Individual and province inequalities in health among older people in China: evidence and policy implications
|
|
- Eugene Powell
- 8 years ago
- Views:
Transcription
1 Individual and province inequalities in health among older people in China: evidence and policy implications Prof Maria Evandrou, Prof Jane Falkingham, Dr Zhixin Frank Feng, Dr Athina Vlachantoni Centre for Research on Ageing & ESRC Centre for Population Change, University of Southampton 1
2 Outline Background Aims and Research Question Conceptual Framework Data and Methods Results Summary Conclusions & Policy Implications
3 Background China Ageing population 2009 (167 million, 12%) 2030 (16%) 2050 (23%) Life expectancy: 67 years (1982) 71 years (2000) 85 years (2050) A developing country with tremendous economic development in the last 30 years. However, economic success has come hand-in-hand with the ever increasing social and economic disparities (individual economic status/province), especially between urban and rural, coastal and inland areas (provinces) Individual and province inequalities older people health outcomes
4 Aims and research question Aims To investigate the health outcomes of older people in China To examine variation in health outcomes according to individual and province level characteristics Research question How does the health of older people vary according to demographic characteristics, socio-economic indicators, health risk behaviours, household/family factors and provincial level factors? 4
5 Conceptual framework The determinants of health outcomes Demographic and Socio economic factors Health behaviour Health outcomes: Difficulty with ADLs Difficulty with IADLs Self reported health Life satisfaction Self reported memory Household/family factors Social security factors Provinces
6 Data Micro (individual level): The China Health and Retirement Longitudinal Study (CHARLS) (2011) biennial survey in China, conducted by the National School of Development (China Centre for Economic Research) at Peking University. Sample size: the national survey sample includes persons aged 45 years and older from 28 provinces. Analytical sample: persons aged 50 and over (N= 10,717) Macro (province level): Chinese Statistics Yearbook;
7 Data: CHARLS Survey areas
8 Map1: Percentage of Chinese population aged 65 and over, by province 8
9 Data: Health outcomes, CHARLS Table 1: Health of persons aged 50 and over, China, 2011 Response Difficulty with ADLs No difficulty (82.1%); Reports difficulty (17.9%) Difficulty with IADLs No difficulty (77.9%); Reports difficulty (22.1%) Self-reported health Positive (22.5%); Fair (47.1%); Negative (30.4%) Life Satisfaction Positive (22.9%); Fair (62%); Negative (15.2%) Self-reported memory Positive (19.1%); Fair (45.7%); Negative (35.2%) 9
10 Data: individual characteristics, CHARLS Individual characteristics, n=10,717 Age Ranging between 50-96, mean=62 Gender Male (50%); Female (50%) Marital status Married (86.1%); Other (separated, divorced and never married) (2.2%); Widowed (11.7%) Residence Urban (40.6%); Rural (59.4%) Highest educational High school and above (12%); Elementary and qualification middle (39.5%); Below primary (19.5%); Illiterate (29%) Income sources Wage (10.9%); Wage and pension (2.1%); Wage and others* (0.6%); Pension (22.6%); others* (4.6%); No income sources (59.3%) Medical insurance Yes (94%); No (6%) Smoking status Has never smoked (58%); Current smoker (31.8%); Ex-smoker (10.2%) 10
11 Data: Family/household characteristics, CHARLS Family/ household characteristics, n=10,717 Self-rated standard of family living Positive (3.2%); Fair (53.6%); Negative (43.2%) Receipt of Dibao by the household No (89.4%); Yes (10.6%) 11
12 Data: Macro level, province information Indicator Meaning Urban Percentage of urban population (based on household register) (%) GDPpc GDP per capita (1,000 Yuan) Migrants Percentage of migrants* (%) Income Mean income (1,000 Yuan) VATpc Value added tax per capita (1,000 Yuan) GovExpen Government expenditure per capita (1,000 Yuan) Fixedassets Fixed-asset investment per capita (1,000 Yuan) Stateown Share of state-owned enterprises in fixed-asset investment (%) ForInvest Share of foreign direct investment in fixed-asset investment (%) StateCom Percentage of state owned employees in the total of employees (%) PrivateCom Percentage of private owned employees in the total of employees (%) FandHCom Percentage of foreign and overseas Chinese employees in the total of employees (%) SocSec Percentage of expenditure for social safety net and employment incentives in total revenue of province (%) MedIns Percentage of expenditure for medical and health care in total revenue of province (%) Hosp Doctor Bed UrbEng RurEng Number of health care institutions per 10,000 population Number of medical technical personal in health care institutions per 1,000 population Number of beds in health care institutions per 1,000 population Urban Engel's coefficient (%) (% of food expenditure out of income consumption expenditure) Rural Engel's coefficient (%) (% of food expenditure out of income consumption expenditure)
13 Methods 1. Factor analysis for the development of derived indices for province characteristics 2. Hierarchical analysis with multilevel logistic model to investigate the health outcomes of older people (50 plus) 2.1 Binomial multilevel regression 2.2 Multinomial multilevel regression 13
14 Results I Table 2: Factor loading of province characteristics Factor1 (D&M) Factor2 (GLQ) Factor3 (SSI) Communality Urban GDPpc Migrants Income VATpc GovExpen Fixedassest Stateown ForInvest StateCom PrivateCom FandHCom SocSec MedIns Hosp Doctor Bed UrbEng RurEng %Var
15 Results I Regional distribution of factor scores of provinces Factor 1: D&M (Developed, marketized and lower level of spending on health care and lower provision of health facilities) Factor 2: HLQ (Higher level of health facilities and quality of life) 15
16 Results I Regional distribution of factor scores of provinces Factor 3: SSI (Strong state influence and higher social security expenditure) 16
