Social exclusion, self-rated health and depression among older people in China: evidence from a national survey of older persons

Zhixin FENG, Kelvyn JONES, David PHILLIPS

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

Abstract

Background
It is well established that social exclusion is a key social determinant of health; however, such association between social exclusion and health outcomes among older people remain a relatively under-researched area. This paper explores the effects of four dimensions of social exclusion on self-rated health and depression among older people in China.

Methods
This paper includes 8,038 individuals aged 60 and over from the first wave national multi-stage probability sample (2014) from the China Longitudinal Aging Social Survey (CLASS). Descriptive univariate information for individual variables and four dimensions of social exclusion are presented. Multinomial and binary logistic regression models are used to examine the associations between social exclusion and self-rated health and depression.

Results
Older people who were in the lower level of exclusion from social relationships or subjective feelings of exclusion were significantly less likely to report fair or poor self-rated health than people in the higher level of exclusion (lower level of exclusion from social activities was significantly associated with being less likely to report poor SRH only). Older people who were in the lower level of subjective feeling of exclusion or exclusion from financial products were significantly less likely to report depression.

Conclusions
Different dimensions of social exclusion have different effects on self-rated health and depression. Social policies need to reflect this and efforts of services could usefully be oriented to prevent multi-dimensions of social exclusion. Ultimately, such policies should have the potential to enhance the health of older people in China.
Original languageEnglish
Pages (from-to)238-244
Number of pages7
JournalArchives of Gerontology and Geriatrics
Volume82
Early online date25 Feb 2019
DOIs
Publication statusPublished - May 2019

Fingerprint

China
exclusion
Depression
Health
health
evidence
Emotions
Logistic Models
Social Determinants of Health
Sampling Studies
Public Policy
Surveys and Questionnaires
logistics
determinants
regression

Keywords

  • China
  • Depression
  • Self-rated health
  • Social exclusion

Cite this

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title = "Social exclusion, self-rated health and depression among older people in China: evidence from a national survey of older persons",
abstract = "BackgroundIt is well established that social exclusion is a key social determinant of health; however, such association between social exclusion and health outcomes among older people remain a relatively under-researched area. This paper explores the effects of four dimensions of social exclusion on self-rated health and depression among older people in China.MethodsThis paper includes 8,038 individuals aged 60 and over from the first wave national multi-stage probability sample (2014) from the China Longitudinal Aging Social Survey (CLASS). Descriptive univariate information for individual variables and four dimensions of social exclusion are presented. Multinomial and binary logistic regression models are used to examine the associations between social exclusion and self-rated health and depression.ResultsOlder people who were in the lower level of exclusion from social relationships or subjective feelings of exclusion were significantly less likely to report fair or poor self-rated health than people in the higher level of exclusion (lower level of exclusion from social activities was significantly associated with being less likely to report poor SRH only). Older people who were in the lower level of subjective feeling of exclusion or exclusion from financial products were significantly less likely to report depression.ConclusionsDifferent dimensions of social exclusion have different effects on self-rated health and depression. Social policies need to reflect this and efforts of services could usefully be oriented to prevent multi-dimensions of social exclusion. Ultimately, such policies should have the potential to enhance the health of older people in China.",
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Social exclusion, self-rated health and depression among older people in China: evidence from a national survey of older persons. / FENG, Zhixin; JONES, Kelvyn; PHILLIPS, David.

In: Archives of Gerontology and Geriatrics, Vol. 82, 05.2019, p. 238-244.

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

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AB - BackgroundIt is well established that social exclusion is a key social determinant of health; however, such association between social exclusion and health outcomes among older people remain a relatively under-researched area. This paper explores the effects of four dimensions of social exclusion on self-rated health and depression among older people in China.MethodsThis paper includes 8,038 individuals aged 60 and over from the first wave national multi-stage probability sample (2014) from the China Longitudinal Aging Social Survey (CLASS). Descriptive univariate information for individual variables and four dimensions of social exclusion are presented. Multinomial and binary logistic regression models are used to examine the associations between social exclusion and self-rated health and depression.ResultsOlder people who were in the lower level of exclusion from social relationships or subjective feelings of exclusion were significantly less likely to report fair or poor self-rated health than people in the higher level of exclusion (lower level of exclusion from social activities was significantly associated with being less likely to report poor SRH only). Older people who were in the lower level of subjective feeling of exclusion or exclusion from financial products were significantly less likely to report depression.ConclusionsDifferent dimensions of social exclusion have different effects on self-rated health and depression. Social policies need to reflect this and efforts of services could usefully be oriented to prevent multi-dimensions of social exclusion. Ultimately, such policies should have the potential to enhance the health of older people in China.

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