scholarly journals Health insurance enrollment and vision health in rural China: an epidemiological survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaochang Yan ◽  
Baoqun Yao ◽  
Xi Chen ◽  
Shaoye Bo ◽  
Xuezheng Qin ◽  
...  
Keyword(s):  
Health Insurance ◽  
Rural Areas ◽  
Rural China ◽  
Epidemiological Survey ◽  
Eye Diseases ◽  
Marginal Effect ◽  
Education Levels ◽  
Physical Diseases ◽  
Insurance Enrollment ◽  
The Impact

Abstract Background Vision health is an important aspect of health worldwide. Visual impairment (VI) is associated with poor quality of life and is usually more prevalent in rural areas. To help rural populations obtain vision care, health insurance policies have emerged throughout the world. However, some existing literatures show that health insurance enrollment’s impact on the overall physical health of rural population has been minimal. Focusing on vision health among adults in rural China, our study aims to investigates the impact of health insurance on vision health, heterogeneity of the effect, and the moderating effect of health insurance enrollment on the impact of chronic physical diseases and basic eye diseases on vision health. Methods Primary data were collected through a nation-wide epidemiological survey of vision health conducted in rural China in 2018, with a sample size of 28,787 used in our statistical analysis. Instrumental variables regression and Heckman selection models were conducted to examine the impact of health insurance enrollment and reimbursement ratio adults’ vision health outcomes. Subsample regressions by sex, age, education level, and whether with eye diseases were further conducted to explore the heterogeneity in our results. We then examined whether health insurance enrollment moderates the impact of chronic physical diseases and basic eye diseases on vision health through the method of introducing interaction terms. Results Participating in health insurance reduced the probability of VI by 2.15 %. The reimbursement rate increasing by 1 % point may reduce the probability of worsening VI by 6.12 %. Men (-0.0235, P = 0.0002) benefit more from insurance enrollment than women (-0.0201, P = 0.0082) with respect to vision health. From the young adult group to the oldest group, the marginal effect of health insurance increased from − 0.0068 (P = 0.0394) to -0.0753 (P < 0.0001). The marginal effect on VI was most significant in people with lower education levels and weakened with increased education levels. People with basic eye diseases (-0.0496, P = 0.0033) benefit more from participating insurance than the people without basic eye diseases (-0.0196, P = 0.0001) with respect to vision health. The moderating effects of health insurance enrollment on the impacts of cerebral infarction (-0.1225, P < 0.0001), diabetes (-0.0398, P = 0.0245), hyperlipidemia (-0.1364, P = 0.0271), mental illness (-0.1873, P = 0.0010), glaucoma (-0.1369, P = 0.0073), diabetic retinopathy (-0.1560, P = 0.0043), and retinal vein obstruction (-0.2018, P = 0.0155) on vision health were significantly negative. Conclusions The results suggest that participation in health insurance and higher health insurance reimbursement ratios reduced the risk of VI in the sampled adults. Health insurance has the most significant effect in in vulnerable groups. Heath insurance enrollment moderates the impacts of several chronic physical and basic eye conditions on vision health. Our findings have potential implications for reforming health insurance policies to improve vision health conditions in rural areas of developing countries.

scholarly journals Does Social Support Affect the Health of the Elderly in Rural China? A Meta-Analysis Approach

2019 ◽  
Vol 16 (18) ◽  
pp. 3471 ◽  
Author(s):  
Natuya Zhuori ◽  
Yu Cai ◽  
Yan Yan ◽  
Yu Cui ◽  
Minjuan Zhao
Keyword(s):  
Social Support ◽  
Rural Areas ◽  
Rural China ◽  
Statistical Significance ◽  
Empirical Studies ◽  
Relevant Literature ◽  
The Elderly ◽  
Significant Difference ◽  
Meta Regression ◽  
The Impact

