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Socioeconomic Status and Health Differentials in China: Convergence Or Divergence at Older Ages?

01 Jan 2009-
About: The article was published on 2009-01-01 and is currently open access. It has received 34 citations till now. The article focuses on the topics: Divergence.
Citations
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Journal ArticleDOI
TL;DR: The survey reveals that the pandemic has had a significant impact, as the respondents had more serious mental symptoms when their residential communities exhibited a greater exposure to the spread of the virus.
Abstract: This paper reports the results of a recent survey of Chinese WeChat networkers (n = 2015, August 2020) about China's mental health conditions under COVID-19. The purpose of the survey was to measure symptoms of depression, anxiety, and somatization by using a standard 18-item battery and assess how the results were related to an individual's socioeconomic status, lifestyle, and social capital under an ongoing pandemic. The survey reveals that the pandemic has had a significant impact, as the respondents had more serious mental symptoms when their residential communities exhibited a greater exposure to the spread of the virus. The socioeconomic status of the respondents was negatively associated with the mental symptoms. It modified the impact of COVID-19, and its effect was substantially mediated by measures of lifestyle and social capital.

13 citations

Journal ArticleDOI
TL;DR: In this paper, the authors argue that health-based standards, which are one of the principal approaches to setting the stringency of environmental requirements in the United States, exhibit two serious pathologies: the stopping point problem and the inadequacy paradox.
Abstract: Under the Clean Air Act, the U.S Environmental Protection Agency (EPA) is required to determine the stringency of the National Ambient Air Quality Standards (NAAQS), arguably the most important federal environmental program, without considering the costs of achieving these standards. Instead, it must rely exclusively on health-related criteria. This Article argues that health-based standards, which are one of the principal approaches to setting the stringency of environmental requirements in the United States, exhibit two serious pathologies: the stopping point problem and the inadequacy paradox. The stopping point problem arises because there is no coherent, defensible way for EPA to set the permissible level of pollution based on health considerations alone. Moreover, contrary to the commonly accepted view, the NAAQS have generally been set at levels that are less stringent than those that would result from the application of cost-benefit analysis, giving rise to the inadequacy paradox. We urge a reinterpretation of the Supreme Court’s important decision in Whitman v. American Trucking Associations that would solve the inadequacy paradox and explain how non-welfarist considerations, although they do not avoid the stopping point problem, could justify health-based trumps.

11 citations

Journal ArticleDOI
TL;DR: Overall, Asians show an attenuated relationship between education and self-rated health compared to US-Whites that persists over duration in the US and generational status.
Abstract: Education usually shows a relationship with self-rated health such that those with highest education have the best health and those with lowest education have the worst health. We examine these educational gradients among Asian immigrants and whether they differ by country of origin, duration in the United States, and generational status. Migration theories suggest that recent immigrants from poorer countries should show a weaker relationship between education and health than US-born Whites. Acculturation theory further suggests that differences in gradients across country of origin should diminish for longer-term immigrants and the US-born and that these groups should display gradients similar to US-born Whites. We use the March Current Population Survey (2000 - 2010) to examine educational gradients in self-rated health among recent immigrants (≤ 15 years duration), longer-term immigrants (> 15 years duration), and second generation US-born Asians from China (n = 4473), India (n = 4,307), the Philippines (n = 5746), South Korea (n = 2760), and Japan (n = 1265). We find weak or non-significant educational gradients among recent Asian immigrants across the five countries of origin. There is no indication that longer-term immigrants display significant differences across educational status. Only second generation Chinese and Filipinos show significant differences by educational status. Overall, Asians show an attenuated relationship between education and self-rated health compared to US-Whites that persists over duration in the US and generational status. Our findings show shortcomings in migration and acculturation theories to explain these gradient patterns. Future research could use binational data or explore psychosocial factors to identify potential suppressors of educational gradients.

10 citations


Cites background from "Socioeconomic Status and Health Dif..."

  • ...If recent immigrants were importing gradients, wewould have expectedweaker gradients among less developed countries, such as China, as they may be still be undergoing epidemiological transitions that reduce health differences across educational attainment (Lowry and Xie, 2009; Chen et al., 2010)....