17 Results II Table 3: Binomial multilevel regression estimates for reporting difficulty with Activities of Daily Living (ADLs), aged 50+ Reporting difficulty with ADLs Individual characteristics Province characteristics ORs ORs Fixed Part CONS 0.03*** 0.04*** Age 1.05*** 1.05*** Female (ref: Male) 1.35*** 1.34*** Marital status (ref: Married) Others Widowed Rural (ref: Urban) 1.44*** 1.43*** Education (ref: High school and above) Illiterate 1.82*** 1.82*** Below Primary 1.91*** 1.92*** Elementary and middle 1.44*** 1.44*** Income sources (ref: Wage) Wage and pension Wage and other 1.87* 1.83 Pension 1.45*** 1.45*** Others 2.31*** 2.29*** No 1.69*** 1.68*** *** p<0.01, **p<0.05, * p<0.1 17
18 Results II Table 3 (Continue) Binomial multilevel regression estimates for reporting difficulty with Activities of Daily Living (ADLs), aged 50+ Reporting difficulty with ADLs Individual characteristics Province characteristics ORs ORs Fixed Part Have not medical insurance 0.89 (ref: Yes) 0.88 Smoke (ref: Never) Current smoking Smoked but quit 1.45*** 1.44*** Self-rated living standard (ref: Positive) Fair Negative 1.71*** 1.71*** Dibao household (ref: No) 1.80*** 1.80*** (Factor Scores) Developed, marketized and lower health care 0.82* Higher health facilities and quality of life 0.91 Strong state influence and higher social security expenditure 0.85 *** p<0.01, **p<0.05, * p<0.1 Random Part Level 2: Province 0.23(0.09) 0.22(0.08) 18
19 Results II Table 4: Summary of significant effects of predictors on the health outcomes ( = significant at p<0.1) Difficulty with ADLs Difficulty with IADLs Selfreported health Life Satisfaction Selfreported memory Individual characteristics Age - - Gender Marital status Residence - ( ) Highest educ. qualification - Income sources - ( ) Medical Insurance Smoking status ( ) Self-rated living standards - - Hhold receipt of Dibao - - Province characteristics (Factor Scores) Difficulty with Mobility* D&M HLQ SSI
20 Results III Figure1: Differential relative odds of reporting difficulty with ADLs for provinces, derived from individual characteristics compared to the national average (1) 20
21 Results III Figure 2: Differential relative odds of reporting difficulty with IADLs for provinces derived from individual characteristics compared to the national average (1) 21
22 Results III Figure 3: Differential relative odds of reporting fair SRH (A) and negative SRH (B) for provinces derived from individual characteristics compared to the national average (1) 22
23 Results III Figure 4: Differential relative odds of reporting fair life satisfaction (A) and negative life satisfaction (B) for provinces derived from individual characteristics compared to the national average (1) 23
24 Results III Figure 5: Differential relative odds of reporting fair memory (A) and negative Memory (B) for provinces derived from individual characteristics compared to the national average (1) 24
25 Summary: Factors affecting health amongst older people (50+) in China, 2011 (a)individual and family/household level Being female, living in rural areas, having low educational qualifications, having no income sources or receiving income from other sources, being an ex-smoker, reporting relatively low living standards and living in a household which receives the Dibao, are characteristics associated with: reporting of difficulty with ADLs or IADLs, fair/poor SRH, fair/poor life satisfaction and fair/poor memory. 25
26 Summary: Factors affecting health amongst older people (50+) in China, 2011 (b) Province level Individuals living in provinces with better health facilities and better quality of life are less likely to report difficulty with ADLs or poor life satisfaction. 26
27 Conclusion I: Implications for Policy Both individual and province level factors matter Improving the environment in which older people live, both their household circumstances and the area in which they live can impact positively on health Lower socio-economic status (individual or household indicators) is clearly and strongly associated with the report of poorer health status. Improving the socio-economic status of older people and their families can improve health outcomes Health-risk behaviour (smoking status) is associated with poorer health status. Public health campaigns that reduce smoking may improve health outcomes both amongst today s elders and future cohorts 27
28 Conclusion II: Implications for Policy There are marked differences between provinces in a range of indicators, such as modernisation and the amount of expenditure on health services Improving the level of spending on health care and the provision of health care facilities at the province level can improve health outcomes at the individual level, which has implication of the redistribution of resources between richer and poorer provinces. Statutory assistance in the form of cash benefits and health services for individuals at the lowest part of the income distribution may also add to a comprehensive set of social policies protecting the most vulnerable groups in society. Health outcomes are poorer in rural areas than in urban areas Policies need to target resources to rural areas to ensure rural older people are not disadvantaged compared to their urban counter parts. 28
29 References Cai, F. et al (2012) The Elderly and Old Age Support in Rural China: Challenges and Prospects. Washington DC: The World Bank. Feng, Z., Wang, W., Jones, K., & Li, Y. (2012). An exploratory multilevel analysis of income, income inequality and self-rated health of the elderly in China. Social Science & Medicine, 75 (12): Feng, Z, Wang, W, & Jones, K.(2013) A multilevel analysis of the role of the family and the state in self-rated health of elderly Chinese. Health & Place, 23, Goldstein H, Carpenter J, Kenward M G, Levin K A, 2009, "Multilevel models with multivariate mixed response types" Statistical Modelling Hay,D. I. (1988). Socioeconomic status and health status: A study of males in the Canada Health Survey. Social Science and Medicine, 27, House, J. S., Kessler, R. C., Herzog, A. R., Kinney, A. M., Mero, R. P.,&Breslow, M. F. (1990). Age, socioeconomic status, and health. Milbank Quarterly, 68, Hox, J. (2002). Multilevel analysis : techniques and applications. London: Psychology Press. Jarvis, M. and Wardle, J. (1999) Social patterning of individual health behaviours: the case of cigarette smoking. In: Marmot M, Wilkinson R, eds. Social determinants of health. Oxford: Oxford University Press.
