Limited contribution of health behaviours to expanding income-related chronic disease disparities based on a nationwide cross-sectional study in China

2018
This study estimated the association of income and prevalence of cardiovascular diseases (CVD) and hypertension, and then quantified the contribution of health behaviors to the association in China. Using the 2013 survey of the China Health and Retirement Longitudinal Study (CHARLS), a logit model was applied to examine income-related health disparities in relation to CVD and hypertension. A fourstep regression method was then constructed to measure the role of health behaviors in income-related health disparities. Using indirect effects, mediation by health behaviors was examined. Income-related health disparities in chronic diseases were found to exist in China. Specifically, individuals in the highincome group had a 14% (OR = 0.86; 95% CI 0.73-1.02) and 14% (OR = 0.86; 95% CI 0.76-0.97) lower odds of suffering from CVD and hypertension than those in the low-income group. However, limited evidence shows this association was mediated by health behaviors. The Heaviness of Smoking Index (HSI), heavy drinking, irregular eating, and nap time did not significantly mediate the association of income and prevalence of CVD and hypertension. To curb the rising prevalence of CVD and hypertension in China, policies should focus on the low-income subpopulation. However, healthy behaviors interventions targeting smoking, heavy drinking, unhealthy napping and irregular eating habits among low-income people may be ineffective in reduction of income-related disparities in prevalence of CVD and hypertension.
SCIENTIFIC REPORTS
卷号:8
ISSN:2045-2322
收录类型
SSCI
发表日期
2018
学科领域
循证社会科学-综合
国家
中国
语种
英语
DOI
10.1038/s41598-018-30256-5
其他关键词
SOCIOECONOMIC-STATUS; RISK-FACTORS; LIAONING PROVINCE; UNITED-STATES; US ADULTS; HYPERTENSION; MORTALITY; POPULATION; PREVALENCE; SMOKING
资助机构
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [71503059]; Fundamental Research Funds for the Central UniversitiesFundamental Research Funds for the Central Universities [DUT17RC(4)24]; China Postdoctoral Science FoundationChina Postdoctoral Science Foundation [2018m630284]
资助信息
We thank the China Health and Retirement Longitudinal Study (CHARLS) team for providing the data. This work was supported by the National Natural Science Foundation of China (No. 71503059), the Fundamental Research Funds for the Central Universities (No. DUT17RC(4)24), and China Postdoctoral Science Foundation (No. 2018m630284).
被引频次(WOS)
3
被引更新日期
2022-01
来源机构
Dalian University of Technology Shandong University Nevada System of Higher Education (NSHE) University of Nevada Las Vegas