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12 Apr 2012
TL;DR: Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work.
Abstract: Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of RAND electronic documents to a non-RAND website is prohibited. RAND electronic documents are protected under copyright law. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use. For information on reprint and linking permissions, please see RAND Permissions. Skip all front matter: Jump to Page 16 The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. This electronic document was made available from www.rand.org as a public service of the RAND Corporation. CHILDREN AND FAMILIES

10 citations

Journal ArticleDOI
TL;DR: The magnitudes, directions, and significance of the observed associations between socioeconomic status and cardiovascular health varied by socioeconomic status indicators, gender, and age groups.
Abstract: Background To improve the cardiovascular health of those with socioeconomic disadvantages, the nature of their disparities must be explored to inform targeted interventions for this group. However, these efforts have been scarce in all areas of nursing research and practice in South Korea. Objective This systematic review aims to examine the nature of socioeconomic disparities in cardiovascular health in South Korea. Methods Multiple electronic databases including PubMed, CINAHL, EMBASE, and Cochrane (2009-2019.06) were searched. A total of 42 articles published in English or Korean that examined socioeconomic disparities in cardiovascular health in South Korea were selected, reviewed, and analyzed using a narrative synthesis. Results Socioeconomic disparities existed in cardiovascular health among Korean populations across the disease continuum from risk factors to mortality. The magnitudes, directions, and significance of the observed associations between socioeconomic status and cardiovascular health varied by socioeconomic status indicators, gender, and age groups. Five studies (12%) explained the mediation and moderation of multiple factors to the associations. Conclusion This body of knowledge will serve as a basis to inform strategies, interventions, or policies to reduce disparities in cardiovascular health.

8 citations

References
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Journal ArticleDOI
TL;DR: This work examines the growing number of studies of survey respondents' global self-ratings of health as predictors of mortality in longitudinal studies of representative community samples and suggests several approaches to the next stage of research in this field.
Abstract: We examine the growing number of studies of survey respondents' global self-ratings of health as predictors of mortality in longitudinal studies of representative community samples. Twenty-seven studies in U.S. and international journals show impressively consistent findings. Global self-rated health is an independent predictor of mortality in nearly all of the studies, despite the inclusion of numerous specific health status indicators and other relevant covariates known to predict mortality. We summarize and review these studies, consider various interpretations which could account for the association, and suggest several approaches to the next stage of research in this field.

7,940 citations

Journal ArticleDOI
05 Jan 1968-Science
TL;DR: The psychosocial conditions and mechanisms underlying the Matthew effect are examined and a correlation between the redundancy function of multiple discoveries and the focalizing function of eminent men of science is found—a function which is reinforced by the great value these men place upon finding basic problems and by their self-assurance.
Abstract: This account of the Matthew effect is another small exercise in the psychosociological analysis of the workings of science as a social institution. The initial problem is transformed by a shift in theoretical perspective. As originally identified, the Matthew effect was construed in terms of enhancement of the position of already eminent scientists who are given disproportionate credit in cases of collaboration or of independent multiple discoveries. Its significance was thus confined to its implications for the reward system of science. By shifting the angle of vision, we note other possible kinds of consequences, this time for the communication system of science. The Matthew effect may serve to heighten the visibility of contributions to science by scientists of acknowledged standing and to reduce the visibility of contributions by authors who are less well known. We examine the psychosocial conditions and mechanisms underlying this effect and find a correlation between the redundancy function of multiple discoveries and the focalizing function of eminent men of science—a function which is reinforced by the great value these men place upon finding basic problems and by their self-assurance. This self-assurance, which is partly inherent, partly the result of experiences and associations in creative scientific environments, and partly a result of later social validation of their position, encourages them to search out risky but important problems and to highlight the results of their inquiry. A macrosocial version of the Matthew principle is apparently involved in those processes of social selection that currently lead to the concentration of scientific resources and talent ( 50 ).