30 30
31 Additional slides 31
32 Results Table 5: Binomial multilevel regression estimates for reporting difficulty with IADLs Reporting difficulty with IADLs Individual characteristics Province characteristic ORs ORs Fixed Part CONS 0.29*** 0.29*** Age 1 1 Female (ref: Male) Marital status (ref: Married) Others Widowed Rural (ref: Urban) Education (ref: High school and above) Illiterate 0.86* 0.85* Below Primary Elementary and middle Income sources (ref: Wage) Wage and pension Wage and other Pension Others No *** p<0.01, **p<0.05, * p<0.1 32
33 Results (Continued) Table 5: Binomial multilevel regression estimates for reporting difficulty with IADLs Fixed Part Have not medical insurance (ref: Yes) Reporting difficulty with IADLs Individual characteristics Province characteristic ORs ORs 1.37*** 1.38*** Smoke (ref: Never) Current smoking Smoked but quit 0.84* 0.84* Self-rated living standard (ref: Positive) Fair Negative Dibao household (ref: No) (Factor Scores) Developed, marketized and lower health care 1.1 Higher health facilities and quality of life 1 Strong state influence and higher social security expenditure 1.02 Random Part Level 2: Province 0.07(0.03) 0.07(0.04) *** p<0.01, **p<0.05, * p<0.1 33
34 Results: Table 6 Multinomial multilevel regression estimates for reporting fair or negative self-rated health *** p<0.01,**p<0.05,* p<0.1 Reporting fair or negative self-reported health Individual characteristics Province characteristics Fair Negative Fair Negative ORs ORs ORs ORs Fixed Part CONS *** *** Age *** *** Female (ref: Male) 1.17** 1.54*** 1.18** 1.54*** Marital status (ref: Married) Others Widowed *** *** Rural (ref: Urban) *** *** Education (ref: High school and above) Illiterate *** *** Below Primary 1.36*** 1.97*** 1.36*** 1.98*** Elementary and 1.23** 1.42*** 1.23** 1.43*** middle Income sources (ref: Wage) Wage and pension Wage and other Pension 1.30*** 1.94*** 1.30*** 1.92*** Others *** *** No 1.24** 2.06*** 1.24*** 2.05*** 34
35 Results: Table 6 (Continued) Multinomial multilevel regression estimates for reporting fair or negative self-rated health Reporting fair or negative self-reported health Individual characteristics Province characteristics Fair Negative Fair Negative ORs ORs ORs ORs Fixed Part Have not medical insurance (ref: Yes) *** p<0.01,**p<0.05,* p< *** *** Smoke (ref: Never) Current smoking Smoked but quit *** *** Self-rated living standard (ref: Positive) Fair 1.66*** 1.60*** 1.65*** 1.60*** Negative 2.32*** 4.14*** 2.31*** 4.12*** Dibao household 1.19* 1.93*** 1.19* 1.92*** (ref: No) (Factor Scores) Developed, marketized and lower health care Higher health facilities and quality of life Strong state influence and higher social security expenditure Random Part Level 2: Province 0.19(0.06) 0.15(0.05) 0.20(0.07) 0.15(0.05) 35
36 Results: Table 7 Multinomial multilevel regression estimates for reporting fair or negative life satisfaction *** p<0.01,**p<0.05,* p<0.1 Reporting fair or negative life satisfaction Individual characteristics Province characteristics Fair Negative Fair Negative ORs ORs ORs ORs Fixed Part CONS *** *** Age 0.99** 0.97*** 0.99** 0.97*** Female (ref: Male) Marital status (ref: Married) Others *** *** Widowed 0.79*** *** 1.04 Rural (ref: Urban) ** ** Education (ref: High school and above) Illiterate 0.62*** *** 1.06 Below Primary 0.76*** *** 1.21 Elementary and middle Income sources (ref: Wage) Wage and pension Wage and other Pension 1.26** ** 1.16 Others * 1.36 No 1.28*** 1.72*** 1.29*** 1.74*** 36
37 Results: Table 7 (Continued) Multinomial multilevel regression estimates for reporting fair or negative life satisfaction Reporting fair or negative life satisfaction Individual characteristics Province characteristics Fair Negative Fair Negative ORs ORs ORs ORs Fixed Part Have not medical 0.87 insurance (ref: Yes) Smoke (ref: Never) Current smoking Smoked but quit ** ** Self-rated living standard (ref: Positive) Fair 3.16*** 4.25*** 3.16*** 4.34*** Negative 5.47*** 32.33*** 5.47*** 33.08*** Dibao household (ref: No) *** *** (Factor Scores) Developed, marketized and lower health care Higher health facilities and quality of life 0.81** 0.66*** Strong state influence and higher social security expenditure *** p<0.01,**p<0.05,* p<0.1 Random Part Level 2: Province 0.18(0.06) 0.45(0.16) 0.13(0.05) 0.24(0.09) 37
38 Results: Table 8 Multinomial multilevel regression estimates for reporting fair or negative self-reported memory *** p<0.01,**p<0.05,* p<0.1 Reporting fair or negative self-reported memory Individual characteristics Province characteristics Fair Negative Fair Negative ORs ORs ORs ORs Fixed Part CONS 0.69** 0.14*** 0.74* 0.15*** Age ** ** Female (ref: Male) 1.18** 1.65*** 1.19** 1.67*** Marital status (ref: Married) Others * * Widowed 0.85* 0.78** 0.85* 0.78** Rural (ref: Urban) 1.17** 1.60*** 1.17** 1.60*** Education (ref: High school and above) Illiterate 1.29** 3.46*** 1.29** 3.45*** Below Primary 1.45*** 3.11*** 1.45*** 3.10*** Elementary and 1.28*** 1.82*** 1.27*** 1.81*** middle Income sources (ref: Wage) Wage and pension Wage and other Pension * * Others 1.34* 1.72*** 1.30* 1.66*** No 1.24** 1.64*** 1.23** 1.62*** 38
39 Results: Table 8 (Continued) Multinomial multilevel regression estimates for reporting fair or negative self-reported memory Fixed Part Have not medical insurance (ref: Yes) Reporting fair or negative self-reported memory Individual characteristics Province characteristics Fair Negative Fair Negative ORs ORs ORs ORs Smoke (ref: Never) Current smoking Smoked but quit 1.28** 1.47*** 1.28** 1.48*** Self-rated living standard (ref: Positive) Fair 1.77*** 1.69*** 1.76*** 1.68*** Negative 2.43*** 3.18*** 2.42*** 3.17*** Dibao household ** ** (ref: No) (Factor Scores) Developed, marketized and lower health care * Higher health facilities and quality of life Strong state influence and higher social security expenditure *** p<0.01,**p<0.05,* p<0.1 Random Part Level 2: Province 0.22(0.07) 0.42(0.14) 0.21(0.07) 0.45(0.15) 39
HSRA2011 The Impacts of Health Insurance on Health Care Utilization Among the Elderly in China
The Impacts of Health Insurance on Health Care Utilization Among the Elderly in China Xin Li, PhD Shanghai Jiao Tong University, China Outline Background Literature Objectives Methods Results Conclusions
More informationExperiment on Web based recruitment of Cell Phone Only respondents
Experiment on Web based recruitment of Cell Phone Only respondents 2008 AAPOR Annual Conference, New Orleans By: Chintan Turakhia, Abt SRBI Inc. Mark A. Schulman, Abt SRBI Inc. Seth Brohinsky, Abt SRBI
More informationFinding Supporters. Political Predictive Analytics Using Logistic Regression. Multivariate Solutions
Finding Supporters Political Predictive Analytics Using Logistic Regression Multivariate Solutions What is Logistic Regression? In a political application, logistic regression can describe the outcome
More informationHai Fang, PhD Professor China Center for Health Development Studies Peking University
Hai Fang, PhD Professor China Center for Health Development Studies Peking University Presentation for Asia Health Policy Program at Stanford University November 7th, 2014 Outline Introduction Background
More informationCan Annuity Purchase Intentions Be Influenced?
