The literature on rural-urban health disparities have mostly focused on de facto rural/urban differences, and its intersections with de jure rural-urban divide are less understood. This research provides a comprehensive investigation of how the intersection of rural\urban residence and rural \urban household registration (hukou) status is associated with a range of health outcomes in later life. We investigate major mechanisms in accounting for these health disparities across the life span. Results show that rural hukouers in rural areas were exposed to highest level of hardships and adversities throughout life and are disadvantaged in a variety of health measures. In urban areas, those who have obtained urban hukou are better off than rural hukouers in psychological well-being but have higher risks of diabetes. These differences are mainly explained by disparities in socioeconomic status between the two groups. We discuss these results in a life course perspective and in the context of China's unique social, economic, and political settings.
Background and Objectives Social media communication offers a medium for helping older people stay socially and emotionally connected with others. This study investigated the association between social media communication with close social ties and loneliness among community-dwelling older adults. The study also examined the mediating roles of social support and social contact. Research Design and Methods Four waves of data from the Health and Retirement Study (2010/2012 and 2014/2016) were used to address the research questions (N = 7,524). A path model was estimated to examine the association between social media communication and older adults’ loneliness. We also examined whether the association between social media communication and loneliness was mediated by perceived social support from close social ties (children, other family members, and friends) and frequency of contact with social network members (phone, in-person contact, and writing letters/e-mail). Results The results showed that frequent social media communication was associated with lower levels of loneliness, adjusting for previous levels of loneliness. The relationship between social media communication and loneliness was mediated by perceived social support and social contact. Thus, social media communication was associated with higher levels of perceived social support and social contact, which were related to lower levels of loneliness among older adults. Discussion and Implications These findings suggested that social media communication may be considered an intervention to reduce loneliness among older people by increasing levels of social support and social contact.
Previous research on segregation and health has been criticized for overlooking the fact that segregation is a multi-dimensional concept (i.e., evenness, exposure, concentration, centralization, and clustering) and recent evidence drawn from non-black minorities challenges the conventional belief that residential segregation widens racial health disparities. Combining a survey data (n=18,752) from Philadelphia with the 2010 Census tract (n=925) data, we examine two theoretical frameworks to understand why the association of segregation with health may differ by race/ethnicity. Specifically, we investigate how each dimension of segregation contributed to racial disparities in self-rated health. We found (1) high levels of white/ black concentration could exacerbate the white/black health disparities up to 25 percent, (2) the white/Hispanic health disparities was narrowed by increasing the level of white/Hispanic centralization, and (3) no single dimension of segregation statistically outperforms others. Our findings supported that segregation is bad for blacks but may be beneficial for Hispanics.
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