Health disparity and cancer health disparity in China

Wang, Qi; Jiao, Jie

doi:10.4103/2347-5625.195899

Cited by 12 publications

(6 citation statements)

References 53 publications

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“…The positive cancer information‐seeking experience (e.g. good quality of cancer information that is easy to find and understand) can help narrow the information access inequity and health disparity in China (Wang & Jiao, 2016).…”

Section: Discussionmentioning

confidence: 99%

Few changes shown in cancer information‐seeking behaviour among young adults in China between 2012 and 2017

Jiang

Liu

2021

Health Info Libraries J

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Background: The increasing incidence of cancer among young adults (18-40 years old) is of concern in China. Objectives: This study aims to examine the influence of cancer information-seeking behaviours (CISB) on young adults' worries about cancer and participation in screening. Methods: This study analysed data from two probability sample surveys conducted in 2012 and 2017 in China. The questions in the questionnaire remained the same for better comparison. The sample size was 1212 in the 2012 survey, and 2178 in the 2017 survey.Results: From 2012 to 2017, among young adults, there was a decline in cancer information seeking, diversity of cancer information sought and cancer worry, while an improvement in cancer information-seeking experience was found. Also, CISB had significant associations with cancer worry and health screening over the 5 years. Discussion: The level of young adults' cancer information seeking remains low in China, and this group is not fully aware of their potential risks of getting cancer. Conclusion:Although young adults find the experience of looking for cancer information easier in 2017, health campaigns may be necessary to encourage young adults to find out more about their cancer risks, and to participate more in health screening.

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Section: Discussionmentioning

confidence: 99%

Few changes shown in cancer information‐seeking behaviour among young adults in China between 2012 and 2017

Jiang

Liu

2021

Health Info Libraries J

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“…In China, these functions are still widely used and effective for improving health. (2) The mediating effect of internet use on urban-rural disparities in health is explained by a digital divide between urban and rural areas. Owing to China's dual urban-rural system, this digital gap is still large.…”

Section: Limitationsmentioning

confidence: 99%

“…Over the past few decades, China has witnessed rapid economic and social developments. However, the disproportional development between urban and rural areas has plagued the Chinese government and brought unexpected consequences from a public health perspective [1,2]. People residing in rural areas have limited health care services and poor health outcomes compared with their urban counterparts.…”

Section: Introductionmentioning

confidence: 99%

Mediating and Moderating Effects of Internet Use on Urban-Rural Disparities in Health Among Older Adults: Nationally Representative Cross-Sectional Survey in China

Liu,

Peng,

Chen

et al. 2023

J Med Internet Res

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Background The urban-rural disparities in health outcomes in China are remarkable. The internet has shown the potential to reduce the likelihood of contracting a disease by increasing disease knowledge. However, little is known about the effects of internet use in alleviating health inequities between urban and rural areas. Objective This study aimed to examine the mediation and moderation of health disparities between urban and rural older adults through internet use. Methods A total of 8223 respondents were selected from the China Health and Retirement Longitudinal Study 2018 data set. Basic activities of daily living, a brief Community Screening Instrument for Dementia, and the Centre for Epidemiologic Studies Depression Scale were used to measure functional disability, cognitive function, and depressive symptoms, respectively. Logistic regressions testing “internet use×urban-rural status” interactions for moderation and Karlson-Holm-Breen decomposition for mediation were performed. Results Internet use moderated the urban-rural disparities in cognitive function (odds ratio 7.327, 95% CI 3.011-17.832) and depressive symptoms (odds ratio 1.070, 95% CI 1.037-1.787), but the moderating effects were significant only for those using the internet daily. Karlson-Holm-Breen results showed the suppression effects of using the internet daily (β=.012, 95% CI .002-.021) on the association between urban-rural status and cognitive function. The urban-rural inequality in depressive symptoms was partially attributed to the disparity in internet use (β=−.027, 95% CI −.043 to −.009). Conclusions The urban-rural inequalities in mental health are partially attributable to disparities in the prevalence of internet use between the 2 groups. However, using the internet is more beneficial for the psychological health of rural users, thereby alleviating the urban-rural disparities in health. Providing convenient channels for rural older adults to use the internet, improving the ability of rural users to effectively use the internet, and promoting internet popularity in rural areas are effective approaches to reducing urban-rural health inequalities.

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“…Firstly, there are many cases in which family caregivers have either no opportunity or no time to leave people with dementia alone at home and there are no care support groups nearby [ 15 , 16 ]. Secondly, the ratio of health professionals to population is low, so delivering care support services in an individualized face-to-face manner is less possible [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

An individualized telephone-based care support program for rural family caregivers of people with dementia: study protocol for a cluster randomized controlled trial

Wang

Xiao

et al. 2021

BMC Geriatr

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Background There are about 9.5 million people with dementia in China. Up to 99% of them are cared for by their family caregivers. Family caregivers are confronted with considerable difficulties and challenges while providing care. They often experience high levels of emotional, physical, financial, and social burdens. Caregivers in rural areas experience an even higher level of burden compared to their counterparts in urban areas due to fewer health resources for dementia care. However, so far, no intervention study has been conducted to support family caregivers in rural areas of China. The aim of this proposed study is to adapt and evaluate an evidence-based and culturally-tailored individualized telephone-based care support (ITBCS) program for family caregivers of people with dementia in rural China. Methods A cluster randomized controlled trial (RCT) will be conducted to evaluate the effectiveness of the ITBCS compared with usual care for Chinese rural family caregivers of people with dementia. A total sample of 168 rural family caregivers will be recruited. The intervention components consist of a 3-month intensive telephone-based care support intervention followed by telephone-based follow-up consultations for 6 months. The control group will receive usual care services available for them. Outcome measures include carers’ subjective burden, depressive symptoms, health-related quality of life, social support, caregiving self-efficacy, and care recipients’ difficult behaviours and competence in activities of daily living at 3, 9 and 15 months after baseline. The potential cost-effectiveness of the ITBCS compared with usual care will be assessed as well. Discussion If effective, the ITBCS program can be adapted and used in rural areas of China as a blueprint to improve the quality of home-based care for people with dementia. Findings from the present study are significant for developing evidence-based dementia care policy in rural China. Trial registration Chinese Clinical Trial Registry, ChiCTR2000038821, Registered 4 April 2020, http://www.chictr.org.cn/showprojen.aspx?proj=62268.

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Health disparity and cancer health disparity in China

Cited by 12 publications

References 53 publications

Few changes shown in cancer information‐seeking behaviour among young adults in China between 2012 and 2017

Few changes shown in cancer information‐seeking behaviour among young adults in China between 2012 and 2017

Mediating and Moderating Effects of Internet Use on Urban-Rural Disparities in Health Among Older Adults: Nationally Representative Cross-Sectional Survey in China

An individualized telephone-based care support program for rural family caregivers of people with dementia: study protocol for a cluster randomized controlled trial

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