Can Annuity Purchase Intentions Be Influenced? Jodi DiCenzo, CFA, CPA Behavioral Research Associates, LLC Suzanne Shu, Ph.D. UCLA Anderson School of Management Liat Hadar, Ph.D. The Arison School of Business,
More informationData analysis of informal employment in China and India. Xizhe Peng, Yaowu Wu, Jeemol Unni
Data analysis of informal employment in China and India Xizhe Peng, Yaowu Wu, Jeemol Unni MOTIVATION Employment is primary channel through which growth translates into better living standards, reduced
More informationThe relationship between mental wellbeing and financial management among older people
The relationship between mental wellbeing and financial management among older people An analysis using the third wave of Understanding Society January 2014 www.pfrc.bris.ac.uk www.ilcuk.org.uk A working
More informationSocial Insurance Coverage in Urban China. John Giles Dewen Wang
Social Insurance Coverage in Urban China John Giles Dewen Wang Overview Social insurance schemes in Urban China Trends in social insurance coverage Regional variation Micro evidence of social insurance
More informationAbstract. Ian Shuttleworth and Paul Barr. Queen s University Belfast
Who reports address changes through the healthcare system? The characteristics of laggers and nonreporters using the Northern Ireland Longitudinal Study Ian Shuttleworth and Paul Barr Queen s University
More informationNursing Homes in China: Now and the Future
IAGG/WHO/SFGG Workshop - June 4th & 5th, 2010, Toulouse, France Identification of the main relevant domains for clinical research & quality of care in nursing homes Nursing Homes in China: Now and the
More informationInternet Gambling in Canada: Prevalence, Patterns and Land-Based Comparisons
Internet Gambling in Canada: Prevalence, Patterns and Land-Based Comparisons Dr. Robert Wood & Dr. Robert Williams University of Lethbridge Current Study Funded by a Level IV grant from the Ontario Problem
More informationBroadband speed impact on GDP growth and household income: Comparing OECD and BRIC
Broadband speed impact on GDP growth and household income: Comparing OECD and BRIC Erik Bohlin Chalmers University of Technology Presented for the ITU Workshop: New Trends for Building and Financing Broadband:
More informationFirst draft, please do not quote
1 Labor Force Participation Responses to New Rural Social Pension Insurance in China: A Regression Discontinuity Approach Zeyuan Chen, Jonas Helgertz, Tommy Bengtsson 2014/12/10 First draft, please do
More information4. Work and retirement
4. Work and retirement James Banks Institute for Fiscal Studies and University College London María Casanova Institute for Fiscal Studies and University College London Amongst other things, the analysis
More informationHealth and Rural Cooperative Medical Insurance in China: An empirical analysis
Health and Rural Cooperative Medical Insurance in China: An empirical analysis Song Gao and Xiangyi Meng Abstract China abandoned its free universal health care system and privatized it since 1980s. The
More informationAn Example of SAS Application in Public Health Research --- Predicting Smoking Behavior in Changqiao District, Shanghai, China
An Example of SAS Application in Public Health Research --- Predicting Smoking Behavior in Changqiao District, Shanghai, China Ding Ding, San Diego State University, San Diego, CA ABSTRACT Finding predictors
More informationPredicting nursing home length of stay : implications for targeting pre-admission review efforts
Scholarly Commons at Miami University http://sc.lib.miamioh.edu Scripps Gerontology Center Scripps Gerontology Center Publications Predicting nursing home length of stay : implications for targeting pre-admission
More informationThe Emergence of Private For-Profit Medical Facilities and their Roles in Medical Expenditures in China
The Emergence of Private For-Profit Medical Facilities and their Roles in Medical Expenditures in China Xiaohui Hou July 9 th IHEA The Evolution of of Public in China Maoist era largest national public
More informationHealth Care Utilization and Health Status of NCMS Elderly Enrollees in China: Evidence from CHARLS Data
Health Care Utilization and Health Status of NCMS Elderly Enrollees in China: Evidence from CHARLS Data Amy Li Pengpeng Wang Professor Frank Sloan, Faculty Advisor Professor Kent Kimbrough, Seminar Instructor
More informationPopulation Aging Research Center. University of Pennsylvania. Mexican Migration to the US and Access to Health Care
Population Aging Research Center University of Pennsylvania Mexican Migration to the US and Access to Health Care Sara Ross, José Pagán, and Daniel Polsky PARC Working Paper Series WPS 05-12 "The authors
More informationQUALITY OF WORK, HEALTH AND EARLY RETIREMENT: EUROPEAN COMPARISONS
QUALY OF WORK, HEALTH AND EARLY RETIREMENT: EUROPEAN COMPARISONS Johannes Siegrist, Morten Wahrendorf 224-2010 15 Quality of Work, Health and Early Retirement: European Comparisons Johannes Siegrist and
More informationHealth Care and Insurance Among the Elderly in China: Evidence from the CHARLS Pilot
