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Gender Differences in the Effects of Self-rated Health Status on Mortality Among the Oldest Old in China

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Healthy Longevity in China

Part of the book series: The Springer Series on Demographic Methods and Population Analysis ((PSDE,volume 20))

abstract

While self-rated health has been shown to be a powerful predictor of mortality among the old population, our understanding of how self-rated health interacts with gender and other health related conditions in predicting mortality remains inconclusive. Based on data from China’s longitudinal survey of oldest-old population from 1998 to 2000, we examine gender differences in the effects of self-rated health, education and psychosocial factors on the 2-year mortality of respondents aged 80–105 in the baseline wave of the CLHLS. Self-rated health is found to be consistently related to longer life after controlling for the effects of socio-demographic and physical health conditions among oldest-old men and women. This finding suggests that self-rated health status is an important health indicator and mortality predictor for the oldest-old in China. As education and psychosocial factors are also found to be independently predictive of mortality, they appear to play an important role in modifying the longevity among the oldest-old in China.

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References

  • Akin, J.S., W.H. Dow, P.M. Lance, and C.P. Loh (2004), Did the distribution of health insurance in China continue to grow less equitable in the nineties? Results from a longitudinal survey. Social Science and Medicine 58 (2), pp. 293–304

    Article  Google Scholar 

  • Anderson, J.M. (1986), Ethnicity and illness experience: Ideological structures and the health care delivery system. Social Science and Medicine 22 (11), pp. 1277–1283

    Article  Google Scholar 

  • Bath, P.A. (2003), Differences between older men and women in the self-rated health-mortality relationship. The Gerontologist 43 (3), pp. 387–395

    Google Scholar 

  • Benjamins, M.R., R.A. Hummer, I.W. Eberstein, and C.B. Nam (2004), Self-reported health and adult mortality risk: An analysis of cause-specific mortality. Social Science and Medicine 59 (6), pp. 1297–1306

    Article  Google Scholar 

  • Benyamini, Y. and E. L. Idler (1999), Community studies reporting association between self-rated health and mortality: additional studies, 1995–1998. Research on Aging 21 (3), pp. 392–401

    Article  Google Scholar 

  • Benyamini, Y., H. Leventhal, and E.A. Leventhal (1999), Self-assessments of health: what do people know that predicts their mortality? Research on Aging 21 (3), pp. 477–500

    Article  Google Scholar 

  • Benyamini, Y., E.A. Leventhal, and H. Leventhal (2003a), Elderly people’s ratings of the importance of health-related factors to their self-assessments of health. Social Science and Medicine 56 (8), pp. 1661–1667

    Article  Google Scholar 

  • Benyamini, Y., T. Blumstein, A. Lusky, and B. Modan (2003b), Gender differences in the self-rated health-mortality association: Is it poor self-rated health that predicts mortality or excellent self-rated health that predicts survival? The Gerontologist43 (3), pp. 396–405.

    Google Scholar 

  • Brummett, B.H., J.C. Barefoot, I.C. Siegler, N.E. Clapp-Channing, B.L. Lytle, H.B. Bosworth, R.B. Williams, and D.B. Mark (2001), Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosomatic Medline 63 (2), pp. 267–272

    Google Scholar 

  • Deeg, D.J. and P.A. Bath (2003), Self-rated health, gender, and mortality in older persons: Introduction to a special section. The Gerontologist43 (3), pp. 369–371

    Google Scholar 

  • Deeg, D.J. and D.M. Kriegsman (2003), Concepts of self-rated health: Specifying the gender difference in mortality risk. The Gerontologist43 (3), pp. 376–386

    Google Scholar 

  • Frankenberg, E. and N.R. Jones (2004), Self-reported health and mortality: Does the relationship extend to a low income setting? Journal of Health and Social Behavior 45(4), pp. 441–452

    Article  Google Scholar 

  • Gu, D. and Y. Zeng, (2004), Sociodemographic effects on the onset and recovery of ADL disability among Chinese oldest-old. Demographic Research 11 (1), pp. 1–42

    Article  Google Scholar 

  • Helweg-Larsen, M., M. Kjoller, and H. Thoning (2003), Do age and social relations moderate the relationship between self-rated health and mortality among adult Danes? Social Science and Medicine 57 (7), pp. 1237–1247

    Article  Google Scholar 

  • House, J.S. (2002), Understanding social factors and inequalities in health: 20th century progress and 21st century prospects. Journal of Health and Social Behavior 43 (2), pp. 125–142

    Article  Google Scholar 

  • House, J.S. (2001), Social isolation kills, but how and why? Psychosomatic Medline 63 (2), pp. 273–274

    Google Scholar 

  • House, J.S., R.C. Kessler, A.R. Herzog, R.P. Mero, A.M. Kinney, and M.J. Breslow (1990), Age, socioeconomic status, and health. The Milbank Quarterly68 (3),383–411

    Article  Google Scholar 

  • House, J.S., J.M. Lepkowski, R.P. Mero, R.C. Kessler, and A.R. Herzog (1994), The social stratification of aging and health. Journal of Health and Social Behavior 35 (3), pp. 213–234

    Article  Google Scholar 

  • Huisman, M., A.E. Kunst, and J.P. Mackenbach (2003), Socioeconomic inequalities in morbidity among the elderly: A European overview. Social Science and Medicine 57 (5), pp. 861–873

    Article  Google Scholar 

  • Idler, E.L. (2003), Discussion: Gender differences in self-rated health, in mortality, and in the relationship between the two. The Gerontologist 43 (3), pp. 372–275

    Google Scholar 

  • Idler, E.L. and Y. Benyamini (1997), Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior38 (1), pp. 21–37

    Article  Google Scholar 

  • Idler, E.L., S.V. Hudson, and H. Leventhal (1999), The meanings of self-ratings of health: A qualitative and quantitative approach. Research on Aging 21, pp. 458–476.

