Age In China Research Articles

In the Context of Integrated Healthcare and Nursing Services, the Study Explores the Production Dilemmas and Optimization of End-of-life Care Services in the Context of Aging Population in Guangxi - based on a Survey of an End-of-life Care Pilot Project i

With the continuous deepening of China's aging population, the number of the elderly has been increasing, and the mortality rate has been rising year by year. At the end of life, people often face psychological fear and physical pain. End-of-life care plays an important role in improving the quality of life of the elderly at the end of life. End-of-life care is an extremely important link in integrated healthcare and nursing services, and it is also an effective measure promoted by the state to cope with aging population. It aims to provide end-of-life care for the elderly in China and ensure the last leg of their life journey. This study takes an end-of-life care pilot project in Guangxi as an example and conducts a field survey on the implementation of end-of-life care services in relevant nursing homes. It also conducts semi-structured interviews with 13 end-of-life care workers and analyzes the data using Nvivo software. The study aims to explore the production dilemmas of end-of-life care services in the context of integrated healthcare and nursing services and propose relevant optimization measures.

Asthma and eye diseases in middle-aged and elderly Chinese: A comprehensive analysis of CHARLS data.

With China's aging population, the incidence of eye diseases is increasing, leading to urgent concerns about visual impairment and blindness. The cause-and-effect relationship between asthma and eye diseases in the Chinese population remains unclear. This study aimed to investigate the link between asthma and eye-related diseases, including cataracts and glaucoma, among Chinese adults. This study utilized data from the 4th wave of the China Health and Retirement Longitudinal Survey conducted in 2018, involving 19,816 Chinese participants. We first described baseline characteristics, then constructed 5 logistic regression models to study the relationship between asthma and eye diseases in the Chinese context. Additionally, subgroup analyses were performed with selected variables. Across 5 models adjusting for covariates, we found that asthma was significantly associated with cataracts (odds ratios [95% confidence intervals]: 1.36 [1.01-1.79], P = .034) and glaucoma (odds ratios [95% confidence intervals]: 1.92 [1.46-2.49], P < .001). Subgroup analyses revealed that Chinese women, former smokers, or drinkers were at higher risk of developing cataracts (all P < .001), while those aged ≤ 60 years were at higher risk of developing glaucoma (P < .001). Our study provides possible observational evidence linking asthma to cataracts, glaucoma, and visual impairment in the Chinese population. These findings are crucial for disease prevention strategies in China's healthcare system.

Gender differences in the association between inter-generational interaction and depressive symptoms among Chinese older adults

BackgroundInter-generational interaction is a carrier of Chinese traditional culture, and it can exert important influence on the depressive symptoms on Chinese older adults. The study aims to analyze gender differences in the association between inter-generational interaction and depressive symptoms among Chinese older adults and explore factors contributing to the differences.MethodData from China Family Panel Studies in 2020 were used. Depressive symptoms were assessed using the 8-item Center for Epidemiologic Studies Depression Scale. The latent class analysis was applied to identify patterns of inter-generational interaction of older adults (aged 60 and above). Before the comparison between older man and older woman, we used Coarsened Exact Matching to control confounding factors and improve causal inferences. Multiple linear regression was conducted to explore the association between inter-generational interaction and depression symptoms. Oaxaca-blinder decomposition method was used to analyze the gender difference and the sources.ResultOur study identified three types of inter-generational interaction: detached, nearby but discordant and two-way tight-knit. Analysis indicated that most of older man (54.39%) and older woman (49.78%) were in the type of nearby but discordant. Older man and older woman who in detached type had higher depression scores than other types, and the depression score of two-way tight-knit type accounted for 12.42 and 13.77 respectively. Our findings demonstrated that two-way tight-knit type (-11.89%) significantly decreased the gender differences in the depression symptoms. Other major contributors also included living without spouse (20.56%), primary school and junior middle school (15.95%), higher middle school and above (9.50%) and no illness for two weeks (47.70%).ConclusionOur study highlighted three patterns of inter-generational interaction, and most of older man and older woman were in the pattern of nearby but discordant. In addition, the two-way tight-knit pattern significantly can decrease gender differences in depression symptoms. The contributors should be taken into account in more targeted intervention strategies for narrowing gender differences in the depression symptoms, which could achieve a gender dividend in the era of China's aging population.

