Abstract
This chapter investigates the relationship between economic stress and health among the elderly in rural China. Both objective economic hardships and perceived economic strain are examined using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) conducted between 2000 and 2005. The data show that about 17 % of oldest-old in rural areas lived under economic stress in 2000. The risk factors that make an elderly vulnerable to economic stress include age, being male, being widowed or never married, being a minority member, having no education, having no living children, not having children as the main source of income, and having no pension. Economic stress is negatively associated with the quality of medical care and the mental well-being of an elderly which affect health and mortality hazard. Our results show that perceived economic strain increases the risk of mortality by 42 % even after controlling for basic demographic characteristics, lifestyle factors, and major health events. Having children as the main source of income and having access to pension alleviate the negative impact of economic hardship on mortality hazard by 23 and 66 %, respectively.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Catalano, R. (2003). Sex ratios in the two Germanies: A test of the economic stress hypothesis. Human Reproduction, 9, 1972–1975.
Catalano, R., Bruckner, T., Anderson, B., & Gould, J. (2005). Fetal death sex ratios: A test of the economic stress hypothesis. International Journal of Epidemiology, 34, 944–948.
Center for Health Statistics and Information. (2004). Medical expenses for residents. In Analysis report of national health services survey in China, 2003 (pp. 93–95). Beijing: Peking Union Medical College Press.
Center for Health Statistics and Information. (2009). Demands and utilization of health services for elderly. In Analysis report of national health services survey in China, 2008 (pp. 93–95). Beijing: Peking Union Medical College Press.
Center of the Study of Aging and Human Development. (2010). Chinese longitudinal healthy longevity survey (2010). Duke University. http://centerforaging.duke.edu/index.php?option=com_content&view=article&id=115&Itemid=152
Cheng, T., & Selden, M. (1994). The origins and social consequences of China’s Hukou System. The China Quarterly, 139, 644–668.
Chinese Ministry of Civil Affairs Report. (2010). http://cws.mca.gov.cn/article/tjbg/201006/20100600081422.shtml
Conger, R. D., & Elder, G. H., Jr. (1994). Families in troubled times: Adapting to change in rural America. Hillsdale: Aldine.
Cox, D. C. (1972). Regression models and life-tables. Journal of the Royal Statistical Society. Series B (Methodological), 34(2), 178–220.
Dooley, D., & Catlano, R. (1984). The epidemiology of economic stress. American Journal of Community Psychology, 12(4), 387–409.
Ell, K., Xie, B., Wells, A., Nedjat-Haiem, F., Lee, P.-J., & Vourlekis, B. (2008). Economic stress among low-income women with cancer: Effects on quality of life. Cancer, 112, 616–625.
England, R. S. (2005). China’s social service programs. In Aging China: The demographic challenge to China’s economic prospects (pp. 99–108). Washington, DC: Praeger Press.
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.
Friedman, J., & Thomas, D. (2008). Psychological health before, during, and after an economic crisis: Results from Indonesia, 1993–2000. World Bank Economic Review, 23, 57–76.
Goebel, M. U., Mills, P. J., Irwin, M. R., & Ziegler, M. G. (2000). Interleukin-6 and tumor necrosis factor-alpha production after acute psychological stress, exercise, and infused isoproterenol: Differential effects and pathways. Psychosomatic Research, 62, 591–598.
Kaplan, E. L., & Meier, P. (1958). Nonparametric estimation from incomplete observations. Journal of the American Statistical Association, 53, 457–481.
Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185(12), 914–919.
Kendall-Tackett, K. (2009). Psychological trauma and physical health: A psychoneuroimmunology approach to etiology of negative health effects and possible interventions. Psychological Trauma: Theory, Research, Practice, and Policy, 1, 35–48.
Khang, Y.-H., & Lynch, J. (2010). Asian economic crises and health: Population health impacts and policy responses. Journal of Epidemiology and Community Health, 64(4), 282–283.
Khang, Y.-H., Lynch, J. W., & Kaplan, G. A. (2005). Impact of economic crisis on cause-specific mortality in South Korea. International Journal of Epidemiology, 34(6), 1291–1301.
Maes, M., Christophe, A., Bosmans, E., Lin, A., & Neels, H. (2000). In humans, serum polyunsaturated fatty acid levels predict the response of proinflammatory cytokines to psychologic stress. Biological Psychiatry, 47, 910–920.
