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Health Outcomes and Socio-economic Status Among the Elderly in China: Evidence from the CHARLS Pilot

机译:中国老年人的健康结果和社会经济地位:CHARLS试点的证据

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We are concerned in this paper with measuring health outcomes among the elderly in Zhejiang and Gansu provinces, China, and examining the relationships between different dimensions of health status and measures of socio-economic status (SES). We are CHARLS pilot data to document health conditions, using a very rich set of health indicators that include both self-reported measures and biomarkers. We also examine correlations between these health outcomes and two important indicators of socio-economic status (SES): education and log of per capita expenditure (log pce), our preferred measure of household resources. In general education tends to be positively correlated with better health outcomes, as it is in other countries. However, unmeasured community influences turn out to be highly important, much more so than one usually finds in other countries. While it is not yet clear which aspects of communities matter and why they matter, we set up an agenda for future research on this topic. We also find a large degree of under-diagnosis of hypertension, a major health problems that afflicts the aged. This implies that the current health system is not well prepared to address the rapid aging of the Chinese population, at least not in Gansu and Zhejiang.
机译:在本文中,我们关注的是测量中国浙江和甘肃省老年人的健康结局,并研究不同健康状况维度与社会经济状况(SES)指标之间的关系。我们是CHARLS的试点数据,使用一组非常丰富的健康指标(包括自我报告的措施和生物标记物)来记录健康状况。我们还研究了这些健康结果与社会经济状况(SES)的两个重要指标之间的相关性:教育和人均支出日志(log pce),这是我们首选的家庭资源衡量标准。与其他国家一样,普通教育往往与更好的健康结果呈正相关。但是,事实证明,无法衡量的社区影响力非常重要,远远超过其他国家的影响力。虽然尚不清楚社区的哪些方面很重要,以及为什么它们很重要,但我们为该主题的未来研究制定了议程。我们还发现对高血压的严重诊断不足,高血压是困扰老年人的主要健康问题。这意味着当前的卫生系统还没有做好充分准备以应对中国人口的迅速老龄化,至少在甘肃和浙江没有。

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