Health Care and Insurance Among the Elderly in China: Evidence from the CHARLS Pilot John Strauss University of Southern California Hao Hong Penn State University Xiaoyan Lei Peking University Lin Li Peking
More informationAmericans Current Views on Smoking 2013: An AARP Bulletin Survey
Americans Current Views on Smoking 2013: An AARP Bulletin Survey November 2013 Americans Current Views on Smoking 2013: An AARP Bulletin Survey Report Prepared by Al Hollenbeck, Ph.D. Copyright 2013 AARP
More informationLogistic Regression. BUS 735: Business Decision Making and Research
Goals of this section 2/ 8 Specific goals: Learn how to conduct regression analysis with a dummy independent variable. Learning objectives: LO2: Be able to construct and use multiple regression models
More informationALCOHOL CONSUMPTION, LIFE COURSE TRANSITIONS AND HEALTH IN LATER LIFE
ALCOHOL CONSUMPTION, LIFE COURSE TRANSITIONS AND HEALTH IN LATER LIFE Clare Holdsworth 1, Marina Mendonça 1, Martin Frisher 1 Nicola Shelton 2, Hynek Pikhart 2 and Cesar de Oliveira 2 1 Keele University
More informationAccess Provided by your local institution at 02/06/13 5:22PM GMT
Access Provided by your local institution at 02/06/13 5:22PM GMT brief communication Reducing Disparities in Access to Primary Care and Patient Satisfaction with Care: The Role of Health Centers Leiyu
More informationFamily life courses and later life health
Family life courses and later life health Emily Grundy with Sanna Read, Oystein Kravdal and Doug Wolf. http://pathways.lshtm.ac.uk pathways@lshtm.ac.uk @PathwaysNCRM Family life courses and health in mid
More informationConsumption Structure Evolutions in an Aging Society and Implications for the Social Security System
Consumption Structure Evolutions in an Aging Society and Implications for the Social Security System Dr. Rui Mao School of Management, Zhejiang University, China PRI-ADBI joint conference, Tokyo Rui Mao
More informationThe relationship between socioeconomic status and healthy behaviors: A mediational analysis. Jenn Risch Ashley Papoy.
Running head: SOCIOECONOMIC STATUS AND HEALTHY BEHAVIORS The relationship between socioeconomic status and healthy behaviors: A mediational analysis Jenn Risch Ashley Papoy Hanover College Prior research
More informationEducation and Wage Differential by Race: Convergence or Divergence? *
Education and Wage Differential by Race: Convergence or Divergence? * Tian Luo Thesis Advisor: Professor Andrea Weber University of California, Berkeley Department of Economics April 2009 Abstract This
More informationAssessing the Effect of Self-Control on Retirement Preparedness of U.S. Households
Assessing the Effect of Self-Control on Retirement Preparedness of U.S. Households Kyoung Tae Kim, The Ohio State University 1 Jae Min Lee, The Ohio State University 2 Eunice O. Hong, The Ohio State University
More informationInsurance Markets in China 1
Insurance Markets in China 1 Hanming Fang University of Pennsylvania Even though Chinese merchants have practiced risk transferring and distributing as early as 3000 BC, 2 modern insurance markets in China
More informationWomen s family histories and incomes in later life in the UK, US and West Germany. Maria Evandrou Jane Falkingham and Tom Sefton
Women s family histories and incomes in later life in the UK, US and West Germany Maria Evandrou Jane Falkingham and Tom Sefton Contents Introduction... 1 Background... 2 Data and methodology... 4 Results...
More informationCost and Determinants of Privately- Financed Home-Based Health Care in Ontario, Canada
Cost and Determinants of Privately- Financed Home-Based Health Care in Ontario, Canada Guerriere DN, Wong AYM, Croxford R, Leong VW, McKeever P, Coyte PC Department of Health Policy, Management and Evaluation,
More informationPension schemes are integral parts of China s social protection system
Dewen Wang World Bank March 26-27, 2014, Incheon, Republic of Korea Pension schemes are integral parts of China s social protection system SP programs Social Insurance Social Assistance Social Welfare
More informationMinimum wage effects on employment and working time of Chinese workers evidence based on CHNS
Sun et al. IZA Journal of Labor & Development (2015) 4:19 DOI 10.1186/s40175-015-0046-2 ORIGINAL ARTICLE Minimum wage effects on employment and working time of Chinese workers evidence based on CHNS Wenkai
More informationArticle. Retiring with debt. by Katherine Marshall. Component of Statistics Canada Catalogue no. 75-001-X Perspectives on Labour and Income
Component of Statistics Canada Catalogue no. 75-001-X Perspectives on Labour and Income Article Retiring with debt by Katherine Marshall April 27, 2011 Statistics Canada Statistique Canada Standard symbols
More informationRETIREMENT SAVINGS OF AMERICAN HOUSEHOLDS: ASSET LEVELS AND ADEQUACY
RETIREMENT SAVINGS OF AMERICAN HOUSEHOLDS: ASSET LEVELS AND ADEQUACY Report to the Consumer Federation of America and DirectAdvice.com Catherine P. Montalto, Ph.D. Consumer and Textile Sciences Department
More informationDoes Charity Begin at Home or Overseas?
