Abstract
Socioeconomic status (SES) is one of the important indicators affecting individual's social participation and resource allocation, and it also plays an important role in the health shock of individuals. Faced by the trend of aging society, more and more nations across the world began to pay attention to prevent the risk of health shock of old adults. Based on the data of China Health and Retirement Longitudinal Study (CHARLS) in 2013, 2015 and 2018, this study uses path analysis and ologit model to empirically estimate the effects of SES and health shock on the activities of daily living (ADL) disability of old adults. As a result, first, it was found that SES has significant impact on the disability of old adults. Specifically, economic conditions (income) plays dominant role. Economic status affects the risk of individual disability mainly through life security and health behavior. Secondly, SES significantly affecting health shock, with education and economic status showing remarkable impact, and there is an apparent group inequality. Furthermore, taking high education group as reference, the probability of good sight or hearing ability of the low education group was only 49.76% and 63.29% of the high education group, respectively, while the rates of no pain and severe illness were 155.50% and 54.69% of the high education group. At last, the estimation of path effect of SES on ADL disability indicates evident group inequality, with health shock plays critical mediating role. SES is an important factor influencing residents' health shock, and health shocks like cerebral thrombosis and cerebral hemorrhage will indirectly lead to the risk of individual ADL disability. Furthermore, among the multi-dimensional indicators of SES, individual income and education are predominant factors affecting health shock and ADL disability, while occupation of pre-retirement have little impact.
Highlights
Socioeconomic status (SES) is one of the important indicators affecting individual’s social participation and resource allocation, and it plays an important role in the health shock of individuals
SES is an important factor influencing residents’ health shock, and health shocks like cerebral thrombosis and cerebral hemorrhage will indirectly lead to the risk of individual activities of daily living (ADL) disability
Socioeconomic status and ADL disability of China (71904167;42001179) awarded to Dr Huan Liu and Dr Meng Wang, Natural Science Foundation of Zhejiang Province (LQ20G030018) awarded to Dr Meng Wang, The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript
Summary
Socioeconomic status (SES) is one of the important indicators affecting individual’s social participation and resource allocation, and it plays an important role in the health shock of individuals. Another view is that the health level of older adults will adversely affect their social participation or SES [14,15,16,17,18,19,20,21] By overviewing these studies, it can be found that there are few studies focusing on the effect path of ADL disability that caused by the health shock of older adults, and from a perspective of SES. Based on the perspective of SES, the exploring of the health shock and ADL disability of the older adults is a supplement to the existing theories, and provides important support for formulating or improving social governance policies, which are insightful both in theory and practice
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