As the trend of aging in rural China has intensified, research on the factors affecting the health of the elderly in rural areas has become a hot issue. However, the conclusions of existing studies are inconsistent and even contradictory, making it difficult to form constructive policies with practical value. To explore the reasons for the inconsistent conclusions drawn by relevant research, in this paper we constructed a meta-regression database based on 65 pieces of relevant literature published in the past 25 years. For more valid samples to reduce publication bias, we also set the statistical significance of social support to the health of the elderly in rural areas as a dependent variable. Finally, combined with multi-dimensional social support and its implications for the health of the elderly, meta-regression analysis was carried out on the results of 171 empirical studies. The results show that (1) subjective support rather than objective support can have a significant impact on the health of the elderly in rural areas, and there is no significant difference between other dimensions of social support and objective support; (2) the health status of the elderly in rural areas in samples involving western regions is more sensitive to social support than that in samples not involving the western regions; (3) among the elderly in rural areas, social support for the older male elderly is more likely to improve their health than that for the younger female elderly; and (4) besides this, both data sources and econometric models greatly affect the heterogeneity of the effect of social support on the health of the elderly in rural areas, but neither the published year nor the journal is significant. Finally, relevant policies and follow-up studies on the impact of social support on the health of the elderly in rural areas are discussed.

The impact of investment on drinking water quality in rural China

2017 ◽  
Vol 9 (2) ◽  
pp. 255-269
Author(s):  
Ai Yue ◽  
Yaojiang Shi ◽  
Renfu Luo ◽  
Linxiu Zhang ◽  
Natalie Johnson ◽  
...  
Keyword(s):  
Water Quality ◽  
Drinking Water ◽  
Rural Areas ◽  
Tap Water ◽  
Rural China ◽  
Ordinary Least Squares ◽  
Content Type ◽  
Representative Data ◽  
Nationally Representative ◽  
The Impact

Purpose Although access to safe drinking water is one of the most important health-related infrastructure programs in the world, drinking water remains a large problem in China today, especially in rural areas. Despite increased government investment in water resource protection and management, there is still an absence of academic studies that are able to document what path the investment has taken and whether it has had any tangible impact. The purpose of this paper is to analyze the impact of drinking water investment on drinking water in China. Design/methodology/approach The authors make use of nationally representative data from 2005 and 2012 to measure the impact of drinking water investment among 2,028 rural households in 101 villages across five provinces. Both ordinary least squares regression and probit regression are used to analyze the correlates and the impact of drinking water investment. Findings The authors demonstrate that water quality was likely a significant problem in 2004 but that China’s investment into drinking water appears to have resulted in initial improvements during the study period. The authors show that the most significant change came about in terms of hardware: villages that received more drinking water investment now have more piped tap water and more access to water treatment infrastructure (disinfecting and filtering facilities). High rates of rural resident satisfaction with drinking water suggest the effects of drinking water investment are being felt at the village level. Originality/value To the authors’ knowledge, this is the first empirical study on drinking water investment over time in rural China using nationally representative data.

scholarly journals The impact of COVID-19 on primary health care and antibiotic prescribing in rural China: qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tingting Zhang ◽  
Xingrong Shen ◽  
Rong Liu ◽  
Linhai Zhao ◽  
Debin Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Rural Areas ◽  
Rural China ◽  
Antibiotic Prescribing ◽  
Epidemic Control ◽  
Primary Health ◽  
Tract Infections ◽  
The Impact