ISSN 1178-2293 (Online) University of Otago Economics Discussion Papers No. 1504 JUNE 2015 Does Charity Begin at Home or Overseas? Stephen Knowles 1 and Trudy Sullivan 2 Address for correspondence: Stephen
More informationHealth Insurance Participation: The Role of Cognitive Ability and Risk Aversion
Theoretical and Applied Economics Volume XVII (2010), No. 11(552), pp. 103-112 Health Insurance Participation: The Role of Cognitive Ability and Risk Aversion Swarn CHATTERJEE University of Georgia, Athens,
More information2 nd Annual CAP Member Research
2 nd Annual CAP Member Research Presented by: Tricia Benn Director of Research, Business and Professional Research Group Rogers Publishing October, 2007 Agenda Summary Of Findings Methodology Demographic
More informationGeographic variation in work injuries: a multilevel analysis of individual-level and area-level factors within Canada
Geographic variation in work injuries: a multilevel analysis of individual-level and area-level factors within Canada Curtis Breslin & Sara Morassaei Institute for Work & Health Research Team: Selahadin
More informationPredictors of recovery and legal representation in a compensation setting 12 months post injury: The Whiplash Outcome Study [WOS]
Predictors of recovery and legal representation in a compensation setting 12 months post injury: The Whiplash Outcome Study [WOS] Petrina Casey [PhD candidate], Rehabilitation Studies Unit, Sydney Medical
More informationMedicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015
Medicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015 1. In what year were you born? 1. Before 1950 (CONTINUE TO QUESTION 2) 100
More informationRacial and Ethnic Differences in Health Insurance Coverage Among Adult Workers in Florida. Jacky LaGrace Mentor: Dr. Allyson Hall
Racial and Ethnic Differences in Health Insurance Coverage Among Adult Workers in Florida Jacky LaGrace Mentor: Dr. Allyson Hall Overview Background Study objective Methods Results Conclusion Limitations/Future
More informationThe Effects of Socioeconomic Status and Race on Functional Limitations and Self-Reported Health in Old Age. Mary Elizabeth Bowen
The Effects of Socioeconomic Status and Race on Functional Limitations and Self-Reported Health in Old Age Mary Elizabeth Bowen Dissertation submitted to the faculty of the Virginia Polytechnic Institute
More informationThe South African Child Support Grant Impact Assessment. Evidence from a survey of children, adolescents and their households
The South African Child Support Grant Impact Assessment Evidence from a survey of children, adolescents and their households Executive Summary EXECUTIVE SUMMARY UNICEF/Schermbrucker Cover photograph: UNICEF/Pirozzi
More informationIs Health Care Spending Higher under Medicaid or Private Insurance?
Jack Hadley John Holahan Is Health Care Spending Higher under Medicaid or Private Insurance? This paper addresses the question of whether Medicaid is in fact a high-cost program after adjusting for the
More informationOverall, Aboriginal people have poorer health than
The Health of the Off-reserve Aboriginal Population Inequalities in health persisted between off-reserve Aboriginal and non-aboriginal people after socio-economic and health behaviour factors were taken
More informationThe Pensioners Incomes Series
The Pensioners Incomes Series United Kingdom, 2012/13 July 2014 Contents List of tables... iii List of figures... v Chapter 1: Introduction and Summary of Main Results... 1 Definitions and conventions
More informationChina's Social Security Pension System and its Reform
China's Pension Reform China's Social Security Pension System and its Reform Kaiji Chen University of Oslo March 27, 2007 1 China's Pension Reform Why should we care about China's social security system
More informationCollege Attendance of Women
College Attendance of Women José-Víctor Ríos-Rull Penn, CEPR, IAERP, NBER Virginia Sánchez Marcos Universidad Carlos III de Madrid June 2001, Preliminary 2001 SED Conference, Estocolmo Up to the seventies
More informationProfiles and Data Analysis. 5.1 Introduction
Profiles and Data Analysis PROFILES AND DATA ANALYSIS 5.1 Introduction The survey of consumers numbering 617, spread across the three geographical areas, of the state of Kerala, who have given information
More informationAwareness of Health Insurance in Andhra Pradesh
International Journal of Scientific and Research Publications, Volume 2, Issue 6, June 202 Awareness of Health Insurance in Andhra Pradesh Jangati Yellaiah Ph.D. Scholar, Department of Economics, Osmania
More informationELDER ABUSE IN INDIA
REPORT ON ELDER ABUSE IN INDIA Don t Ignore it. Prevent it. HelpAge India (headoffice): C 14, Qutab Institutional Area. New Delhi 110016. Ph: 011-41688955 56. www.helpageindia.org Consultant: Sigma Research
More informationForecasting China's Medical Insurance Policy for Urban Employees Using a Microsimulation Model
Copyright JASSS Linping Xiong and Xiuqiang Ma (2007) Forecasting China's Medical Insurance Policy for Urban Employees Using a Microsimulation Model Journal of Artificial Societies and Social Simulation
More informationDeja-vu all over again, or is it? : nursing home use in the 1990 s
Scripps Gerontology Center Scripps Gerontology Center Publications Miami University Year 2001 Deja-vu all over again, or is it? : nursing home use in the 1990 s Shahla Mehdizadeh Robert Applebaum Jane
More informationIf You Think Investing is Gambling, You re Doing it Wrong!
