scholarly journals The Impact of Family Socioeconomic Status on Elderly Health in China: Based on the Frailty Index

Author(s):  
Wenjian Zhou ◽  
Jianming Hou ◽  
Meng Sun ◽  
Chang Wang

China is about to enter a moderate aging society. In the process of social and economic development, the family socioeconomic status and health status of the elderly have also changed significantly. Learning the impact of family socioeconomic status on elderly health can help them improve family socioeconomic status and better achieve healthy and active aging. Using the data of the Chinese Longitudinal Healthy Longevity Survey in 2018, this study firstly analyzed the impact of family socioeconomic status on elderly health using the multivariate linear regression model and quantile regression model, the heterogeneity of different elderly groups using subsample regression, and the mediation effects of three conditions associated with the family socioeconomic status of the elderly. The results show that family socioeconomic status has a negative effect on the frailty index, that is, it has a positive impact on elderly health. Family socioeconomic status has a higher positive impact on the health status of the middle and lower age elderly and rural elderly. Overall living status and leisure and recreation status both have mediation effects, while health-care status has no mediation effect.

2019 ◽  
Vol 11 (20) ◽  
pp. 5763 ◽  
Author(s):  
Sha Cao ◽  
Dingde Xu ◽  
Yi Liu ◽  
Shaoquan Liu

Aging and rural labor migration have become two major demographic features in China. Using data of 400 rural households in Sichuan, China in 2015, this study constructs an ordered probit model containing instrumental variables to analyze the effect of rural labor migration on the health of the elderly in the family, from the perspective of the gender structure of migrant labor. The results indicate that the overall impact of labor migration on the elderly’s health is positive, and labor migration in the family has different effects on the health of the elderly by gender. Specifically, the results indicate the following: (1) the joint migration of both male and female labor or the migration of only male labor in a household can have a positive impact; (2) if only female labor migrates, the impact is negative; and (3) although the effect is negative, the migration of only female labor has a more prominent impact on the elderly’s self-rated health, whereas the migration of only male labor has a more significant effect on the elderly’s activities of daily living. Our findings suggest that the differential influence of labor migration by gender on rural elderly health should be considered to ensure the welfare of the elderly.


Author(s):  
Jin Liu ◽  
Scott Rozelle ◽  
Qing Xu ◽  
Ning Yu ◽  
Tianshu Zhou

This study examines the impact of social engagement on elderly health in China. A two-stage residual inclusion (2SRI) regression approach was used to examine the causal relationship. Our dataset comprises 9253 people aged 60 or above from the China Health and Retirement Longitudinal Survey (CHARLS) conducted in 2011 and 2013. Social engagement significantly improved the self-rated health of the elderly and reduced mental distress, but had no effect on chronic disease status. Compared with the rural areas, social engagement played a more important role in promoting the elderly health status in urban areas. Social engagement could affect the health status of the elderly through health behavior change and access to health resources. To improve the health of the elderly in China and promote healthy aging, the government should not only improve access to effective medical care but also encourage greater social engagement of the elderly.


2011 ◽  
Vol 8 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Yuhui Li ◽  
Linda Dorsten

AbstractThis research examines the impact of ethnic concentration and community socioeconomic status (SES) on elderly health in ethnically diverse communities in Xinjiang in northwest China. Effects of the concentration of two major ethnic populations are compared: the Han, which is the dominant ethnic group in China, and the Uyghur, the largest Muslim group in Xinjiang. Net of socioeconomic status, we find that population densities of the ethnic groups have a significant impact on our aggregate-level indicators of elderly health. Han density predicts good health, while Uyghur density predicts poor health. However, we do not find that SES indicators are independent predictors of community elder health. These findings suggest that rapidly developing economies, like those in China, do not necessarily provide the attention to health care that would result in improved quality of life and health status for the population.


