The dynamic relationship between subjective social status and health: Evidence from a Chinese cohort study

Wang, Yanshang; Hu, Mingzheng; Ding, Ruoxi; He, Ping

doi:10.1111/bjhp.12608

Cited by 9 publications

(8 citation statements)

References 81 publications

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“…Our research focused on subjective SES, perceived mobility of SES, and mobility expectation of SES and these are represented by the self-rated current SES. Besides subjective SES, we also took perceived social mobility of SES and perceived social mobility expectation of SES as the independent variables because social mobility could be used to assess the fairness of the society and is closely related to health [ 50 ]. Though the SES variables did not significantly predict trust in the regression models, subjective SES and SES upward mobility expectation were significantly related to trust in the healthcare systems.…”

Section: Discussionmentioning

confidence: 99%

“…Invidious upward social comparisons would lead to perceived relative deprivation, which is negatively associated with self-rated health in both urban and rural older people [ 52 ]. Current studies based on a large-scale survey, such as China Family Panel Studies, also showed that subjective social status was correlated with health, personal relative deprivation had negative effects on the health of the Chinese population, and individuals with high expected mobility were found to have significantly better health [ 50 ]. Our research further verified that low subjective SES and low mobility expectation of SES led to low trust in the healthcare system.…”

Section: Discussionmentioning

confidence: 99%

“…The second set is self-rated socio-economic status (SES) variables, including upward subjective SES, perceived mobility of SES, and mobility expectation of SES. Subjective SES refers to a person’s self-perceived current status in the social status hierarchy [ 50 ]. In this study, we used self-rated current SES to represent subjective SES.…”

Section: Methodsmentioning

confidence: 99%

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Exploring Chinese Elderly’s Trust in the Healthcare System: Empirical Evidence from a Population-Based Survey in China

Chen

Cheng

2022

IJERPH

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This research aims to investigate how much the Chinese elderly trust the healthcare system and the critical factors that influence their trust. We use data from the China Social Survey (CSS) collected by the Chinese Academy of Social Sciences in the year 2019 to examine how demographic factors, social-economic status, internet access, and perceptions of the healthcare system impact the Chinese elderly’s trust in the healthcare system. Our research finds male gender, high educational level, and having internet access are negatively related to the elderly’s trust in the healthcare system. Our research also reveals that the elderly’s trust in the healthcare system was significantly related to their subjective perception of their social–economic status, upward mobility, and perception of accessibility and affordability rather than other objective indicators such as income and financial protection. The results imply that the elderly have a pessimistic expectation of their subjective social status and future possibilities of upward mobility in their later life, which deepens their distrust of the health system. Additionally, the accessibility and affordability of the healthcare system have remained problematic among the Chinese elderly. The study provides important theoretical and practical implications to enhance the elderly’s trust in the healthcare system.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Exploring Chinese Elderly’s Trust in the Healthcare System: Empirical Evidence from a Population-Based Survey in China

Chen

Cheng

2022

IJERPH

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“…For the 2010 CFPS, a multistage probability distribution was used to stratify the sample. As a result, five provinces/regions (Gansu, Guangdong, Henan, Liaoning, and Shanghai) were selected for initial over-sampling (1600 households in each, or an aggregate of 8000) to obtain regional comparisons, and another 8000 households were selected by weighting from the remaining provinces/regions to make the overall CFPS sample nationally representative 11 12. The response rates each year were more than 80% both at the household level and individual level.…”

Section: Methodsmentioning

confidence: 99%

Relationship between household financial debt and depressive symptoms: a longitudinal study in China

Hu,

Nie,

Song

et al. 2023

BMJ Open

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ObjectivesTo examine the impacts of household financial debt on depressive symptoms and its possible mediating mechanisms.DesignA nationally representative longitudinal study using the ordinary least squares regression model, fixed-effects model, and instrumental variable approach to explore the relationship between household financial debt and depressive symptoms and further using structural equation models and the Bootstrap method to analyse the mediating effects.SettingThe China Family Panel Studies (CFPS) database.ParticipantsThree waves of longitudinal data in 2012, 2016, and 2018 from CFPS were used. A total of 103,247 individuals over the age of 18 were included in our study sample.Outcome measuresDepression symptoms were assessed using an eight-item version of the Center for Epidemiologic Studies Depression Scale (CES-D8). We summed these eight items to conduct a depressive symptoms index to measure depressive symptoms.ResultsAmong the sample, 35.3% of the households have financial debt, 49.7% of the sample are male, 73.2% of them have rural hukou, and the average age was 46.6. Regression results showed that household financial debt had a negative effect on depressive symptoms (β=0.655, 95% CI 0.602 to 0.707, p<0.01). This result remained robust after using instrumental variables with fixed effects (β=0.483, 95% CI 0.311 to 0.656, p<0.01). Household financial debt could affect depressive symptoms through mediating variables such as working pressure (p<0.05) and life happiness (p<0.01).ConclusionOur study showed that household indebtedness in China had a negative effect on depressive symptoms. Also, we found some mediating mechanisms for this effect, which might help provide new guidance for psychological interventions to promote the mental health of indebted residents.

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“…At the same time, Chinese society has long been characterized by health inequalities between urban and rural residents ( 1 – 3 ), especially in mental health ( 4 , 5 ). A meta-analysis showed that the prevalence of depressive symptoms was nearly 10% higher in rural areas than in urban areas ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Internet use and rural-urban mental health inequalities: Evidence from China

Nie

2023

Front. Public Health

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IntroductionIn the context of the new digital era, clarifying the relationship between Internet use and urban and rural residents' mental health is of important value for reducing rural-urban health inequalities. This paper aims to study the association between Internet use and rural-urban mental health inequalities.MethodsBased on the data of the China Family Panel Studies (CFPS) in 2020, we firstly examined the existence and specific manifestation of mental health inequalities between urban and rural residents. Secondly, we examined the mediating effect of Internet use by the Bootstrap mediating effect measure. Finally, we verified the robustness of the mediating effect.ResultsThere are significant mental health inequalities between urban and rural residents, and urban residents have better mental health than rural residents (p < 0.01). In addition, the test results for the mediating effect of Internet use on mental health inequalities between urban and rural residents were significant (p < 0.01), with a direct effect of −0.028 (p < 0.01) and an indirect effect of −0.49 (p < 0.01), and this result remained significant in the robustness test.DiscussionIn such a new age of the Internet, mental health inequalities between urban and rural residents objectively did exist, and the use of the internet played a positive mediation effect on the formation of mental health inequalities between urban and rural areas.

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The dynamic relationship between subjective social status and health: Evidence from a Chinese cohort study

Cited by 9 publications

References 81 publications

Exploring Chinese Elderly’s Trust in the Healthcare System: Empirical Evidence from a Population-Based Survey in China

Exploring Chinese Elderly’s Trust in the Healthcare System: Empirical Evidence from a Population-Based Survey in China

Relationship between household financial debt and depressive symptoms: a longitudinal study in China

Internet use and rural-urban mental health inequalities: Evidence from China

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