If You Think Investing is Gambling, You re Doing it Wrong! Warren Buffet Jennifer Arthur, M.Sc. PhD Candidate, University of Adelaide Supervisor: Dr. Paul Delfabbro 10th European Conference on Gambling
More informationSurvey of Wisconsin Renters: Smoking Rules, Attitudes & Preferences
Report > May 2012 Joseph Cera Survey Center Manager Researcher Lilana Guillermo Undergraduate Research Assistant Peter Maier Acting Center Director Associate Scientist Survey of Wisconsin Renters: Smoking
More informationTHERE is a growing body of literature on the incidence
Journal of Gerontology: SOCIAL SCIENCES 1997, Vol. 52B, No. 5, S24O-S251 Copyright 1997 by The Gerontological Society of America Expectations of Nursing Home Use in the Health and Retirement Study: The
More informationIn the past two decades, the federal government has dramatically
Degree Attainment of Undergraduate Student Borrowers in Four-Year Institutions: A Multilevel Analysis By Dai Li Dai Li is a doctoral candidate in the Center for the Study of Higher Education at Pennsylvania
More informationJoint Canada-US Survey of Health, 2002-03
2 Catalogue no. 82M0022XIE Joint / Survey of Health, 2002-03 by: Claudia Sanmartin and Edward Ng Health Analysis and Measurement Group Statistics and Debra Blackwell, Jane Gentleman, Michael Martinez and
More informationLago di Como, February 2006
1 and Martin J Prince 1 1 Institute of Psychiatry, London Lago di Como, February 2006 1 Background to depression and 2 Study methods and measures 3 What does it all mean? 4 What does it all mean? Why was
More informationSocial Security: Vital to Retirement Security for 35 Million Women and Men
IWPR Publication #D487 March 2010 Social Security: Vital to Retirement Security for 35 Million Women and Men Jeff Hayes, Heidi Hartmann, and Sunhwa Lee This Briefing Paper examines major sources of income
More informationMeSH Key Words: Canada/epidemiology; dental health services; emigration and immigration/statistics & numerical data; insurance, dental
Professional ISSUES Use of Dental Services by Immigrant Canadians K. Bruce Newbold, PhD; Amish Patel, BSc Contact Author Dr. Newbold Email: newbold@mcmaster.ca ABSTRACT Although the health status and health
More informationTeen Pregnancy in Sub-Saharan Africa: The Application of Social Disorganisation Theory
Teen Pregnancy in Sub-Saharan Africa: The Application of Social Disorganisation Theory Extended Abstract Population Association of America 2015 Annual Meeting-April 30-May 2, San Diego,CA Sibusiso Mkwananzi*
More informationWhy Graduates Can t Find Jobs in a Soaring Economy: Rent-Seeking Migration of College-Educated Young Workers in China
Why Graduates Can t Find Jobs in a Soaring Economy: Rent-Seeking Migration of College-Educated Young Workers in China Tao Li Preliminary Draft. 12/2007 Abstract This paper studies the impact of regional
More informationThe demand for private medical insurance
Economic Trends 66 May 24 The demand for private medical insurance Gavin Wallis This article provides an overview of private medical insurance (PMI) coverage in Great Britain and presents results from
More informationA Study on Pricing of the Reverse Mortgage with an Embedded Redeemable Option An analysis based on China s market
A Study on Pricing of the Reverse Mortgage with an Embedded Redeemable Option An analysis based on China s market Chen Bingzheng, Deng Yinglu, Qin Peng CCIRM, Tsinghua Univ. Introduction Reverse mortgage:
More informationSummary. Accessibility and utilisation of health services in Ghana 245
Summary The thesis examines the factors that impact on access and utilisation of health services in Ghana. The utilisation behaviour of residents of a typical urban and a typical rural district are used
More informationPension Reform in China: Its Progress and Challenges
Pension Reform in China: Its Progress and Challenges Athar Hussain Asia Research Centre London School of Economics To be presented at the Conference on Financial Sector Reform in China September 11-13,
More informationAileen Murphy, Department of Economics, UCC, Ireland. WORKING PAPER SERIES 07-10
AN ECONOMETRIC ANALYSIS OF SMOKING BEHAVIOUR IN IRELAND Aileen Murphy, Department of Economics, UCC, Ireland. DEPARTMENT OF ECONOMICS WORKING PAPER SERIES 07-10 1 AN ECONOMETRIC ANALYSIS OF SMOKING BEHAVIOUR
More informationDemand for Life Insurance in Malaysia
Demand for Life Insurance in Malaysia Yiing Jia Loke 1+ and Yi Yuern Goh 2 1 School of Social Sciences, Universiti Sains Malaysia 2 HSBC Bank, Penang. Abstract. The insurance sector in Malaysia has shown
More informationHealth care in China: The role of non-government providers
Health Policy 77 (2006) 212 220 Health care in China: The role of non-government providers Yuanli Liu a,, Peter Berman a, Winnie Yip a, Haocai Liang b, Qingyue Meng c, Jiangbin Qu c, Zhonghe Li d a Department
More informationABSTRACT INTRODUCTION STUDY DESCRIPTION
ABSTRACT Paper 1675-2014 Validating Self-Reported Survey Measures Using SAS Sarah A. Lyons MS, Kimberly A. Kaphingst ScD, Melody S. Goodman PhD Washington University School of Medicine Researchers often
More informationVOLUME 33, ARTICLE 37, PAGES 1047 1066 PUBLISHED 13 NOVEMBER 2015 http://www.demographic-research.org/volumes/vol33/37/ DOI: 10.4054/DemRes.2015.33.
DEMOGRAPHIC RESEARCH VOLUME 33, ARTICLE 37, PAGES 1047 1066 PUBLISHED 13 NOVEMBER 2015 http://www.demographic-research.org/volumes/vol33/37/ DOI: 10.4054/DemRes.2015.33.37 Research Article Old age insurance
More informationWhy Do Entrepreneurs Have Higher Longevity Expectancies?
