Elderly Health in Rural China:Characteristics,Causes and Responding Strategies
Based on multi-period CHARLS data,this paper analyzes the health status and its variation trend of the elderly in rural China,and their main characteristics of health inequality across gender,re-gion,areas and family dimensions.The results reveal that the self-rated health of rural elderly was poor but slightly improved.The prevalence of chronic diseases reached 70%and the comorbidity was obvious.The disability rate of ADL was stable at13%,but the disability rate of IADL increased.Male elderly in-dividuals,older people with spouses,and urban seniors exhibited better health.Gender inequalities in health widened with age,and regional differences in health presented a distribution pattern that the east was better than the west,and the south was better than the north.At present,the low level of rural medi-cal and old-age securities systems,inadequate village infrastructure,unbalanced allocation of medical re-sources between urban and rural areas,weakening of family care function,and lack of preventive health care measures are key factors restricting the healthy development of rural elderly.Next step,we need to adhere to the whole life cycle and positive aging concepts,strengthen the coordination between healthy China and rural revitalization strategies,consolidate facility,institutional and resource bases,deepen the core of health and aging services,and finally promote high-quality,sustainable and equitable development of aging health in rural area.