2020 ◽  
Vol 1 (3) ◽  
pp. 43-50
Author(s):  
Firstyono Miftahul Aziz ◽  
Suratini Suratini

For some people, dementia is considered as a disease that is common in elderly, regardless the impact of dementia. Taking care for the elderly with dementia brings stress for the family. It can cause and increase the family burden. Brain vitalization gymnastics is one of the methods to improve memory. The study aims to investigate the effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta. The study used Quasi Experimental with Pretest-Posttest control group and randomized sampling system. The samples were taken randomly as many as 26 respondents and were divided into two groups namely 13 respondents of experimental group and 13 respondents of control group. The statistical test used Wilcoxon Match Pairs Test. The result showed that Wilcoxon Match pairs test obtained p value 0,003, which is smaller than 0,005. There is an effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Frederik Booysen ◽  
Ferdi Botha ◽  
Edwin Wouters

AbstractSocial determinants of health frameworks are standard tools in public health. These frameworks for the most part omit a crucial factor: the family. Socioeconomic status moreover is a prominent social determinant of health. Insofar as family functioning is poorer in poor families and family structure and functioning are linked to health, it is critical to consider the pathways between these four constructs. In this correspondence, we reflect on how empirical studies of this conceptual nexus mirror two causal models. We conclude by reflecting on future directions for research in this field.


2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e55-e56
Author(s):  
Jessica Teicher ◽  
Natalie Weiser ◽  
Danielle Arje ◽  
Julia Orkin

Abstract BACKGROUND Children with medical complexity (CMC) represent a growing population in the paediatric healthcare system. CMCs’ multiple health needs, illness severity, and fragility lead to a high degree of caregiver burnout, parental employment loss, and other social and financial consequences. Healthcare providers must consider a holistic view of the family, including consideration of social determinants of health [SDOH]: socio-economic status, employment, quality of housing, availability of social support, and access to healthcare services. This study addresses a gap in current research by exploring how caring for a CMC exacerbates social inequalities, and how these challenges may be mitigated. OBJECTIVES 1. What are the SDOH impacting CMC and their families? 2. How do families report the impact of their child’s medical complexity on their social circumstances? DESIGN/METHODS A qualitative description approach was used to enable rich data collection through semi-structured interviews until thematic saturation was reached. Nine interviews were conducted with CMC caregivers who were chosen by purposeful sampling. The interview guide was developed by expert consultation and iteratively refined. Ethics approval and written consent were obtained. Interviews were recorded and transcribed verbatim. Three team members independently coded the interviews for recurrent themes to inform qualitative content analysis. RESULTS Caregiving for a CMC is all-consuming, requiring parents to take on roles including planner, medical professional, medical educator, and advocate. Parents of CMC report three major areas negatively impacted by caregiving: 1) physical and mental health; 2) personal relationships; and 3) finances. Additionally, three themes emerged describing enablers for resiliency: 1) the CMC’s health status when well or stable in hospital; 2) acceptance of one’s limitations as a caregiver and of the family’s ‘new normal’; and 3) broad supports including medical, personal, financial, and educational. CONCLUSION The wellbeing of CMC families is impacted by medical and social factors. An interdisciplinary model of care may offset some of the caregiver’s advocacy and medical educator responsibilities. Paediatricians can support families of CMC by providing comprehensive care for all components of the child’s health status, and by including routine assessment of the family’s SDOH. Finally, explicit discussion about parental expectations and caregiver burnout helps foster a positive therapeutic relationship with the family.


2021 ◽  
Vol 5 (2) ◽  
pp. 146-157
Author(s):  
Liani Surya Rakasiwi

This study analyzed the impact of demography and socioeconomic status on individual health status in Indonesia. The data used Indonesia Family Life Survey 5 (IFLS 5). The study use logit regression model for analysis with health status variable as dependent variable. The other variable such as demography and socioeconomic status as independent variables. Socioeconomic status seen from two measures, namely education and income. The result of this study concludes the demography influence significantly on individual health status in Indonesia. Individual who lives in urban area has higher probability of being health by 1,02 percent compared to individual who lives in rural area. The other variable like socioeconomic status also influences significantly on the individual health status in Indonesia. Individual with longer years of education has higher probability of being health by 3,07 percent compared to individual with less years of education. Individual with high income has higher probability of being health compared to individual with low income.