    Article  Google Scholar 

  • Kaplan, G. and O. Baron-Epel (2003), What lies behind the subjective evaluation of health status? Social Science and Medicine56 (8), pp. 1669–1676

    Article  Google Scholar 

  • Kaplan, G.A., M.N. Haan, and R.B. Wallace (1999), Understanding changing risk factor associations with increasing age in adults. Annual Review of Public Health 20, pp. 89–108

    Article  Google Scholar 

  • Lee, I-M., R.S. Jr. Paffenbarger, and C.H. Hennekens (1997), Physical activity, physical fitness and longevity. Aging: Clinical and Experimental Research 9 (1–2), pp. 2–11

    Google Scholar 

  • Liang, J., J.F. McCarthy, A. Jain, N. Krause, J.M. Bennett, and S. Gu (2000), Socioeconomic gradient in old age mortality in Wuhan, China. Journal of Gerontology: Social Sciences55B (4), pp. S222–S233

    Google Scholar 

  • Liu, Y., W.C. Hsiao, and K. Eggleston (1999), Equity in health and health care: the Chinese experience. Social Science and Medicine49 (10), pp. 1349–1356

    Article  Google Scholar 

  • Lynch, S.M. (2003), Cohort and life-course patterns in the relationship between education and health: A hierarchical approach. Demography40 (2), pp. 309–331

    Article  Google Scholar 

  • Mackenbach, J.P., J.G. Simon, C.W. Looman, and I.M. Joung (2002), Self-assessed health and mortality: Could psychosocial factors explain the association? International Journal of Epidemiology31 (6), pp. 1162–1168

    Article  Google Scholar 

  • Mishra, G.D., K. Ball, A.J. Dobson, and J.E. Byles (2004), Do socioeconomic gradients in women’s health widen over time and with age? Social Science and Medicine 58 (9), pp. 1585–1595

    Article  Google Scholar 

  • Mossey, J.M., and E. Shapiro (1982), Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health72 (8), pp. 800–808

    Google Scholar 

  • Myers, G.C., B.B. Torrey, and K.G. Kinsella (1992), The paradox of the oldest old in the United States: An international comparison. In: R.M. Suzman, D.P. Willis, and K.G. Manton (eds.): The oldest old. New York: Oxford University Press, pp. 58–85

    Google Scholar 

  • National Bureau of Statistics of China (NBS) (2002), Tabulation on the 2000 Population Census of the People’s Republic of China. Beijing: China Statistics Press.

    Google Scholar 

  • Oeppen, J. and J.W. Vaupel (2002), Broken limits to life expectancy. Science 296 (5570), pp. 1029–1031

    Article  Google Scholar 

  • Paffenbarger, R.S. Jr., R.T. Hyde, A.L. Wing, I.M. Lee, D.L. Jung, and J.B. Kampert (1993), The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. New England Journal of Medicine 328 (8), pp. 538–545

    Article  Google Scholar 

  • Ross, C.E. and C. Wu (1996), Education, age, and the cumulative advantage in health. Journal of Health and Social Behavior 37 (1), pp. 104–120

    Article  Google Scholar 

  • SAS Institute Inc. (1989), SAS/STAT user’s guide. Version 6, 4th ed. Cary, North Carolina: SAS Institute Inc.

    Google Scholar 

  • United Nations (2002), World population ageing 1950–2050. New York: United Nations.

    Google Scholar 

  • Verbrugge, L.M. (1989), The twain meet: Empirical explanations of sex differences in health and mortality. Journal of Health and Social Behavior 30 (3), pp. 282–304

    Article  Google Scholar 

  • Verbrugge, L.M. and F.J. Ascine (1987), Exploring the iceberg: Common symptoms and how people care for them. Medical Care 25 (6), pp. 539–569

    Article  Google Scholar 

  • Yu, E.S. Y.M. Kean, D.J. Slymen, W.T. Liu, M. Zhang, and R. Katzman (1998), Self-perceived health and 5-year mortality risks among the elderly in Shanghai, China. American Journal of Epidemiology 147 (9), pp. 880–890

    Google Scholar 

  • Zeng, Y. and J.W. Vaupel (2004), Association of late childbearing with healthy longevity among the oldest-old in China. Population Studies58 (1), pp. 37–53

    Article  Google Scholar 

  • Zeng, Y., J.W. Vaupel, Z. Xiao, C. Zhang, and Y. Liu (2001), The healthy longevity survey and the active life expectancy of the oldest old in China. Population: An English Selection13 (1), pp. 95–116

    Google Scholar 

  • Zeng, Y., J.W. Vaupel, Z. Xiao, C. Zhang, and Y. Liu (2002), Sociodemographic and health profiles of the oldest old in China. Population and Development Review28 (2), pp. 251–273

    Article  Google Scholar 

  • Zeng, Y., D. Gu, and K.C. Land (2004), A new method for correcting the underestimation of disabled life expectancy and an application to the Chinese Oldest old. Demography 41 (2), pp. 335–361

    Article  Google Scholar 

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Chen, J., Wu, Z. (2008). Gender Differences in the Effects of Self-rated Health Status on Mortality Among the Oldest Old in China. In: Yi, Z., Poston, D.L., Vlosky, D.A., Gu, D. (eds) Healthy Longevity in China. The Springer Series on Demographic Methods and Population Analysis, vol 20. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-6752-5_24

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