Key result
Higher socio-economic status, such as living in an urban setting, was significantly associated with a higher likelihood of having annual health checks (OR 1.246) and being diagnosed with chronic diseases.
Why the study?
Non-communicable diseases are a priority public health issue, but whether socio-economic inequalities exist in chronic disease management among Chinese adults and whether this relationship is mediated by social capital remains to be examined.
Cross-Sectional (n=19,291)
Yes
Odds Ratio: 1.246 (95% CI 1.164–1.333)
Absolute Event Rate: 37.3% vs 28.9%
p-value: p=<0.05
Higher socio-economic status and social participation are associated with better chronic disease management, including health checks and diagnosis of hypertension, diabetes, and dyslipidemia among older Chinese adults.
Highlights potential role of health checks in reducing SES disparities in NCD diagnosis; leaves open causal pathways for longitudinal confirmation.
BACKGROUNDS: Non-communicable diseases (NCDs) have become a priority public health issue. The aim of this study was to examine whether socio-economic inequalities exist in chronic disease management among Chinese adults, and whether the relationship between SES and chronic disease management mediated by social capital. METHODS: We used combined data from China Health and Retirement Longitudinal Study (CHARLS). A total of 19,291 subjects, including 14,905 subjects from 2011 survey, 2036 subjects from 2013, and 2350 subjects from 2015 was included in this study. RESULTS: Subjects living in urban setting, with higher education attainment and economic status were more likely to have annual health checks, and to be diagnosed for those with hypertension, diabetes and dyslipidemia (all P < 0.05). Social participation could mediate the association between social economic status (SES) and annual health checks, diagnosis of hypertension and dyslipidemia, and health education of hypertension. Health checks could mediate the association between social participation and the diagnosis of hypertension, diabetes and dyslipidemia. The proportions of mediation were 17.5, 23.9 and 8.9%, respectively. There were no mediating effects observed from cognitive social capital variable-perceived helpfulness. CONCLUSION: It is necessary to deeply reform our social security system and enhance the social capital construction to promote those low SES people's physical health.
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Guo et al. (2021) conducted a cross-sectional in Chronic diseases (hypertension, diabetes, dyslipidemia) (n=19,291). Higher socio-economic status (urban setting) vs. Lower socio-economic status (rural setting) was evaluated on Annual health checks (OR 1.246, 95% CI 1.164-1.333, p=<0.05). Higher socio-economic status, such as living in an urban setting, was significantly associated with a higher likelihood of having annual health checks (OR 1.246) and being diagnosed with chronic diseases.
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