. Participants who were current alcohol users and with abnormal weight were less likely to report poor SRH. Stratification by sex showed no significant association between famine and SRH among males, but a consistently significant association was observed among females (aOR 1.46; 95% CI 1.02 to 2.12).ConclusionsFindings from this study indicated that females exposed to famine in China during infancy were more likely to report poor SRH in their adulthood. Implementing interventions to those who were exposed to famine in early life, especially for females, may improve their long-term consequences.

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Does Subjective Social Status Predict Self-Rated Health in Chinese Adults and Why?

Social Indicators Research ◽

10.1007/s11205-020-02445-1 ◽

2020 ◽

Vol 152 (2) ◽

pp. 443-471

Author(s):

Hong Zou ◽

Qianqian Xiong ◽

Hongwei Xu

Keyword(s):

Social Status ◽

Subjective Social Status ◽

Chinese Adults ◽

Self Rated Health

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INTERNAL MIGRATION AND HEALTH CHANGES: A LONGITUDINAL STUDY OF CHINESE ADULTS IN MID AND LATER LIFE

Innovation in Aging ◽

10.1093/geroni/igz038.2930 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S796-S796

Author(s):

Li Gao ◽

Zheng Wu ◽

Shu z Li

Keyword(s):

Longitudinal Study ◽

Health Status ◽

Internal Migration ◽

Fixed Effects ◽

Later Life ◽

Chinese Adults ◽

Rural Migrants ◽

Health Changes ◽

Self Rated Health ◽

Urban Migrants

Abstract Objectives: This study examines the effects of internal migration on health status and health changes among middle-aged and older migrants in China. Methods: Using longitudinal data from the 2011-2015 China Health and Retirement Longitudinal Study (CHARLS), this study compares non-migrants with those of recent migrants and earlier migrants in regard to their self-rated health and mental health. OLS and a series of fixed effects models were conducted to examine the effects of migration on health status and health changes. Results: Compared with non-migrants, earlier migrants report better self-rated health but no difference in depression. Our findings demonstrate that recent migrants show better self-rated health changes than non-migrants. In addition, for recent migrants, there are significant changes in self-rated health among rural-to-urban migrants and rural-to-rural migrants, while urban-to-rural migrants and urban-to-urban migrants are not significantly different from non-migrations. Discussion: There are associations between internal migration and self-rated health in China. The effects of migration on health appear to differ by the type of migration. Those who migrated from rural area are mostly likely to be affected by migration. However, migrants from urban area are less affected.

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Self-Rated Health Status and Risk of Incident Stroke in 0.5 Million Chinese Adults: The China Kadoorie Biobank Study

Journal of Stroke ◽

10.5853/jos.2017.01732 ◽

2018 ◽

Vol 20 (2) ◽

pp. 247-257 ◽

Cited By ~ 6

Author(s):

Wenhong Dong ◽

Xiong-Fei Pan ◽

Canqing Yu ◽

Jun Lv ◽

Yu Guo ◽

...

Keyword(s):

Health Status ◽

Chinese Adults ◽

Self Rated Health

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Association of diet-related knowledge, attitude, behaviors and self-rated health among Chinese adults: a population-based study

10.21203/rs.2.18289/v2 ◽

2020 ◽

Author(s):

Ying Yang ◽

Di He ◽

Liuyi Wei ◽

Shizhen Wang ◽

Lei Chen ◽

...

Keyword(s):

Population Based ◽

Chinese Adults ◽

Rural Residents ◽

Chi Square ◽

Population Based Study ◽

Dietary Knowledge ◽

Self Rated Health ◽

Eating Fruit ◽

Chi Square Test ◽

And Behaviors

Abstract Background: Diet and nutrition play an important role in one’s health status. The objectives of this study were to (a) determine knowledge, attitude, and behaviors (KABs) related to diet among a sample of Chinese adults, and (b) assess the association between diet-related KABs and self-rated health.Methods: We analyzed the 2015 CHNS data. Individuals aged 18 years and older were included as study subjects (n = 12,814). Five variables were selected to assess diet-related knowledge, attitude, and behaviors. Comparison of diet-related KABs in urban and rural was conducted using chi-square test. Ordinal logistic regression was conducted to quantify the association between diet-related KABs and self-rated health.Results: The awareness proportion for Chinese diet pagoda/DGCR was 27.1%, and only 34.3% of the subjects were assessed as having adequate dietary knowledge literacy. 24.3% reported positive attitude towards healthy diet. 27.6% and 65.9% reported the behavior of actively looking for nutrition knowledge and eating fruit & vegetables, respectively. Chi-square test indicated that rural residents experienced significant poorer diet-related knowledge, attitude, and behaviors than urban (all p-values < 0.01). Adjusted ORs with 95% CI revealed significant association between diet-related KABs and self-rated health.Conclusions: Chinese adults experienced poor diet-related knowledge, attitude, and behaviors, while rural residents were significantly worse than urban. Better diet-related knowledge, attitude, and behaviors was associated with higher self-rated health.

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Relative Income and Life Satisfaction among Chinese Adults

Sustainability ◽

10.3390/su11205651 ◽

2019 ◽

Vol 11 (20) ◽

pp. 5651 ◽

Cited By ~ 1

Author(s):

Chenghua Guan ◽

Yingjie Qiu ◽

Ruopeng An

Keyword(s):

Life Satisfaction ◽

Relative Income ◽

Well Being ◽

Subjective Well Being ◽

Chinese Adults ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Individual Level ◽

Self Rated Health ◽

The Relationship

Life satisfaction is a key component of people’s subjective well-being. This study assessed the relationship between relative income and life satisfaction among Chinese adults, using data from a cross-sectional survey. Individual-level data (N = 1369) came from the 2016 China Genuine Progress indicator Survey (CGPiS) conducted in Beijing and Chengdu, China. Ordered logistic regressions were performed to examine the relationship between relative income and life satisfaction among CGPiS adult respondents. Respondents’ life satisfaction was positively associated with relative income in comparison to their relatives and friends but not associated with relative income in comparison to their residing community and city. Subgroup analyses replicated the findings among male respondents and respondents with good or excellent self-rated health. In contrast, female respondents’ life satisfaction was positively associated with relative income in comparison to their city of residence, but not associated with relative income in comparison to their relatives, friends, and residing community. Life satisfaction among those with poor or fair self-rated health was not associated with any of the four dimensions of relative income. Relative income in comparison to relatives and friends was positively associated with life satisfaction in Chinese adults. Future studies adopting a longitudinal or experimental design are warranted to replicate the findings.

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