China's Age of Counterreform

ABSTRACT: China is steadily sliding deeper into the counterreform era. Economically, it is slowing down. Ideologically, it is closing up. Politically, it is steadily pivoting back toward personalistic one-man rule. As these trends deepen, Beijing's leaders are erasing core elements of both the reform and revolutionary eras, reviving ruinous Maoist governance practices of the 1950s, and turning back to China's imperial history in an effort to build a new ideological foundation for their authoritarian rule. Far from paving the way for China's twenty-first-century rise, Beijing's counterreforms are exacerbating its structural problems, weakening the nation and undermining its stability.

Study on Actively Coping with Population Aging in Dalian Lushunkou District

Health and longevity are the eternal pursuit of human development. The report of the 20th National Congress emphasized: "Implement a national strategy to actively respond to population aging and develop the elderly care industry". It is estimated that during the "14th Five-Year Plan" period, the number of elderly people aged 60 and above in my country will exceed 300 million, and my country will enter a moderate aging stage from a mild aging stage. Population aging has brought several practical challenges to social and economic development. How to judge China's aging situation? How to respond to the challenges of aging? How to ensure and improve the quality of life and life of the elderly? These issues have become the focus of attention from all walks of life. Therefore, we must recognize aging, grasp aging, and use aging to serve my country's modernization construction.

The Impact of Population Aging from the Perspective of New Productive Forces: Empirical Evidence from 30 Provinces in China

The new quality productive forces are the important means to promote the high quality of Chinese economic development, which is driven by the innovation of science and technology, the layout of new industries and the development of regional links. In the context of China's aging, it is significant to research the influence of the aging population on the NQHP. Based on the data of 30 Chinese provinces between 2010 and 2022, this paper discusses the influence of population aging on NQF in China. The paper found that population aging hurts new quality productivity. The effect of population aging on NQF has the feature of regional heterogeneity, and the biggest negative influence on NQF is the eastern area, and the second is the northeastern area. In the middle and west area, the aging of the population has no negative influence on the new quality productive forces, and it has an obvious positive influence. By means of the intermediary mechanism, we find that the aging population can inhibit the growth of NQF by decreasing the proportion of TPL.

J-shaped relationship between Chinese visceral adiposity index and hyperuricemia: a cross-sectional study

BackgroundRecent years have seen the emergence of numerous novel indicators for visceral obesity. This study investigates the potential correlation between the Chinese visceral adiposity index (CVAI) and hyperuricemia (HUA).MethodsThis research, derived from a 2011 cross-sectional analysis in Dalian, China, employed restricted cubic spline (RCS) plots to identify inflection points. Subsequently, one-way and multifactorial logistic regression models were utilized, with HUA as the outcome variable. Additionally, subgroup analyses and interaction tests were conducted. Eventually, receiver operating characteristic (ROC) curves were calculated to assess the effectiveness of CVAI and other body composition indices in predicting HUA.ResultsThe study included 10,061 individuals, with a HUA prevalence of 14.25%. Significant relationships with HUA were observed for CVAI. RCS analysis revealed a J-shaped relationship between CVAI and HUA. Compared to those in the low CVAI category, HUA was notably associated with individuals in the high CVAI category in multifactorial logistic regression (OR = 2.661, 95% CI: 2.323, 3.047). Subgroup analyses demonstrated stronger relationships in women, participants without hypertension, and participants without diabetes. Additional modeling via ROC curves suggested that the CVAI may offer effective predictive value for HUA.ConclusionThis study confirmed that an elevated CVAI elevates the risk of HUA in middle-aged and elderly populations in the Dalian community. The findings advance obesity prevention strategies that mitigate HUA risk and support healthcare initiatives for China's aging population.

Research on the Protection of Labor Rights and Interests of Retirees' Re-employment

With the deepening of the development of China's aging society, the insufficient supply of the labor market has become increasingly apparent. The protection of the labor rights and interests of retirees in their re-employment can effectively respond to the strategic requirements of active aging, which is in line with the principle of respecting labor and opposing discrimination. Specific measures can be taken to clarify the labor subject status of the elderly retirees, improve the system of receiving and issuing pensions, clarify the composition of the labor remuneration of the retired re-employed personnel and protect it reasonably, establish a special labor safety system, and improve the protection of the labor rights and interests of the retired re-employed personnel with the collective protection of trade unions.