Why Do Entrepreneurs Have Higher Longevity Expectancies? Govind Hariharan Huan Ni Kennesaw State University Abstract. The health and lifespan of entrepreneurs not only affect their private decisions such
More informationPerception of Health Status and Limitations in Activities of Daily Living among the Egyptian Elderly
Perception of Health Status and Limitations in Activities of Daily Living among the Egyptian Elderly A.K. Nandakumar, Ph.D. Maha El-Adawy, MD, MPH, Ph.D. Marc A. Cohen, Ph.D. December, 1998 Data used in
More informationDoes Financial Sophistication Matter in Retirement Preparedness of U.S Households? Evidence from the 2010 Survey of Consumer Finances
Does Financial Sophistication Matter in Retirement Preparedness of U.S Households? Evidence from the 2010 Survey of Consumer Finances Kyoung Tae Kim, The Ohio State University 1 Sherman D. Hanna, The Ohio
More informationCan National Health Insurance Programs Improve Health Outcomes? Re-Examining the Case of the New Cooperative Medical Scheme in Rural China
Can National Health Insurance Programs Improve Health Outcomes? Re-Examining the Case of the New Cooperative Medical Scheme in Rural China Xueling Chu Foreign Economic Cooperation Center, Ministry of Agriculture,
More informationOutcome-based health equity across different social health insurance schemes for the elderly in China
Liu et al. BMC Health Services Research (2016) 16:9 DOI 10.1186/s12913-016-1261-5 RESEARCH ARTICLE Open Access Outcome-based health equity across different social health insurance schemes for the elderly
More informationThe Demand Analysis of Life Insurance for Ethnic Regions in Gansu Province in China
www.sciedu.ca/ijba International Journal of Business Administration Vol. 5, o. 4; 2014 The Demand Analysis of Life for Ethnic Regions in Gansu Province in China Jianshen Zhang 1 1 School of Economics,
More informationPolicyholder s Satisfaction of Private Life Insurance Companies With Reference To Tirupur District, Tamilnadu
International Journal of Computational Engineering Research Vol, 03 Issue, 9 Policyholder s Satisfaction of Private Life Insurance Companies With Reference To Tirupur District, Tamilnadu Dr.N.Kathirvel*
More informationPIAAC Outline of First International Report (2013) & Proposed Thematic PIAAC Data Analysis ADVANCED OUTLINE OF THE FIRST INTERNATIONAL PIAAC REPORT 1
ADVANCED OUTLINE OF THE FIRST INTERNATIONAL PIAAC REPORT 1 The development and implementation of PIAAC A collaborative effort Form and Style of the first international report A key objective of the first
More informationChallenges of Population Aging in China: Evidence from the National Baseline Survey of the. China Health and Retirement Longitudinal Study (CHARLS)
Challenges of Population Aging in China: Evidence from the National Baseline Survey of the China Health and Retirement Longitudinal Study (CHARLS) CHARLS Research Team* May 2013 This report is dedicated
More informationTHE CORRELATION BETWEEN PHYSICAL HEALTH AND MENTAL HEALTH
HENK SWINKELS (STATISTICS NETHERLANDS) BRUCE JONAS (US NATIONAL CENTER FOR HEALTH STATISTICS) JAAP VAN DEN BERG (STATISTICS NETHERLANDS) THE CORRELATION BETWEEN PHYSICAL HEALTH AND MENTAL HEALTH IN THE
More informationIncome, Health and Health Insurance. Longitudinal Health Selection in logged Income by Health Insurance Status in Canada
Income, Health and Health Insurance Longitudinal Health Selection in logged Income by Health Insurance Status in Canada 1 Health Stratification: Outline Theoretical Underpinnings Health Inequalities, health
More informationGender, Educational Attainment and the
Gender, Educational Attainment and the Clustering of Health Risk Behavior among U.S. Young Adults Julie Skalamera and Robert A. Hummer The University of Texas at Austin Presentation given to the NIA-Sponsored
More information6/5/2013. Predicting Student Loan Delinquency and Default. Outline. Introduction - Motivation (1) Reuben Ford CASFAA Conference, Ottawa June 10, 2013
Predicting Student Loan Delinquency and Default Reuben Ford CASFAA Conference, Ottawa June 10, 2013 Outline Introduction: Motivation and Research Questions Literature Review Methodology Selected Descriptive
More informationProtection in China. Section 3. Evidence on Analysis of Coverage. John Giles and Dewen Wang
Social Insurance and Social Protection in China John Giles and Dewen Wang Section 3 Slides Summarizing Micro Empirical Evidence on Analysis of Coverage Pension Coverage in 2005 and 2010: Increases in Coverage
More informationAccess to Health Services
Ah Access to Health Services Access to Health Services HP 2020 Goal Improve access to comprehensive, quality health care services. HP 2020 Objectives Increase the proportion of persons with a usual primary
More informationSocially Productive Activities, Reward and Well- Being after Retirement
Socially Productive Activities, Reward and Well- Being after Retirement ESRC Seminar Series Rethinking Retirement: Activity, Unpaid Work and Active Ageing University of Brighton 24 February, 2012 Anne
More informationHuman Capital and Development in Kenya: Health, Education and Labor Income Profiles, 1994 and 2005
Human Capital and Development in Kenya: Health, Education and Labor Income Profiles, 1994 and 2005 Moses Muriithi Reuben Mutegi Germano Mwabu University of Nairobi, Kenya Presented at NTA Conference, Peking
More informationDo Different Health Insurance Plans in China Create Disparities in Health Care Utilization and Expenditures?
Fang, Meng and Rizzo, International Journal of Applied Economics, 11(1), March 2014, 118 1 Do Different Health Insurance Plans in China Create Disparities in Health Care Utilization and Expenditures? Hai
More informationStudy into the Sales of Add-on General Insurance Products
Study into the Sales of Add-on General Insurance Quantitative Consumer Research Report Prepared For: Financial Conduct Authority (FCA) March, 2014 Authorised Contact Persons Frances Green Research Director
More informationSupplemental Security Income. Informational Paper 46
Supplemental Security Income Informational Paper 46 Wisconsin Legislative Fiscal Bureau January, 2015 Supplemental Security Income Prepared by Sam Austin Wisconsin Legislative Fiscal Bureau One East Main,
More informationCOUPLE OUTCOMES IN STEPFAMILIES
COUPLE OUTCOMES IN STEPFAMILIES Vanessa Leigh Bruce B. Arts, B. Psy (Hons) This thesis is submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Clinical Psychology,
More informationHOUSEHOLDS WITH HIGH LEVELS OF NET ASSETS
HOUSEHOLDS WITH HIGH LEVELS OF NET ASSETS Report to the Consumer Federation of America and Providian Financial Corp. Catherine P. Montalto, Ph.D. Associate Professor Consumer and Textile Sciences Department
More informationNursing Education Program of Saskatchewan (NEPS) Employment Survey:
Nursing Education Program of Saskatchewan (NEPS) Employment Survey: Graduates of the NEPS Program in the 2003 2004 Academic Year 5 Year Follow up Prepared for The College of Nursing of the University of
More informationWho Goes to Graduate School in Taiwan? Evidence from the 2005 College Graduate Survey and Follow- Up Surveys in 2006 and 2008
Who Goes to Graduate School in Taiwan? Evidence from the 2005 College Graduate Survey and Follow- Up Surveys in 2006 and 2008 Ping-Yin Kuan Department of Sociology Chengchi Unviersity Taiwan Presented
More information