PMID- 35870914
OWN - NLM
STAT- MEDLINE
DCOM- 20220726
LR  - 20220802
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 22
IP  - 1
DP  - 2022 Jul 23
TI  - Urban-rural disparities in the healthy ageing trajectory in China: a 
      population-based study.
PG  - 1406
LID - 10.1186/s12889-022-13757-x [doi]
LID - 1406
AB  - PURPOSE: The aim of this study is to measure the trajectory of healthy ageing 
      among Chinese middle-aged and older population, and explore the disparity of the 
      trajectory, as well as contributing factors, between urban and rural areas in 
      China. METHODS: A total of 9402 respondents aged 45 years and older interviewed 
      in four waves (2011, 2013, 2015 and 2018) were selected from the China Health and 
      Retirement Longitudinal Study. Healthy ageing score was calculated through item 
      response theory. A latent growth mixture model (LGMM) was applied to distinguish 
      the trajectory of healthy aging. A multinomial logistics regression model (MLRM) 
      was used to explore the relationship between urban-rural areas and healthy aging 
      trajectories, and further to explore associated factors in rural and urban areas 
      separately. RESULTS: The healthy ageing score was lower in rural areas than urban 
      areas in each survey wave. Five classes ("continuing-low", "continuing-middle", 
      "continuing-middle-to-high", "significantly-declining", "continuing-high") were 
      grouped through LGMM. The MLRM results showed that urban living was significantly 
      associated with a higher likelihood of being healthy (for 
      [continuing-low/continuing-high]: beta = - 1.17, RRR = 0.31, P < 0.001, 95% 
      CI = 0.18-0.53; and for [continuing-middle/continuing-high]: beta = - 0.53, 
      RRR = 0.59, P < 0.001, 95% CI = 0.49-0.71). CONCLUSION: Healthy ageing is a 
      prominent objective in the development of a country, and rural-urban disparities 
      are an essential obstacle to overcome, with the rural population more likely to 
      develop a low level of healthy ageing trajectory. Prevention and standardized 
      management of chronic diseases should be enhanced, and social participation 
      should be encouraged to promote healthy ageing. The policy inclination and 
      resource investment should be enhanced to reduce disparity in healthy ageing 
      between urban and rural areas in China.
CI  - (c) 2022. The Author(s).
FAU - Li, Haomiao
AU  - Li H
AD  - School of Political Science and Public Administration, Wuhan University, Bayi 
      Road No.299, Wuhan, Hubei Province, China.
FAU - Zeng, Yixin
AU  - Zeng Y
AD  - School of Health Management, Southern Medical University, No.1023-1063 Shatai 
      Road, Baiyun District, Guangzhou, Guangdong Province, China.
FAU - Gan, Li
AU  - Gan L
AD  - School of Health Management, Southern Medical University, No.1023-1063 Shatai 
      Road, Baiyun District, Guangzhou, Guangdong Province, China.
FAU - Tuersun, Yusupujiang
AU  - Tuersun Y
AD  - School of Health Management, Southern Medical University, No.1023-1063 Shatai 
      Road, Baiyun District, Guangzhou, Guangdong Province, China.
FAU - Yang, Jiao
AU  - Yang J
AD  - School of Health Management, Southern Medical University, No.1023-1063 Shatai 
      Road, Baiyun District, Guangzhou, Guangdong Province, China.
FAU - Liu, Jing
AU  - Liu J
AD  - Guangzhou First People's Hospital, Guangzhou, Guangdong Province, China. 
      ljdana@126.com.
FAU - Chen, Jiangyun
AU  - Chen J
AUID- ORCID: 0000-0002-5731-7039
AD  - School of Health Management, Southern Medical University, No.1023-1063 Shatai 
      Road, Baiyun District, Guangzhou, Guangdong Province, China. cjy112@i.smu.edu.cn.
AD  - Institute of Health Management, Southern Medical University, No.1023-1063 Shatai 
      Road, Baiyun District, Guangzhou, Guangdong Province, China. cjy112@i.smu.edu.cn.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220723
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Aged
MH  - China/epidemiology
MH  - *Healthy Aging
MH  - Humans
MH  - Longitudinal Studies
MH  - Middle Aged
MH  - *Rural Population
MH  - Urban Population
PMC - PMC9308310
OTO - NOTNLM
OT  - China
OT  - Health ageing
OT  - Urban and rural disparity
OT  - trajectory
COIS- The authors have no conflicts of interest to declare.
EDAT- 2022/07/24 06:00
MHDA- 2022/07/27 06:00
PMCR- 2022/07/23
CRDT- 2022/07/23 23:33
PHST- 2021/12/02 00:00 [received]
PHST- 2022/06/22 00:00 [accepted]
PHST- 2022/07/23 23:33 [entrez]
PHST- 2022/07/24 06:00 [pubmed]
PHST- 2022/07/27 06:00 [medline]
PHST- 2022/07/23 00:00 [pmc-release]
AID - 10.1186/s12889-022-13757-x [pii]
AID - 13757 [pii]
AID - 10.1186/s12889-022-13757-x [doi]
PST - epublish
SO  - BMC Public Health. 2022 Jul 23;22(1):1406. doi: 10.1186/s12889-022-13757-x.