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
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
Bath, P.A. (2003), Differences between older men and women in the self-rated health-mortality relationship. The Gerontologist 43 (3), pp. 387–395
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
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
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
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
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.
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
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
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
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
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
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
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
House, J.S. (2001), Social isolation kills, but how and why? Psychosomatic Medline 63 (2), pp. 273–274
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
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
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
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
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
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.
Kaplan, G. and O. Baron-Epel (2003), What lies behind the subjective evaluation of health status? Social Science and Medicine56 (8), pp. 1669–1676
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
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
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
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
Lynch, S.M. (2003), Cohort and life-course patterns in the relationship between education and health: A hierarchical approach. Demography40 (2), pp. 309–331
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
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
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
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
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.
Oeppen, J. and J.W. Vaupel (2002), Broken limits to life expectancy. Science 296 (5570), pp. 1029–1031
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
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
SAS Institute Inc. (1989), SAS/STAT user’s guide. Version 6, 4th ed. Cary, North Carolina: SAS Institute Inc.
United Nations (2002), World population ageing 1950–2050. New York: United Nations.
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
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
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
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
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
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
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
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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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DOI: https://doi.org/10.1007/978-1-4020-6752-5_24
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