Abstract Background In China, the primary health care (PHC) system has been designated responsible for control and prevention of COVID-19, but not treatment. Suspected COVID-19 cases presenting to PHC facilities must be transferred to specialist fever clinics. This study aims to understand the impact of COVID-19 on PHC delivery and on antibiotic prescribing at a community level in rural areas of central China. Methods Qualitative semi-structured interviews were conducted with 18 PHC practitioners and seven patients recruited from two township health centres and nine village clinics in two rural residential areas of Anhui province. Interviews were transcribed verbatim and analysed thematically. Results PHC practitioners reported a major shift in their work away from seeing and treating patients (due to government-mandated referral to specialist Covid clinics) to focus on the key public health roles of tracing, screening and educating in rural areas. The additional work, risk, and financial pressure that PHC practitioners faced, placed considerable strain on them, particularly those working in village clinics. Face to face PHC provision was reduced and there was no substitution with consultations by phone or app, which practitioners attributed to the fact that most of their patients were elderly and not willing or able to switch. Practitioners saw COVID-19 as outside of their area of expertise and very different to the non-COVID-19 respiratory tract infections that they frequently treated pre-pandemic. They reported that antibiotic prescribing was reduced overall because far fewer patients were attending rural PHC facilities, but otherwise their antibiotic prescribing practices remained unchanged. Conclusions The COVID-19 pandemic had considerable impact on PHC in rural China. Practitioners took on substantial additional workload as part of epidemic control and fewer patients were seen in PHC. The reduction in patients seen and treated in PHC led to a reduction in antibiotic prescribing, although clinical practice remains unchanged. Since COVID-19 epidemic control work has been designated as a long-term task in China, rural PHC clinics now face the challenge of how to balance their principal clinical and increased public health roles and, in the case of the village clinics, remain financially viable.

scholarly journals Does Energy Poverty Reduce Rural Labor Wages? Evidence From China’s Rural Household Survey

2021 ◽  
Vol 9 ◽  
Author(s):  
Wei-ping Wu ◽  
Wei-kang Zeng ◽  
Si-wen Gong ◽  
Zi-gui Chen
Keyword(s):  
Low Income ◽  
Rural Areas ◽  
Health Effect ◽  
Marginal Effect ◽  
Skilled Workers ◽  
Regional Heterogeneity ◽  
Energy Poverty ◽  
Rural Labor ◽  
Rural Workers ◽  
The Impact

Eliminating energy poverty is helpful to get rid of the vicious circle between the lack of adequate and affordable energy services and low income in rural areas. We deconstruct energy poverty into extensive energy poverty and intensive energy poverty and analyze the net effect and its heterogeneity of energy poverty on rural labor wages with micrometric methods, as well as further investigate the impact mechanism from education effect and health effect. The results show that both extensive energy poverty and intensive energy poverty have a significant negative effect on the wages of rural workers, and the marginal effect of extensive energy poverty on the wages of rural workers is lower than that of intensive energy poverty. In addition, the net effect of energy poverty on the wages of rural workers shows labor heterogeneity and regional heterogeneity, and the inhibition effect to low skilled workers and workers with middle wage and in the Western region is the most obvious. Furthermore, energy poverty will limit the access of rural workers to education and damage their health, and then inhibit their productivity and wage. Our results suggest that enhancing the accessibility of energy consumption in rural areas and reducing the incidence of energy poverty are critically essential, and the implementation and optimization of energy poverty alleviation policy should give full consideration to labor force heterogeneity and regional heterogeneity.

The impact of trade liberalization on poverty reduction in rural China

2018 ◽  
Vol 10 (4) ◽  
pp. 683-694
Author(s):  
Jun Wang ◽  
Yong Hu
Keyword(s):  
Trade Liberalization ◽  
Survey Data ◽  
Rural Areas ◽  
Poverty Reduction ◽  
Rural China ◽  
Rural Poverty ◽  
Probit Model ◽  
Poverty Line ◽  
Content Type ◽  
The Impact

PurposeThe purpose of this paper is to investigate how trade liberalization influences rural poverty reduction in China.Design/methodology/approachThe authors make use of China Family Panel Studies survey data, take annual income of farmers of RMB2,300 and RMB3,450 as the poverty lines (poverty line 1 and poverty line 2, respectively). Residents below poverty line 1 and poverty line 2 are 2,580 and 2,661, respectively. Probit model is used to estimate the impact of trade liberalization on the poverty probability. Income-deciding equation is used to estimate the impact of trade liberalization on the income level of poor residents in rural areas. Income-deciding equation is also used to examine the transmission mechanism of trade liberalization affecting rural poverty.FindingsThis study finds that trade liberalization can reduce the poverty probability of rural residents and promote the income growth of poor residents in rural areas. Trade liberalization increases the income of poor residents and reduces poverty through transmission mechanisms such as promoting economic growth and financial expenditure.Originality/valueTo the authors’ knowledge, this is the first empirical study to quantitatively model the impact of trade liberalization on rural poverty reduction in China using residents’ survey data.