Time trends in the mortality of testicular cancer across the BRICS: an age-period-cohort analysis for the GBD 2019

Testicular cancer (TCa) is a rare but impactful malignancy that primarily affects young men. Understanding the mortality rate of TCa is crucial for improving prevention and treatment strategies to reduce the risk of death among patients. We obtained TCa mortality data by place (5 countries), age (20–79 years), and year (1990–2019) from the Global Burden of Disease Study 2019. Age-period-cohort model was used to estimate the net drift, local drift, age effects, period and cohort effects. In 2019, the global mortality of TCa increased to 10842 (95% UI 9961, 11902), with an increase of 50.08% compared to 1990.The all-age mortality rate for TCa in 2019 increased from 0.17/100,000 (95% UI 0.13, 0.20) in China to 0.48/100,000 (95% UI 0.38, 0.59) in Russian Federation, whereas the age-standardized mortality rate in 2019 was highest in the South Africa 0.47/100,000 (95% UI 0.42, 0.53) and lowest in the China 0.16/100,000 (95% UI 0.13, 0.19). China's aging population shifts mortality patterns towards the elderly, while in Russian Federation, young individuals are primarily affected by the distribution of deaths. To address divergent TCa mortality advancements in BRICS countries, we propose a contextually adaptive and resource-conscious approach to prioritize TCa prevention. Tailoring strategies to contextual diversity, including policy frameworks, human resources, and financial capacities, will enhance targeted interventions and effectiveness in reducing TCa mortality.

A Study of Employees' Willingness to Delay Retirement from an Industry Perspective

In recent years, due to China's aging population, pension insurance payment tension and other factors combined with China's specific employment situation, delayed retirement has gradually become one of the hot topics in all walks of life. The implementation of delayed retirement policy is an important task put forward by the Third and Fifth Plenary Sessions of the 18th Central Committee, and delaying the retirement age has been the general trend in China. The introduction and implementation of the policy of delayed retirement age involves the personal interests of employees in various industries, and the willingness of employees engaged in different jobs to delay retirement is an essential public opinion criterion for the introduction of the policy, and it will directly affect the specific implementation of the delayed retirement policy. For this reason, this paper will be based on the background of different industries to explore the willingness of employees to delay retirement research, will delay the implementation of the policy in different sectors of the resistance to materialization, for policy makers and business managers to provide scientific reference.

Self-Presentation of Elderly Internet Celebrity on Douyin in China

With the rapid development of mass media and an increase the aging population in China,more elderly people are actively using the internet. Douyin, owned by ByteDance, is one of the fastest growing apps in China. Many elderly users use this app for entertainment and information sharing. Currently, there is an emergency of several elderly internet celebrities.The study investigated how elderly internet celebrities in China used short videos to present themselves and shape their image on Douyin. The study employs literature analysis and content analysis to analyzes the content of short videos of 10 elderly internet celebrities on Douyin. The study summarized the self-presentation characteristics of elderly internet celebrities,dismissed stereotypes regarding elderly people and recommended new ideas and paths for the governance of China's aging society.

Hearing loss prevalence and burden of disease in China: Findings from provincial-level analysis.

Without timely and effective rehabilitation, hearing loss may profoundly affect human life quality. China has a large population of hearing-impaired individuals, which imposes a heavy health burden on society. Moreover, this population is projected to increase rapidly owing to China's aging society. We used data from a population-representative epidemiological investigation of hearing loss and ear diseases in four Chinese provinces. We estimated the national prevalence using multiple linear regression of the age-group proportions and prevalence in 31 provinces with clustering analysis. We used years lived with disability (YLDs) to analyze the disease burden and forecasted the prevalence of hearing loss by 2060 in China. An estimated 115 million people had moderate-to-complete hearing loss in 2015 across the 31 provinces of China (8.4% of 1.37 billion people). Of these, 85.7% were older than age 50years (99 million people) and 2.4% were younger than 20years old (2.8 million people). Of all YLDs attributable to hearing loss, 68.9% were attributable to moderate-to-complete cases. By 2060, a projected 242 million people in China will have moderate-to-complete hearing loss, a 110.0% increase from 2015. The hearing loss prevalence in China is high. Population aging and socioeconomic factors substantially affect the prevalence and severity of hearing loss and the disease burden. The prevalence and severity of hearing loss are unevenly distributed across different provinces. Future public health policies should take these trends and regional variations into account.

