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China Population and Development Studies

, Volume 1, Issue 1, pp 19–44 | Cite as

Disparities among Older Persons in China

  • Peng DuEmail author
  • Asghar Zaidi
  • He Chen
  • Yan Gu
Open Access
Article
  • 13 Downloads

Abstract

This study shows that, despite unprecedented economic progress, major disparities in the wellbeing of older persons in China persist. These include disparities between the elderly in urban and rural areas, between the elderly in wealthier Eastern coastal regions and the poorer Western and Central regions, and between elderly men and women. These disparities exist largely because of differential life course experiences that tend to be magnified in old age due to their cumulative effects. Utilizing the “Active Ageing Framework”, developed by the WHO Ageing and Life Course Programme, and core indicators of the Active Ageing Index of European Union countries, this report examines three areas in which there are disparities in the situations of different groups of older persons; health, security and participation.

The study finds that older persons in rural areas are in a disadvantaged position in terms of access to healthcare services, and that women live longer but are less healthy than men in China. Older persons in Western and Central regions of China are in poorer health than those in the Eastern coastal region. Huge disparities also exist in the annual pension incomes received by different subgroups of older persons. Pension schemes are highly differentiated among subgroups of older persons. Gaps of community-based elderly care between urban and rural areas are remarkably pronounced. In terms of participation, the study finds that older persons in rural areas have a higher labour force participation rate, largely as a result of low pension income security. Elderly men participate more than elderly women in political activities. Older persons have more social participation opportunities in wealthier areas. The findings of this study contribute to an understanding of the situation of older persons in China and can be used as the basis for recommendations for policy reforms.

Key words

Disparities Health Security Participation 

References

  1. Du P, Wu C. (2006). Ability of daily life of the Chinese elderly: status and changes. Population Research. 2006, Vol.30, No. 1: 50–56.Google Scholar
  2. Help Age International. (2015). Global AgeWatch Index 2015: Insight Report.Google Scholar
  3. Huang W, and Zhou Y. (2013) Effects of education on cognition at older ages: evidence from China’s great famine. Social Science & Medicine. 2013; 98:54–62.CrossRefGoogle Scholar
  4. Huang H, Zhan J, et al., (2014). The impact of the new rural pension income on the supply of aged labor forces in rural areas. China Population Science. 2014 (2): 106–115.Google Scholar
  5. International Longevity Centre-UK & World Health Organization (2000). The Implications for Training of Embracing a Life Course Approach to Health (WHO/NMH/HPS/ 00.2).Google Scholar
  6. Liu M. (2013). Economic Growth and Equity in the People’s Republic of China. Equity in China: Chapeau Paper, United Nations System in China, Beijing, 2013, p. 34.Google Scholar
  7. National Bureau of Statistics of the People’s Republic of China, (2015). Statistical Communique of the People’s Republic of China on the 2015 National Economic and Social Development.Google Scholar
  8. National Health and Family Planning Commission of China (NHFPC) (2015). An Analysis Report of National Health Service Survey in China. Centre for Health Statistics and Information, Peking Union Medical College Press.Google Scholar
  9. United Nations Development Programme. Human Development Report (2013) —China, 2013, http://hdr.undp.org/sites/default/files/Country-Profiles/CHN.pdfGoogle Scholar
  10. UNDESA, Population Division (2015). World Population Prospects-. The 2015 Revision, custom data acquired via website.Google Scholar
  11. United Nations Department of Economic and Social Affairs (UNDESA) (2015). World Population Prospects-. The 2015 Revision, Population Division, custom data acquired via website.Google Scholar
  12. UN Systems in China (2013). “Equity in China-. Chapeau Paper”, Beijing.Google Scholar
  13. UNWOMEN (2015). “Gender Equality in China’s Economic Transformation”, Beijing.Google Scholar
  14. Vandemoortele, Jan (2013). “Inequality and Gresham’s Law: Does the Bad Drive out the Good?” in: UN Systems in China (2013). “Equity in China: Chapeau Paper”, Beijing.Google Scholar
  15. Whitehead M. and Dahlgren G. (2007). “Concepts and Principles for Tackling Social Inequities in Health-Levelling up”, Part 1, Copenhagen: World Health Organization.Google Scholar
  16. World Health Organization (2015). World Report on Ageing and Health. Geneva.Google Scholar
  17. Yip, Winnie and Hsiao, William (2009). China’s health care reform: a tentative assessment, China Economic Review, 20 (2009) 613–319.CrossRefGoogle Scholar
  18. Zaidi, A., K. Gasior, E. Zolyomi, A. Schmidt, R. Rodrigues, B. Marin (2016). Measuring Active and Healthy Ageing in Europe, unpublished.Google Scholar
  19. Zaidi, A., & D. Stanton (2015). Active Ageing Index 2014: Analytical Report. Geneva: United Nations Economic Commission for Europe & Brussels: European Commission, Directorate General for Employment, Social Affairs and Inclusion.Google Scholar
  20. Zaidi, A. (2013). Global AgeWatch Index 2013: Purpose, Methodology and Results. Report prepared for Help Age International, Centre for Research on Ageing, University of Southampton. Accessed via http://www.helpage.org/download/52949b561453d/Google Scholar

Copyright information

© China Population and Development Research Center 2015

This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Authors and Affiliations

  1. 1.Institute of GerontologyRenmin University of ChinaBeijingChina
  2. 2.International Social PolicyUniversity of SouthamptonUK
  3. 3.School of Public HealthPeking UniversityBeijingChina
  4. 4.Chinese Academy of Macroeconomic ResearchNational Development and Reform CommissionBeijingChina
  5. 5.Centre for Analysis of Social ExclusionLondon School of Economics and Political ScienceUK
  6. 6.Centre for Research on AgeingUniversity of SouthamptonUK

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