scholarly journals The Nexus between Formal Credit and E-Commerce Utilization of Entrepreneurial Farmers in Rural China: A Mediation Analysis

2021 ◽  
Vol 16 (4) ◽  
pp. 900-921
Author(s):  
Shaoxiong Yang ◽  
Huiling Wang ◽  
Zhengxiao Wang ◽  
Mansoor Ahmed Koondhar ◽  
Linxue Ji ◽  
...  
Keyword(s):  
Asset Allocation ◽  
Rural Areas ◽  
Rural China ◽  
Bootstrap Method ◽  
Mediating Effect ◽  
Shaanxi Province ◽  
Income Growth ◽  
Online Purchases ◽  
Internet Learning ◽  
The Impact

E-commerce furnishes farmers in rural China with a novel solution accomplishing entrepreneurship transformation, but serious credit constraints still coexist with it at present, which may restrict the release of e-commerce’s potential. Therefore, this study investigates whether formal credit promotes entrepreneurial farmers’ e-commerce utilization and explores its influencing mechanism. Based on the survey data collected from 831 entrepreneurial farmers in Shaanxi province, Ningxia province and Shandong province in rural China, the propensity score matching (PSM) method was applied to measure the impact of formal credit on e-commerce utilization. The results show that formal credit contributes to a 18.41% increase of e-commerce utilization in general and increases entrepreneurial farmers’ online purchases and sales by 11.15% and 14.69%, respectively. Some groups perform significantly in the heterogeneity analysis, the most noteworthy of which are entrepreneurial farmers who are younger, belong to new type of agricultural business entities and use mobile payments. Their e-commerce utilization, including online purchases and sales, are impacted most by formal credit. Furthermore, when the bootstrap method was used to examine the mediating effect, we found that formal credit has a positive and significant effect on the utilization of e-commerce through four channels, which are internet learning, asset allocation, labor allocation and income growth. Hence, the findings suggest that the government should augment the amount of formal credit to optimize entrepreneurial farmers’ internet learning, asset allocation, labor employment and income growth, thereby promoting e-commerce to achieve entrepreneurial transformation and sustainable development in rural areas.

scholarly journals Epidemiology of Rotavirus Gastroenteritis and Rotavirus-Associated Benign Convulsions with Mild Gastroenteritis after the Introduction of Rotavirus Vaccines in South Korea: Nationwide Data from the Health Insurance Review and Assessment Service

2020 ◽  
Vol 17 (22) ◽  
pp. 8374
Author(s):  
Dong Hyun Kim ◽  
Yeong Seok Lee ◽  
Dong Jun Ha ◽  
Min Jun Chun ◽  
Young Se Kwon
Keyword(s):  
Health Insurance ◽  
South Korea ◽  
Rural Areas ◽  
Information Service ◽  
Geographic Location ◽  
Rotavirus Vaccination ◽  
Rotavirus Gastroenteritis ◽  
Rotavirus Vaccines ◽  
Annual Prevalence ◽  
The Impact

Using nationwide data from the Health Insurance Review and Assessment service, we assessed the impact of rotavirus vaccines, introduced in South Korea, in 2007, on changes in the prevalence of factors (age, sex, and geographic location) associated with rotavirus gastroenteritis (RVGE) and rotavirus-associated benign convulsions with mild gastroenteritis (RaCwG). We analyzed health records of children younger than 3 years who visited clinical facilities and were diagnosed with RVGE or RaCwG between 2007 and 2019. The annual mid-year population (MYP) was obtained from the Korean Statistical Information Service. The annual prevalence of RVGE, RaCwG and associated factors were statistically analyzed. Overall, 219,686, and 4032, children were confirmed to have RVGE and RaCwG, respectively. Although the annual prevalence of RVGE decreased significantly, that of RaCwG did not. The annual ratio of RaCwG to RVGE was significantly high. Compared to the prevalence of RVGE, the prevalence of RaCwG was significantly lower in rural areas. The age of RaCwG patients was significantly lower than that of the MYP and that of RVGE patients. The decrease in the number of RaCwG patients after rotavirus vaccination was not as pronounced as the decrease in the number of RVGE patients.

