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Associations of environmental factors with elderly health and mortality in china

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  • Zeng, Y.
  • Gu, D.
  • Purser, J.
  • Hoenig, H.
  • Christakis, N.

Abstract

Objectives. We examined the effects of community socioeconomic conditions, air pollution, and the physical environment on elderly health and survival in China. Methods. We analyzed data from a nationally representative sample of 15973 elderly residents of 866 counties and cities with multilevel logistic regression models in which individuals were nested within each county or city. Results. After control for individual-level factors, communities' gross domestic product per capita, adult labor force participation rate, and illiteracy rate were significantly associated with physical, mental, and overall health and mortality among the elderly in China. We also found that air pollution increased the odds of disability in activities of daily living (ADLs), cognitive impairment, and health deficits; more rainfall was protective, reducing the odds of ADL disability and cognitive impairment; low seasonal temperatures increased the odds of ADL disability and mortality; high seasonal temperatures increased the odds of cognitive impairment and deficits; and living in hilly areas decreased the odds of ADL disability and health deficits. Conclusions. Efforts to reduce pollution and improve socioeconomic conditions could significantly improve elderly health and survival.

Suggested Citation

  • Zeng, Y. & Gu, D. & Purser, J. & Hoenig, H. & Christakis, N., 2010. "Associations of environmental factors with elderly health and mortality in china," American Journal of Public Health, American Public Health Association, vol. 100(2), pages 298-305.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.154971_9
    DOI: 10.2105/AJPH.2008.154971
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    Cited by:

    1. Hong Leng & Bingbing Han, 2022. "Effect of Environmental Planning on Elderly Individual Quality of Life in Severe Cold Regions: A Case Study in Northeastern China," Sustainability, MDPI, vol. 14(6), pages 1-17, March.
    2. Moon Joon Kim & Xiaolin Xie & Xiaochen Zhang, 2021. "How Does an Environmental Amenity Attract Voluntary Migrants? Evidence from Ambient Air Quality in China," Sustainability, MDPI, vol. 13(12), pages 1-19, June.
    3. Fenfen Zhou & Wensu Zhou & Wenjuan Wang & Chaonan Fan & Wen Chen & Li Ling, 2022. "Associations between Frailty and Ambient Temperature in Winter: Findings from a Population-Based Study," IJERPH, MDPI, vol. 20(1), pages 1-16, December.
    4. Takeuchi, Kenji & Aida, Jun & Morita, Manabu & Ando, Yuichi & Osaka, Ken, 2012. "Community-level socioeconomic status and parental smoking in Japan," Social Science & Medicine, Elsevier, vol. 75(4), pages 747-751.
    5. Yeatts, Dale E. & Pei, Xiaomei & Cready, Cynthia M. & Shen, Yuying & Luo, Hao & Tan, Junxin, 2013. "Village characteristics and health of rural Chinese older adults: Examining the CHARLS Pilot Study of a rich and poor province," Social Science & Medicine, Elsevier, vol. 98(C), pages 71-78.
    6. Teck Hong Tan, 2022. "Perceived Environmental Attributes: Their Impact on Older Adults’ Mental Health in Malaysia," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    7. Fubaihui Wang & Qingkai Zhen & Kaigang Li & Xu Wen, 2018. "Association of socioeconomic status and health-related behavior with elderly health in China," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-14, September.
    8. Fang, Guanfu & Feng, Jin, 2021. "Is the 2003 SARS epidemic over? Long-term effects of epidemic exposure on mortality among older adults," China Economic Review, Elsevier, vol. 67(C).

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