Next Article in Journal
Recent Incidence of Human Malaria Caused by Plasmodium knowlesi in the Villages in Kudat Peninsula, Sabah, Malaysia: Mapping of The Infection Risk Using Remote Sensing Data
Previous Article in Journal
Blood Cadmium Level Is Associated with Short Progression-Free Survival in Nasopharyngeal Carcinoma
Article Menu

Export Article

Open AccessArticle

Elderly Health Inequality in China and its Determinants: A Geographical Perspective

School of Architecture, Tsinghua University, Beijing 100084, China
College of Landscape Architecture, Nanjing Forestry University, Nanjing 210037, China
School of Public Administration, Renmin University of China, Beijing 100872, China
Department of City and Regional Planning, University of North Carolina at Chapel Hill, NC 27599-3140, USA
China Research Center on Aging, Beijing 100054, China
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(16), 2953; (registering DOI)
Received: 7 June 2019 / Revised: 20 July 2019 / Accepted: 31 July 2019 / Published: 16 August 2019
PDF [2147 KB, uploaded 16 August 2019]
  |     |  


Inter-regional health differences and apparent inequalities in China have recently received significant attention. By collecting health status data and individual socio-economic information from the 2015 fourth sampling survey of the elderly population in China (4th SSEP), this paper uses the geographical differentiation index to reveal the spatial differentiation of health inequality among Chinese provinces. We test the determinants of inequalities by multilevel regression models at the provincial and individual levels, and find three main conclusions: 1) There were significant health differences on an inter-provincial level. For example, provinces with a very good or good health rating formed a good health hot-spot region in the Yangtze River Delta, versus elderly people living in Gansu and Hainan provinces, who had a poor health status. 2) Nearly 2.4% of the health differences in the elderly population were caused by inter-provincial inequalities; access (or lack of access) to economic, medical and educational resources was the main reason for health inequalities. 3) At the individual level, inequalities in annual income served to deepen elderly health differences, and elderly living in less developed areas were more vulnerable to urban vs. rural-related health inequalities. View Full-Text
Keywords: Elderly health; health inequality; geographical differentiation; multilevel regression Elderly health; health inequality; geographical differentiation; multilevel regression

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

Share & Cite This Article

MDPI and ACS Style

Fan, C.; Ouyang, W.; Tian, L.; Song, Y.; Miao, W. Elderly Health Inequality in China and its Determinants: A Geographical Perspective. Int. J. Environ. Res. Public Health 2019, 16, 2953.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top