2020 ◽  
Vol 20 (6) ◽  
Author(s):  
Fakhar Ali Qazi Arisar ◽  
Muhammad Kamran ◽  
Ramlah Nadeem ◽  
Wasim Jafri

Background: Chronic liver disease (CLD) is one of the leading causes of morbidity and mortality worldwide. It is accountable for a multifaceted disease encumbrance upsetting the psychological, physical, and economic health of not only the patients but also their caregivers. Objectives: The study purposes to cover the economic aspect of CLD to comprehend the financial burden imposed on the patients. Methods: This cross-sectional study was conducted at a tertiary care hospital in Karachi, Pakistan. The CLD patients presenting in gastroenterology clinics were recruited, and their socio-demographic, financial, and disease-related information including Model for End-stage Liver Disease (MELD) score and Child Turcotte Pugh (CTP) scores were collected. Out of 190 CLD patients enrolled, 127 (67.2%) were males. The mean age was 50.09 years. Variables assessed include self-perceived social/economic status, self-perception of disease responsibility for worsening of social/economic situation, the impact of the disease on economic status due to medical expense, the impact of economic status on treatment compliance due to medical expenses, impact of severity of disease on socioeconomic status and treatment compliance, and impact of gender on disease status and treatment compliance. Results: Regardless of the disease duration, CLD significantly impacted a patient’s life, as 81% and 69% of the patients blamed their disease responsible for the worsening of social and economic conditions, respectively. In our study, 85% of patients had consumed all savings during their course of illness, and 67% had to borrow money for medical expenses. Nearly half of the patients had to leave or cut short their medicines, skip the physician's appointment, or defer their children's education. One-third of patients had unpaid medical and utility bills or even skipped their meals. The severity of disease affected the socioeconomic status significantly (89% in CTP class C vs. 40% in CTP class A). Patients with worsening socioeconomic status had significantly higher MELD scores as compared to those with stable socioeconomic status. Conclusions: Chronic liver disease imposes incredible socioeconomic encumbrance on patients and the family unit, and CLD associated expenditures influence the family unit’s everyday working and therapeutic compliance, which is directly linked to the severity of disease expressed in terms of CTP and MELD scores.


Populasi ◽  
2016 ◽  
Vol 24 (1) ◽  
pp. 57-71 ◽  
Author(s):  
Sri Purwatiningsih

Children being left behind by their parents whose migrating are vulnerable to face social problems. Several studies noted the negative impact on migration on the children, but some positive impact on the household prosperity were gained as well. Even though it has the negative impact, international migration has an increasing tendency to become one of the efforts to boost the household economy. This article uses data from CHAMPSEA (Child Health and Migrant Parents in South East Asia) Study which underlined the importance to know the child’s condition as the impact of international migration phenomena towards the family they left behind. Study showed that children being left by migrated parents, especially fathers, gave more positive responses, but those being left by mothers or both of the parents gave more negative responses. Nevertheless, those children apparently had desire to do migration abroad just as their parents did. Apparently the surrounding of the migrants and the better economy of migrant households had in uenced the children to do migration and work abroad as well. 


2016 ◽  
Vol 37 (4) ◽  
pp. 502-524 ◽  
Author(s):  
Julee P. Farley ◽  
Jungmeen Kim-Spoon

Using two waves of longitudinal data, we utilized the family stress model of economic hardship to test whether family socioeconomic status is related to adolescent adjustment (substance use and academic achievement) through parental knowledge and adolescent self-regulation (behavioral self-control and delay discounting). Participants included 220 adolescent (55% male, [Formula: see text]age = 13 years at Wave 1, [Formula: see text]age = 15 years at Wave 2) and primary caregiver dyads. Results of Structural Equation Modeling revealed significant three-path mediation effects such that low family socioeconomic status at Wave 1 is associated with low parental knowledge at Wave 1, which in turn was related to low academic performance and high substance use at Wave 2 mediated through low adolescent behavioral self-control at Wave 2. The results illustrate how parental knowledge, influenced by family economic status, may play an important role in the development of adolescent behavioral self-control and adjustment.


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