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ORIGINAL RESEARCH article

Front. Public Health
Sec. Life-Course Epidemiology and Social Inequalities in Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1358106
This article is part of the Research Topic Promoting Healthy Aging Across the Lifespan View all 37 articles

Analysis of the Life Course Effects of the Disability Dilemma among Rural Elderly People in China

Provisionally accepted
Li Fen Li Fen 1Gao Xangdong Gao Xangdong 2*Meng Yahui Meng Yahui 3*
  • 1 School of Management, Xuzhou Medical University, Xuzhou, China
  • 2 School of Public Administration, Faculty of Economics and Management, East China Normal University, Shanghai, China
  • 3 Xuzhou Cancer Hospital, Xuzhou, China

The final, formatted version of the article will be published soon.

    Objective To analyse whether the accumulation of early adverse experiences among individuals of different generations has an impact on disabilities and evaluate the cumulative effects of disadvantages in rural elderly people in China. Methods A Binary Logit Model was used to analyse the life course effects of the disability dilemma among rural elderly people. Results Regarding Activities of Daily Life(ADLs), there was no significant difference between the elderly that experienced 1 adverse events and the control group. The probability of elderly experiencing difficulties in 2, 3, 4, or more types of ADLs was 1.486 times, 2.173 times, and 3.048 times higher than that of the control group, respectively. Regarding Instrumental Activities of Daily Life( IADLs), there was no significant difference between the population that experienced 1 or 2 adverse events and the control group. The probability of experiencing difficulties in 3, 4, or more types of IADLs was 1.527 times and 1.937 times higher than that of the control group, respectively. Early adverse events had a cumulative disadvantageous effect on disability in elderly people. The longer the duration of adverse experiences, the higher the risk of disability in old age. Education had a significant mitigating effect on health risks.Pay attention to early factors in the life course, strengthen the promotion of health prevention concepts, and pay attention to the moderating and relieving effects of education on health. We should also gradually improve the rural disability care system and family health security capabilities in China's rural areas.

    Keywords: healthy aging, rural elderly people in China, disability dilemma, life course, prevention

    Received: 19 Dec 2023; Accepted: 08 May 2024.

    Copyright: © 2024 Fen, Xangdong and Yahui. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Gao Xangdong, School of Public Administration, Faculty of Economics and Management, East China Normal University, Shanghai, China
    Meng Yahui, Xuzhou Cancer Hospital, Xuzhou, China

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