Exploring the relationship between air quality and health shocks to the elderly: A retrospective cross-sectional study in China.

Xinyu Li, Yanxia Lyu, Wanyue Dong, Aijun Xu
Author Information
  1. Xinyu Li: School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
  2. Yanxia Lyu: School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
  3. Wanyue Dong: School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
  4. Aijun Xu: School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.

Abstract

Methods: We selected 5,172 microdata on individuals from the China Health and Retirement Longitudinal Study (CHARLS) 2018. The binary logit model, the ordered logit model, and the stepwise regression were employed to compare the effects of air pollution on self-rated health (SRH) and activities of daily living (ADL) in an elderly population. The effects on health shocks were explored in different age groups, different gender groups, different regions and different sources of pollutants, respectively.
Results: We found that air pollution significantly increased the risk of health shocks in the elderly population, especially in the 60-69 year age group, and the eastern/central region, where NO and O were important pollutant sources.
Conclusion: Targeted management of the environment is necessary to improve the health status of China's elderly population. In addition, paying attention to the health status of vulnerable populations is needed to achieve social equity.

Keywords

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MeSH Term

Humans
Aged
Air Pollutants
Cross-Sectional Studies
Retrospective Studies
Activities of Daily Living
Longitudinal Studies
Air Pollution
China

Chemicals

Air Pollutants

Word Cloud

Created with Highcharts 10.0.0healthairelderlyshocksdifferentpollutionpopulationChinalogitmodeleffectsself-ratedSRHactivitiesdailylivingagegroupssourcesstatusMethods:selected5172microdataindividualsHealthRetirementLongitudinalStudyCHARLS2018binaryorderedstepwiseregressionemployedcompareADLexploredgenderregionspollutantsrespectivelyResults:foundsignificantlyincreasedriskespecially60-69yeargroupeastern/centralregionNOOimportantpollutantConclusion:TargetedmanagementenvironmentnecessaryimproveChina'sadditionpayingattentionvulnerablepopulationsneededachievesocialequityExploringrelationshipqualityelderly:retrospectivecross-sectionalstudy

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