Cohort Profile: The China Health and Nutrition Survey--monitoring and understanding socio-economic and health change in China, 1989-2011

Abstract

This research journal article presents a detailed overview of a cohort profile of the China Health and Nutrition Survey (CHNS) which allows for the monitoring and understanding of socio-economic and health change in China from 1989-2011. The author discusses the history and development of the CHNS as a result of the countrys transformations since Chinas reform and open policy. The CHNS was established with the goal to develop a multipurpose longitudinal survey that would allow the research group to examine a series of economic sociological demographic and health questions. The article describes the design of the survey to include in-depth coverage at the individual household and community levels though it was not designed to be representative of China but to be randomly selected and capture a range of economic and demographic circumstances. It provides data randomly from eight different provinces and rounds have been completed nearly every three years since 1989. Though they are very complex to determine with the survey response rates and attrition are assessed along with descriptions of changes in lost-to-follow-up rates. The article describes key finds and publications to be numerous including links to obesity from occupation and transportation; nutrition and chronic disease; and important policy results for agriculture and poverty reduction programs. Lastly the author provides a summary of the CHNSs strengths and weaknesses and recommendations for accessing the data and further information.