Miller, G. E., Rohleder, N., Stetler, C., & Kirschbaum, C. (2005). Clinical depression and regulation of the inflammatory response during acute stress. Psychosomatic Medicine, 67, 679–687.
National Bureau of Statistics of China. (2010). Communique of the National Bureau of Statistics of People’s Republic of China on major figures of the 2010 Population Census (No.1). http://www.stats.gov.cn/english/newsandcomingevents/t20110428_402722244.htm
Nguyen, H. T., Black, S. A., Ray, L. A., Espino, D. V., & Markides, K. S. (2003). Cognitive impairment and mortality in older Mexican Americans. Journal of the American Geriatrics Society, 51, 178–183.
Olivius, G., Ostergren, P. O., Hanson, B. S., & Lyttkens, C. H. (2004). Parental economic stress: Evidence of an overlooked public health risk among Swedish families. European Journal of Public Health, 14(4), 354–360.
Qiao, X., Zhang, K., & Sun, L. (2006). Analysis on population characteristic of the aged poor in China. Population Journal, 4, 3–8 (in Chinese).
Ruhm, C. J. (2000). Are recession good for your health? Quarterly Journal of Economics, 115(2), 617–650.
Schultz-Larsen, K., Rahmanfard, N., Kreiner, S., Avlund, K., & Holst, C. (2008). Cognitive impairment as assessed by a short form of MMSE was predictive of mortality. Journal of Clinical Epidemiology, 61, 1227–1233.
Selden, M. (1999). Poverty alleviation, inequality and welfare in rural China. Economic and Political Weekly, 34(45), 3183–3190.
Smith, J., Gerstorf, D., & Li, Q. (2008). Psychological resources for well-being among octogenarians, nonagenarians, and centenarians: Differential effects of age and selective mortality. In Y. Zeng, J. D. L. Poston, D. A. Vlosky, & D. Gu (Eds.), Healthy longevity in China (pp. 329–345). Dordrecht: The Netherlands Springer Press.
Steptoe, A., Hamer, M., & Chida, Y. (2007). The effect of acute psychological stress on circulating inflammatory factors in humans: A review and meta-analysis. Brain, Behavior, and Immunity, 21(7), 901–912.
Stuckler, D., King, L., & McKee, M. (2009). Mass privatisation and the post-communist mortality crisis. Lancet, 373, 399–407.
Van Den Berg, G. J., Lindeboom, M., & Lopez, M. (2009). Inequality in individual mortality and economic conditions earlier in life. Social Science and Medicine, 69(9), 1360–1367.
Wang, D., & Zhang, K. (2005). The Chinese elderly: How they live and how many of them are in poverty. Chinese Journal of Population Science, 1, 58–66 (in Chinese).
Wu, Z., & Schimmele, M. (2006). Psychological disposition and self-reported health among the oldest-old in China. Ageing and Society, 26, 135–151.
Wu, X., & Treiman, D. J. (2007). Inequality and equality under Chinese socialism: The hukou system and intergenerational occupational mobility. American Journal of Sociology, 113(2), 415–445.
You, X., & Kobayashi, Y. (2011). Determinants of out-of-pocket health expenditure in China: Analysis using China health and nutrition survey data. Applied Health Economics & Health Policy, 9(1), 39–49.
Zeng, Y. (2008). Introduction to the Chinese longitudinal health longevity survey (CLHLS). In Y. Zeng, J. D. L. Poston, D. A. Vlosky, & D. Gu (Eds.), Healthy longevity in China (pp. 23–37). Dordrecht: The Netherlands Springer Press.
Zeng, Y., & George, L. (2000). Extremely rapid ageing and the living arrangements of older persons: The case of China. United Nations technical meeting on population ageing and living arrangements of older person: Critical issues and policy responses. New York: Population Division, Department of Economic and Social Affairs, United Nations Secretariat.
Zhang, Z. (2006). Gender differentials in cognitive impairment and decline of the oldest-old in China. Journal of Gerontology: Social Sciences, 61B(2), S107–S115.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Yeung, WJ.J., Xu, Z. (2013). Economic Stress and Health Among Rural Chinese Elderly. In: Yeung, WJ., Yap, M. (eds) Economic Stress, Human Capital, and Families in Asia. Quality of Life in Asia, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7386-8_8
Download citation
DOI: https://doi.org/10.1007/978-94-007-7386-8_8
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-7385-1
Online ISBN: 978-94-007-7386-8
eBook Packages: Humanities, Social Sciences and LawSocial Sciences (R0)