scholarly journals The Impact of Transformational Changes on the Socio-Economic Conditions of the Rural Population. An Example of Poland

Agriculture ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 403
Author(s):  
Iwona Bąk ◽  
Katarzyna Wawrzyniak ◽  
Maciej Oesterreich
Keyword(s):  
Rural Areas ◽  
Rural Population ◽  
Eastern European ◽  
Agricultural Enterprises ◽  
The People ◽  
Education Levels ◽  
The Government ◽  
Eastern European Countries ◽  
The Impact

The aim of the article is to show that in rural areas, with particular emphasis on former state-owned farms, which were created as a result of changes in the forms of land ownership, mainly in Central and Eastern European countries, the economic situation of households is still worse than in the areas where there were no State Agricultural Enterprises (PGR). Research in Poland served as a case study. Selected methods of descriptive statistics and multivariate comparative analysis were used in the analyses. The results presented in the study at different levels of aggregation (voivodeships, poviats, and communes) allowed the identification of the regularities in the situation of rural areas. Among the beneficiaries of social assistance, most of the people live in rural areas and have a high unemployment rate; the problem of unemployment especially concerns those areas where the rural population with lower education levels predominates. Moreover, in former state-owned farms, the total disposable income per person is lower than in other areas, and the funds from the government program “Rodzina 500+” constitute a significant contribution to household budgets.

scholarly journals The lived experience of family members of older people who have committed suicide in rural China

2021 ◽  
Author(s):  
Mengyun Chen ◽  
Xiubin Zhang
Keyword(s):  
Older People ◽  
Lived Experience ◽  
Rural Area ◽  
Rural Areas ◽  
Rural China ◽  
Family Members ◽  
Shaanxi Province ◽  
The World ◽  
The Impact

Abstract Background: China has the largest older population in the world. With the increasing trend of ageing, the problem of suicide among old people is increasing rapidly, especially in rural areas. The pressures and challenges faced by family members of loved ones who have committed suicide has been studied closely around the world. However, the impact of suicide on the lives of family members have not received enough attention in China. Therefore, it is very important to understand the lived experience of the family members of older people who have committed suicide. The study aims to understand the lived experiences of family members who have experienced their older family member’s suicide in a rural area based in Shaanxi Province, China.Methods: Interpretative phenomenological analysis (IPA) was used for this study. Semi-structured individual interviews with five family members of older people who have committed suicide recruited from a rural area of Shaanxi Province, China.Results: Three main themes emerged from the study: (a) Initial reactions; (b) Continual effects; (c) Social attitudes.Conclusions: With the development of China’s economic, social and cultural changes, the suicide of the older people in rural China poses a challenge to the future living quality of their family members. It shows that it is necessary to pay attention to families of older people who have committed suicide. It also shows that more support is required to improve the quality of life of families of older people who have committed suicide in rural China.

Preventive activity and national health insurance among Taiwan’s elderly people

2020 ◽  
pp. 1-32
Author(s):  
Chun-Wei Lin ◽  
Chi-Chuan Lee ◽  
Chien-Chiang Lee
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Probit Model ◽  
Preventive Behavior ◽  
Outpatient Services ◽  
Preventive Behaviors ◽  
Education Levels ◽  
The Difference ◽  
The Impact

In this paper, we evaluate the preventive behaviors for middle age people in Taiwan through survey wave comparisons for the period 1993–2007. We first investigate the determinants of preventive behavior and how their effects change over time by using the seemingly unrelated bivariate probit model. Evidence shows that income and education levels do have a significantly positive relation with preventive behavior models, while reported poor health, inpatient and outpatient services, and regions are essential determinants of preventive behaviors. Then, we investigate the impact of Taiwan’s National Health Insurance (NHI) on preventive behaviors based on the difference-in-difference (DID) analysis. The results show a lack of evidence for the moral hazard effect on preventive care and regular exercise panels over the period 1993–2007.

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