5,689 citations

Journal ArticleDOI
TL;DR: It is argued that social factors such as socioeconomic status and social support are likely 'fundamental causes" of disease that affect multiple disease outcomes through multiple mechanisms, and consequently maintain an association with disease even when intervening mechanisms change.
Abstract: Over the last several decades, epidemiological studies have been enormously successful in identifying risk factors for major diseases However, most of this research has focused attention on risk factors that are relatively proximal causes of disease such as diet, cholesterol level, exercise and the like We question the emphasis on such individually-based risk factors and argue that greater attention must be paid to basic social conditions if health reform is to have its maximum effect in the time ahead There are two reasons for this claim First we argue that individually-based risk factors must be contextualized, by examining what puts people at risk of risks, if we are to craft effective interventions and improve the nation's health Second, we argue that social factors such as socioeconomic status and social support are likely 'fundamental causes" of disease that, because they embody access to important resources, affect multiple disease outcomes throughmultiple mechanisms, and consequently maintain an association with disease even when intervening mechanisms change Without careful attention to these possibilities, we run the risk of imposing individually-based intervention strategies that are ineffective and of missing opportunities to adopt broad-based societal interventions that could produce substantial health benefits for our citizens

3,483 citations

Book
01 Dec 1998
TL;DR: This publication examines this social gradient in health, and explains how psychological and social influences affect physical health and longevity, and looks at what is known about the most important social determinants of health today.
Abstract: Poorer people live shorter lives and are more often ill than the rich. This disparity has drawn attention to the remarkable sensitivity of health to the social environment. This publication examines this social gradient in health, and explains how psychological and social influences affect physical health and longevity. It then looks at what is known about the most important social determinants of health today, and the role that public policy can play in shaping a social environment that is more conducive to better health. This second edition relies on the most up-to-date sources in its selection and description of the main social determinants of health in our society today. Key research sources are given for each: stress, early life, social exclusion, working conditions, unemployment, social support, addiction, healthy food and transport policy. Policy and action for health need to address the social determinants of health, attacking the causes of ill health before they can lead to problems. This is a challenging task for both decision-makers and public health actors and advocates. This publication provides the facts and the policy options that will enable them to act.

2,594 citations

Journal ArticleDOI
TL;DR: It is concluded that high educational attainment improves health directly and it improves health indirectly through work and economic conditions, social-psychological resources, and health lifestyle.
Abstract: University of Illinois, Urbana The positive association between education and health is well established, but explanations for this association are not. Our explanations fall into three categories: (1) work and economic conditions, (2) social-psychological resources, and (3) health lifestyle. We replicate analyses with two samples, cross-sectionally and over time, using two health measures (self-reported health and physical functioning). The first data set comes from a national probability sample of U.S. households in which respondents were interviewed by telephone in 1990 (2,031 respondents, ages 18 to 90). The second data set comes from a national probability sample of U.S. households in which respondents ages 20 to 64 were interviewed by telephone first in 1979 (3,025 respondents), and then again in 1980 (2,436 respondents). Results demonstrate a positive association between education and health and help explain why the association exists. (1) Compared to the poorly educated, well educated respondents are less likely to be unemployed, are more likely to work full-time, to have fulfilling, subjectively rewarding jobs, high incomes, and low economic hardship. Full-time work, fulfilling work, high income, and low economic hardship in turn significantly improve health in all analyses. (2) The well educated report a greater sense of control over their lives and their health, and they have higher levels of social support. The sense of control, and to a lesser extent support, are associated with good health. (3) The well educated are less likely to smoke, are more likely to exercise, to get health check-ups, and to drink moderately, all of which, except check-ups, are associated with good health. We conclude that high educational attainment improves health directly, and it improves health indirectly through work and economic conditions, social-psychological resources, and health lifestyle. he positive association between education and health is well established, but explanations for this association are not. Well educated people experience better health than the poorly educated, as indicated by high levels of self-reported health and physical functioning and low levels of morbidity, mortality, and disability. In contrast, low educational attainment is associated with high rates of infectious disease, many chronic noninfectious diseases, self-reported poor health, shorter survival when sick, and shorter life expectancy (Feldman, Makuc, Kleinman, and Cornoni-Huntley 1989; Guralnik, Land, Fillenbaum, and Branch 1993; Gutzwiller, LaVecchia, Levi, Negri, and Wietlisbach 1989; Kaplan, Haan, and Syme 1987; Kitagawa and Hauser 1973; Liu, Cedres, and Stamler 1982; Morris 1990; Pappas, Queen,

1,747 citations