THEORETICAL AND PRACTICAL RESEARCH ON CHINA'S RESPONSE TO POPULATION AGING IN THE NEW ERA

Population aging is an important trend of social development. At present, China is in the largest aging process in history, catching up with or even surpassing the aging speed of Western countries in the rapid evolution, with many pressures and challenges under the complex internal and external environment. China has put forward a series of new theories, new ideas and new strategies on the work of aging, forming a theoretical system with rich connotation, complete system and strict logic, which guides the practice of the Chinese government to deal with population aging. This paper deeply analyzes the relevant theoretical basis, analyzes the current situation, characteristics and causes of China's aging, and summarizes the practice of China's innovative response to aging since 2010, in order to provide valuable experience for the rest of the world to deal with aging.

Study on the Impact of Children's Economic Support on Social Participation of Urban and Rural Elderly People

With the acceleration of China's aging population and the significant problem of fewer children, this study aims to explore the phenomenon of neglecting the social participation status of the elderly. To this end, the 2018 China Health and Elderly Care Tracking Survey was adopted. Using CHARLS data and STATA data analysis method to study the impact of children's economic support on the social participation of elderly people. The research results indicate that children's economic support has a significant positive impact on the social participation of the elderly, and this result is tested for endogeneity and robustness. The heterogeneity test between urban and rural areas shows that the positive impact of children's economic support on social participation of rural elderly is higher than that of urban elderly; Gender heterogeneity test shows that children's economic support has a positive impact on female social participation. Research has found that female participation has a higher positive impact than male participation. In addition, for elderly people who do not take care of their grandchildren, the economic support of their children has a significant negative impact on their social participation, while the positive impact on elderly people who take care of their grandchildren is not significant. The research in this article helps to clarify the actual impact of children's economic support on the social participation of the elderly, and improve the implementation effect of active aging policies.

Analysis of the Impact of Population Aging on the Economy and Countermeasures —— Take China as an Example

Since the reform and opening up, China's population aging has gradually deepened, and nowadays, population aging has become one of the most concerned issues for China's economic development. Therefore, the research theme of this paper is the current situation and development trend of population aging in China and specifically analyzes the impact of population aging on economic development in terms of labor supply, employment, and investment. The research methods of this paper are literature analysis and data analysis. It is found that the proportion of China's aging population in the total population is already greater than 16.7%, and it will accelerate in the future. And the rise of the aging population has different degrees of negative impacts on labor supply, employment, and investment, and has an inhibitory effect on economic development. Therefore, this paper suggests that in the face of the challenge of population aging, the state can increase the investment in human capital, encourage enterprises to innovate, and improve production performance through new technologies. Rational use of the demand generated by aging, and the development of the service industry to increase employment.

Do income-welfare satisfaction and competency enhance work engagement among Chinese nursing home caregivers? ——A moderated mediating effect based on professional identity

Due to China's aging population, there is a high demand for elderly care that is further exacerbated by the shortage of well-trained caregivers and high turnover rates in nursing homes, urgently requiring enhanced work engagement of caregivers. This study used structural equation modeling based on the survey data of Chinese caregivers in nursing homes to explore the association among income-welfare satisfaction, competency, professional identity, family support and work engagement. Findings indicated that (1) income-welfare satisfaction, competency, and professional identity all enhanced caregivers’ work engagement, with professional identity being stronger. (2) Professional identity partially mediated the effects of income-welfare satisfaction and competency on work engagement, with higher values and shares of competency. (3) When family support was high, the positive effect of income-welfare satisfaction on professional identity was significant, and the mediating role of professional identity between income-welfare satisfaction and work engagement was moderated by family support.

Pathophysiology characterization of Alzheimer's disease in South China's aging population: for the Greater-Bay-Area Healthy Aging Brain Study (GHABS).

