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Disablement Trajectories for the Elderly in Rural China
( Weihong Zeng ),( Shuzhuo Li ),( Dongmei Zuo ) 한국감성과학회 2015 추계학술대회 Vol.2015 No.-
China’s population is aging at a rapid pace, a trend that raises important concerns about the health and well-being of the elderly. Although China has experienced enormous economic growth over the last three decades, improvements in quality of life and social security have not kept pace. Instead, gaps in well-being between the young and the old and between urban and rural residents are growing. Rural elderly appears to be particularly disadvantaged. A better understanding of the dynamics of disability in China could help target limited resources to the development of support services, as well as interventions to delay the onset or prevent the progression of disability and facilitate recovery at the individual level. A group-based modeling approach is applied to jointly estimate disability trajectories over time based on data the survey “Welfare of Elderly in Chaohu, Anhui Province, China” conducted in 2001,2003,2006,2009 and 2012 by the Institute for Population and Development Studies of Xian Jiaotong University from the population aged 60+ in Anhui Province, and explores relations of demographic, socioeconomic, and early-life characteristics to membership in gender-specific trajectory groups. In conclusion, firstly, the disability process for rural elderly can be divided into four groups: the healthy group (24%), the first flatter then disability raising fast group (35%), the first steeper then disability slow down group (26.5%), the high start point and then flatter group (14.5%); Secondly, there exists gender difference of disability process for rural elderly. A three group model best fits for male, while a four group model best fits for female. It shows the evidence for female of health disadvantage in later life, especially for rural female. Thirdly, risk factors are found to affect the disability trajectory. Age, gender, the numbers of illness and psychological health are statistically significant. These findings mostly parallel those frequently reported for older adults living in North America and other countries and areas, suggesting that individual characteristics appear to be important to disability trajectory. To improve the health level and quality of life for rural elderly in China, it is so important to eliminate the risk factors, these findings have important implication for future public health management policy.
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