Health Outcomes and Socio-Economic Status among the Elderly in China: Evidence from the CHARLS Pilot
AbstractWe 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 use the China Health and Retirement Longitudinal Study (CHARLS) pilot data to document health conditions among the elderly in Gansu and Zhejiang provinces, where the survey was fielded. We use 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 socioeconomic status (SES): education and log of per capita expenditure (log pce), our preferred measure of household resources. While there exists a very large literature that examines the relationships between SES and health measures, little has been done on Chinese data to see whether correlations reported in many other countries are replicated in China, particularly so for the aged. 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.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 5152.
Length: 57 pages
Date of creation: Aug 2010
Date of revision:
Contact details of provider:
Postal: IZA, P.O. Box 7240, D-53072 Bonn, Germany
Phone: +49 228 3894 223
Fax: +49 228 3894 180
Web page: http://www.iza.org
Postal: IZA, Margard Ody, P.O. Box 7240, D-53072 Bonn, Germany
Other versions of this item:
- James P. Smith & John Strauss & Xiaoyan Lei & Albert Park & Yan Shen & James P. Smith & Zhe Yang & Yaohui Zhao, 2010. "Health Outcomes and Socio-Economic Status Among the Elderly in China: Evidence from the CHARLS Pilot," Working Papers 774, RAND Corporation Publications Department.
- I10 - Health, Education, and Welfare - - Health - - - General
This paper has been announced in the following NEP Reports:
- NEP-AGE-2010-09-11 (Economics of Ageing)
- NEP-ALL-2010-09-11 (All new papers)
- NEP-CIS-2010-09-11 (Confederation of Independent States)
- NEP-CNA-2010-09-11 (China)
- NEP-DEV-2010-09-11 (Development)
- NEP-HEA-2010-09-11 (Health Economics)
- NEP-LTV-2010-09-11 (Unemployment, Inequality & Poverty)
- NEP-TRA-2010-09-11 (Transition Economics)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- James Smith, 2005.
"The Impact of Childhood Health on Adult Labor Market Outcomes,"
Labor and Demography
- James P. Smith, 2009. "The Impact of Childhood Health on Adult Labor Market Outcomes," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 478-489, August.
- Smith, James P., 2009. "The Impact of Childhood Health on Adult Labor Market Outcomes," IZA Discussion Papers 4274, Institute for the Study of Labor (IZA).
- James P. Smith, 2005. "The Impact of Childhood Health on Adult Labor Market Outcomes," Working Papers 319, RAND Corporation Publications Department.
- James P Smith, 2008. "The Impact of Childhood Health on Adult Labor Market Outcomes," Working Papers 200814, Geary Institute, University College Dublin.
- James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
- Thomas, D. & Strauss, J., 1997.
"Health and Wages: Evidence on Men and Women in Urban Brazil,"
97-05, RAND - Reprint Series.
- Thomas, Duncan & Strauss, John, 1997. "Health and wages: Evidence on men and women in urban Brazil," Journal of Econometrics, Elsevier, vol. 77(1), pages 159-185, March.
- John A. Maluccio & John Hoddinott & Jere R. Behrman & Reynaldo Martorell & Agnes R. Quisumbing & Aryeh D. Stein, 2009. "The Impact of Improving Nutrition During Early Childhood on Education among Guatemalan Adults," Economic Journal, Royal Economic Society, vol. 119(537), pages 734-763, 04.
- Firman Witoelar & John Strauss, 2009. "Socioeconomic Success and Health in Later Life: Evidence from the Indonesia Family Life Survey," Working Papers 704, RAND Corporation Publications Department.
- Dana P. Goldman & James P. Smith, 2004. "Can Patient Self-Management Help Explain the SES Health Gradient?," HEW 0403004, EconWPA.
- Duncan Thomas, 2008.
"Psychological Health Before, During, and After an Economic Crisis: Results from Indonesia, 1993--2000,"
World Bank Economic Review,
World Bank Group, vol. 23(1), pages 57-76, November.
