Associations of Environmental Factors With Elderly Health and Mortality in China
- 1 February 2010
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 100 (2), 298-305
- https://doi.org/10.2105/ajph.2008.154971
Abstract
Objectives. We examined the effects of community socioeconomic conditions, air pollution, and the physical environment on elderly health and survival in China. Methods. We analyzed data from a nationally representative sample of 15 973 elderly residents of 866 counties and cities with multilevel logistic regression models in which individuals were nested within each county or city. Results. After control for individual-level factors, communities' gross domestic product per capita, adult labor force participation rate, and illiteracy rate were significantly associated with physical, mental, and overall health and mortality among the elderly in China. We also found that air pollution increased the odds of disability in activities of daily living (ADLs), cognitive impairment, and health deficits; more rainfall was protective, reducing the odds of ADL disability and cognitive impairment; low seasonal temperatures increased the odds of ADL disability and mortality; high seasonal temperatures increased the odds of cognitive impairment and deficits; and living in hilly areas decreased the odds of ADL disability and health deficits. Conclusions. Efforts to reduce pollution and improve socioeconomic conditions could significantly improve elderly health and survival.Keywords
This publication has 32 references indexed in Scilit:
- Cumulative Deficits Better Characterize Susceptibility to Death in Elderly People than Phenotypic Frailty: Lessons from the Cardiovascular Health StudyJournal of the American Geriatrics Society, 2008
- The impact of the environment on health by country: a meta-synthesisEnvironmental Health, 2008
- Effect Modification by Community Characteristics on the Short-term Effects of Ozone Exposure and Mortality in 98 US CommunitiesAmerican Journal of Epidemiology, 2008
- Prioritizing Climate Change Adaptation Needs for Food Security in 2030Science, 2008
- Ambient Air Pollution Particles and the Acute Exacerbation of Chronic Obstructive Pulmonary DiseaseInhalation Toxicology, 2008
- The Impact of Global Warming on Health and MortalitySouthern Medical Journal, 2004
- The need for a focus on air pollution research in the elderlyEuropean Respiratory Journal, 2003
- Limb length and dementia in an older Korean populationJournal of Neurology, Neurosurgery & Psychiatry, 2003
- Functional Capacity and Self–Evaluation of Health and Life of Oldest Old in ChinaJournal of Social Issues, 2002
- Environmental Degradation and Economic Openness in LDCs: The Poverty LinkageAmerican Journal of Agricultural Economics, 1992