The Guangdong-Hong Kong-Macao Greater-Bay-Area of South China has an 86million population and faces a significant challenge of Alzheimer's disease (AD). However, the characteristics and prevalence of AD in this area are still unclear due to the rarely available community-based neuroimaging AD cohort. Following the standard protocols of the Alzheimer's Disease Neuroimaging Initiative, the Greater-Bay-Area Healthy Aging Brain Study (GHABS) was initiated in 2021. GHABS participants completed clinical assessments, plasma biomarkers, genotyping, magnetic resonance imaging (MRI), β-amyloid (Aβ) positron emission tomography (PET) imaging, and tau PET imaging. The GHABS cohort focuses on pathophysiology characterization and early AD detection in the Guangdong-Hong Kong-Macao Greater Bay Area. In this study, we analyzed plasma Aβ42/Aβ40 (A), p-Tau181 (T), neurofilament light, and GFAP by Simoa in 470 Chinese older adults, and 301, 195, and 70 had MRI, Aβ PET, and tau PET, respectively. Plasma biomarkers, Aβ PET, tau PET, hippocampal volume, and temporal-metaROI cortical thickness were compared between normal control (NC), subjective cognitive decline (SCD), mild cognitive impairment (MCI), and dementia groups, controlling for age, sex, and APOE-ε4. The prevalence of plasma A/T profiles and Aβ PET positivity were also determined in different diagnostic groups. The aims, study design, data collection, and potential applications of GHABS are summarized. SCD individuals had significantly higher plasma p-Tau181 and plasma GFAP than the NC individuals. MCI and dementia patients showed more abnormal changes in all the plasma and neuroimaging biomarkers than NC and SCD individuals. The frequencies of plasma A+/T+ (NC; 5.9%, SCD: 8.2%, MCI: 25.3%, dementia: 64.9%) and Aβ PET positivity (NC: 25.6%, SCD: 22.5%, MCI: 47.7%, dementia: 89.3%) were reported. The GHABS cohort may provide helpful guidance toward designing standard AD community cohorts in South China. This study, for the first time, reported the pathophysiology characterization of plasma biomarkers, Aβ PET, tau PET, hippocampal atrophy, and AD-signature cortical thinning, as well as the prevalence of Aβ PET positivity in the Guangdong-Hong Kong-Macao Greater Bay Area of China. These findings provide novel insights into understanding the characteristics of abnormal AD pathological changes in South China's older population.

Unraveling the Impact of Widowhood Duration on Depression: Does Time Heal All Wounds?

China's aging population has witnessed a surge in widowed older adults, raising concerns about their mental health. Losing a spouse is a profoundly distressing experience with enduring effects on well-being. Despite the proverbial belief in time's healing power, existing studies often neglect the potential decline in depressive symptoms during widowhood. Drawing data from the 2015 and 2018 China Health and Retirement Longitudinal Study, this study delved into the impact of widowhood duration on depression among 8370 older adults and uncovered significantly higher depression scores among widowed individuals, particularly in the initial three years. This study revealed that widowhood contributes to heightened depression levels even after accounting for sociodemographic factors. Although the depressive impact lessens over time, it persists beyond three years, underscoring the need for heightened awareness and support for this vulnerable population.

Biomaterial design for regenerating aged bone: materiobiological advances and paradigmatic shifts.

China's aging demographic poses a challenge for treating prevalent bone diseases impacting life quality. As bone regeneration capacity diminishes with age due to cellular dysfunction and inflammation, advanced biomaterials-based approaches offer hope for aged bone regeneration. This review synthesizes materiobiology principles, focusing on biomaterials that target specific biological functions to restore tissue integrity. It covers strategies for stem cell manipulation, regulation of the inflammatory microenvironment, blood vessel regeneration, intervention in bone anabolism and catabolism, and nerve regulation. The review also explores molecular and cellular mechanisms underlying aged bone regeneration and proposes a database-driven design process for future biomaterial development. These insights may also guide therapies for other age-related conditions, contributing to the pursuit of 'healthy aging'.

Current status and challenges of immunotherapy for multiple myeloma

Multiple myeloma (MM) is the second most common hematologic malignancy and the incidence of MM in mainland China in 2016 was 1.15/100 000.With the development of China's aging society, the incidence of MM is expected to increase year by year. Immunotherapy for MM has become the fourth pillar of therapy after autologous hematopoietic stem cell transplantation, immunomodulators, and proteasome inhibitors, and is the most active area of MM treatment. Nine new drugs have been approved for multiple myeloma treatment in China, and three are expected to be approved in 2024, which will focus on immunotherapy. There are many ambiguities about the current status of research and utilization in this emerging field in China. Determining the optimal integration of these therapies into the treatment regimen for Chinese MM patients constitutes a critical challenge for clinicians. Immunotherapy for MM primarily encompasses two major categories: antibody-based drug therapy and cellular immunotherapy. Antibody-based medications primarily include monoclonal antibodies, T-cell engagers, IgG-like bispecific antibodies, and trispecific antibodies. Cellular immunotherapy mainly consists of chimeric antigen receptor T (CAR-T) cells, as well as other immune cells such as chimeric antigen receptor natural killer (CAR-NK) cells, dendritic cells, T cell receptor-engineered T cells, and peptide vaccines.This article mainly focuses on the current research status and existing issues of the aforementioned immunotherapy methods, with the aim of providing references for the treatment of MM.