- Friedman, Jed & Thomas, Duncan, 2007. "Psychological health before, during, and after an economic crisis : results from Indonesia, 1993 - 2000," Policy Research Working Paper Series 4386, The World Bank.
- Das, Jishnu & Do, Quy-Toan & Friedman, Jed & McKenzie, David & Scott, Kinnon, 2007. "Mental health and poverty in developing countries: Revisiting the relationship," Social Science & Medicine, Elsevier, vol. 65(3), pages 467-480, August.
- Banks, James & Muriel, Alastair & Smith, James P., 2010.
"Disease Prevalence, Disease Incidence, and Mortality in the United States and in England,"
IZA Discussion Papers
4992, Institute for the Study of Labor (IZA).
- James Banks & Alastair Muriel & James Smith, 2010. "Disease prevalence, disease incidence, and mortality in the United States and in England," Demography, Springer, vol. 47(1), pages S211-S231, March.
- Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
- Don Kenkel & Dean R. Lillard & Feng Liu, 2009. "An analysis of life‐course smoking behavior in China," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages S147-S156, July.
- McArdle, John J. & Smith, James P. & Willis, Robert, 2009.
"Cognition and Economic Outcomes in the Health and Retirement Survey,"
IZA Discussion Papers
4269, Institute for the Study of Labor (IZA).
- John J. McArdle & James P. Smith & Robert Willis, 2011. "Cognition and Economic Outcomes in the Health and Retirement Survey," NBER Chapters, in: Explorations in the Economics of Aging, pages 209-233 National Bureau of Economic Research, Inc.
- John J. McArdle & James P. Smith & Robert Willis, 2009. "Cognition and Economic Outcomes in the Health and Retirement Survey," NBER Working Papers 15266, National Bureau of Economic Research, Inc.
- Lance, Peter M. & Akin, John S. & Dow, William H. & Loh, Chung-Ping, 2004. "Is cigarette smoking in poorer nations highly sensitive to price?: Evidence from Russia and China," Journal of Health Economics, Elsevier, vol. 23(1), pages 173-189, January.
- Adam Wagstaff & Winnie Yip & Magnus Lindelow & William C. Hsiao, 2009. "China's health system and its reform: a review of recent studies," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages S7-S23, July.
Blog mentionsAs found by EconAcademics.org, the blog aggregator for Economics research:
- Results on Health Inequalities from Chinese Aging Study
by Liam Delaney in Geary Behaviour Centre on 2010-09-10 19:35:00
- Smith, James P. & Shen, Yan & Strauss, John & Zhe, Yang & Zhao, Yaohui, 2010.
"The Effects of Childhood Health on Adult Health and SES in China,"
IZA Discussion Papers
5318, Institute for the Study of Labor (IZA).
- James P. Smith & Yan Shen & John Strauss & Yang Zhe & Yaohui Zhao, 2012. "The Effects of Childhood Health on Adult Health and SES in China," Economic Development and Cultural Change, University of Chicago Press, vol. 61(1), pages 127 - 156.
- James P. Smith & Yan Shen & John Strauss & Zhe Yang & Yaohui Zhao, 2010. "The Effects of Childhood Health on Adult Health and SES in China," Working Papers 809, RAND Corporation Publications Department.
- Xiaoyan Lei & Yuqing Hu & John J. McArdle & James P. Smith & Yaohui Zhao, 2012.
"Gender Differences in Cognition among Older Adults in China,"
Journal of Human Resources,
University of Wisconsin Press, vol. 47(4), pages 951-971.
- Xiaoyan Lei & Yuqing Hu & James P. Smith & Yahao Zhao, 2011. "Gender Differences in Cognition among Older Adults in China," Working Papers 881, RAND Corporation Publications Department.
- Jinkook Lee & Regina A. Shih & Kevin Feeney & Kenneth M. Langa, 2011. "Cognitive Health of Older Indians: Individual and Geographic Determinants of Female Disadvantage," Working Papers 889, RAND Corporation Publications Department.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Mark Fallak).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.