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Article

Understanding the Wellbeing of the Oldest-Old in China: A Study of Socio-Economic and Geographical Variations Based on CLHLS Data

1
Key Laboratory of Land Surface Pattern and Simulation, Institute of Geographic Sciences and Natural Resources Research, China Academy of Sciences, Beijing 100101, China
2
Faculty of Geographical Science, Beijing Normal University, Beijing 100875, China
3
Department of Sociology and Social Policy, Lingnan University, Hong Kong 999077, China
4
Department of Geography and Planning, Queen’s University, Kingston, ON K7L3N6, Canada
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(4), 601; https://doi.org/10.3390/ijerph16040601
Received: 15 January 2019 / Revised: 8 February 2019 / Accepted: 16 February 2019 / Published: 19 February 2019
Empirical studies of the socio-economic determinants of the wellbeing of the oldest-old in China including the role of geography and spatial factors are rare. This paper applies binary logistic regression analysis to data on the oldest-old aged 80 years old and higher from the 2011 Chinese Longitudinal Healthy Longevity Study (CLHLS). Socioeconomic determinants of the self-reported quality of life (QoL) and self-reported health (SRH) of the oldest-old population are explored, with special attention paid to the role of residence and region. The results indicate that, after controlling for individual demographic and health behavior variables, both economic status and social welfare have a significant effect on self-reported QoL and SRH. There are also significant differences in self-reported QoL among cities, towns and rural areas, with the oldest-old respondents living in Central rural, Western town and Western rural areas being significantly less likely to report good QoL, compared to the oldest-old living in Eastern cities. Significant differences in SRH exist among Eastern China, Western China and Northeastern China, with the oldest-old from Western towns being significantly less likely to report good health, and the oldest-old from Northeastern cities being significantly more likely to report good health than those from Eastern cities. The results of this study indicate that socioeconomic factors that explain self-reported QoL and SRH of the older population are in general factors that explain the self-reported QoL and SRH of the oldest-old cohorts. The interaction effect of residence and region matters more than each of the individual factors, in providing us with more detailed information on the role of geography in explaining QoL and health of the oldest-old. At a time when the oldest-old cohorts in China are at the beginning of their projected growth, these findings are vital for providing policy makers with more information on the urgency of making more geographically targeted policy to improve more effectively the self-reported QoL and SRH of the oldest-old population. View Full-Text
Keywords: oldest-old; health; quality of life; socioeconomic factors; geography; China oldest-old; health; quality of life; socioeconomic factors; geography; China
MDPI and ACS Style

Gu, L.; Cheng, Y.; Phillips, D.R.; Rosenberg, M. Understanding the Wellbeing of the Oldest-Old in China: A Study of Socio-Economic and Geographical Variations Based on CLHLS Data. Int. J. Environ. Res. Public Health 2019, 16, 601. https://doi.org/10.3390/ijerph16040601

AMA Style

Gu L, Cheng Y, Phillips DR, Rosenberg M. Understanding the Wellbeing of the Oldest-Old in China: A Study of Socio-Economic and Geographical Variations Based on CLHLS Data. International Journal of Environmental Research and Public Health. 2019; 16(4):601. https://doi.org/10.3390/ijerph16040601

Chicago/Turabian Style

Gu, Lijuan, Yang Cheng, David R. Phillips, and Mark Rosenberg. 2019. "Understanding the Wellbeing of the Oldest-Old in China: A Study of Socio-Economic and Geographical Variations Based on CLHLS Data" International Journal of Environmental Research and Public Health 16, no. 4: 601. https://doi.org/10.3390/ijerph16040601

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