Socioeconomic Disparities in Health over the Life Course in China: A Cohort Analysis

被引:137
作者
Chen, Feinian [1 ]
Yang, Yang [2 ,3 ]
Liu, Guangya [1 ]
机构
[1] N Carolina State Univ, Dept Sociol & Anthropol, Raleigh, NC 27695 USA
[2] Univ Chicago, Populat Res Ctr, Chicago, IL 60637 USA
[3] Univ Chicago, Ctr Aging NORC, Chicago, IL 60637 USA
关键词
socioeconomic status; health disparity; social change; cohort; life course; SELF-RATED HEALTH; OLDER-ADULTS; CUMULATIVE DISADVANTAGE; INCOME INEQUALITY; RURAL CHINA; EPIDEMIOLOGIC TRANSITION; EDUCATIONAL-DIFFERENCES; SOCIAL-STRATIFICATION; NUTRITION TRANSITION; MARKET TRANSITION;
D O I
10.1177/0003122409359165
中图分类号
C91 [社会学];
学科分类号
030301 ; 1204 ;
摘要
This article examines social stratification in individual health trajectories for multiple cohorts in the context of China's dramatically changing macro-social environment. Using data from the China Health and Nutrition Survey, we find significant socioeconomic status (SES) differences in the mean level of health and that these SES differentials generally diverge over the life course. We also find strong cohort variations in SES disparities in the mean levels of health and health trajectories. The effect of education on health slightly decreases across successive cohorts. By contrast, the income gap in health trajectories diverges for earlier cohorts but converges for most recent cohorts. Both effects are more pronounced in rural areas. Given that these cohort effects are opposite those reported in recent U.S. studies, we discuss China's unique social, economic, and political settings. We highlight the association between SES and health behaviors, China's stage of epidemiologic transition, and the changing power of the state government and its implications for health care.
引用
收藏
页码:126 / 150
页数:25
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