2024
Temporal trends and disparities of population attributable fractions of modifiable risk factors for dementia in China: a time-series study of the China health and retirement longitudinal study (2011–2018)
Chen S, Chen X, Hou X, Fang H, Liu G, Yan L. Temporal trends and disparities of population attributable fractions of modifiable risk factors for dementia in China: a time-series study of the China health and retirement longitudinal study (2011–2018). The Lancet Regional Health - Western Pacific 2024, 47: 101106. PMID: 38872868, PMCID: PMC11170192, DOI: 10.1016/j.lanwpc.2024.101106.Peer-Reviewed Original ResearchPopulation-attributable fractionModifiable risk factorsSocio-economic statusLower educationHearing lossChina HealthTraumatic brain injuryRisk factorsCalculate population-attributable fractionsTargeted public health strategiesRetirement Longitudinal StudySES disparitiesSocio-economic status groupsPopulation attributable fractionNew-onset dementiaEarly-life factorsPublic health strategiesSignificant public health challengePublic health challengeSex-specific analysesLower-income individualsTemporal trendsDementia riskPhysical inactivityAttributable fractionApplying Machine Learning Approach to Explore Childhood Circumstances and Self-Rated Health in Old Age — China and the US, 2020–2021
Huo S, Feng D, Gill T, Chen X. Applying Machine Learning Approach to Explore Childhood Circumstances and Self-Rated Health in Old Age — China and the US, 2020–2021. China CDC Weekly 2024, 6: 213-218. PMID: 38532746, PMCID: PMC10961215, DOI: 10.46234/ccdcw2024.043.Peer-Reviewed Original ResearchSelf-rated healthSenior healthChildhood circumstancesPromote health equityEarly-life interventionsHealth equityChina HealthChildhood healthRetirement StudyHealthSelf-ratingsAging populationFinancial statusChinese participantsAge ChinaConditional inference treesChildhoodOut-of-sample mean squared errorsInterventionParticipantsRegional differencesUSStatusInference treesRetirement
2022
Contribution of life course circumstances to the acceleration of phenotypic and functional aging: A retrospective study
Cao X, Ma C, Zheng Z, He L, Hao M, Chen X, Crimmins EM, Gill TM, Levine ME, Liu Z. Contribution of life course circumstances to the acceleration of phenotypic and functional aging: A retrospective study. EClinicalMedicine 2022, 51: 101548. PMID: 35844770, PMCID: PMC9284373, DOI: 10.1016/j.eclinm.2022.101548.Peer-Reviewed Original ResearchDisease Research CenterDisadvantaged subpopulationsAdulthood circumstancesAlzheimer's Disease Research CenterRetirement Longitudinal StudyFunctional agingLife course circumstancesAdvancing Translational SciencesRetrospective studyChronic diseasesGeneral linear regression modelHealth gapChina HealthBiomarker collectionOlder adultsLater lifeNational InstituteLongitudinal studySubpopulationsLinear regression modelsTranslational scienceRegression modelsChildhoodAdvantaged counterpartsHealthThe Effect of Dual Sensory Impairment and Multimorbidity Patterns on Functional Impairment: A Longitudinal Cohort of Middle-Aged and Older Adults in China
Wang Q, Zhang S, Wang Y, Zhao D, Chen X, Zhou C. The Effect of Dual Sensory Impairment and Multimorbidity Patterns on Functional Impairment: A Longitudinal Cohort of Middle-Aged and Older Adults in China. Frontiers In Aging Neuroscience 2022, 14: 807383. PMID: 35462686, PMCID: PMC9028763, DOI: 10.3389/fnagi.2022.807383.Peer-Reviewed Original ResearchDual sensory impairmentDaily Living ScaleMultimorbidity patternsFunctional impairmentSensory impairmentOlder adultsLiving ScaleCo-existing diseasesRetirement Longitudinal StudyMultimorbidity prevalenceFunctional statusLongitudinal cohortADL limitationsIADL limitationsInstrumental activitiesMultimorbidityRespiratory patternIntegrated careChina HealthImpairmentLongitudinal studyAdultsPrevalenceSelf-report measuresPotent pathway
2021
Adverse childhood circumstances and cognitive function in middle-aged and older Chinese adults: Lower level or faster decline?
Lin Z, Chen X. Adverse childhood circumstances and cognitive function in middle-aged and older Chinese adults: Lower level or faster decline? SSM - Population Health 2021, 14: 100767. PMID: 33855158, PMCID: PMC8025052, DOI: 10.1016/j.ssmph.2021.100767.Peer-Reviewed Original ResearchAdverse childhood circumstancesCognitive declineCognitive deficitsChildhood circumstancesCHARLS life history surveySocioeconomic statusOlder Chinese adultsRetirement Longitudinal SurveyLater-life factorsRate of declineChinese adultsChina HealthCognitive functionLinear mixed-effects modelsHealth conditionsMixed-effects modelsCognitive outcomesNeighborhood safetyFaster declineDeficits
2020
How and to what extent can pensions facilitate increased use of health services by older people: evidence from social pension expansion in rural China
Chen S, Chen X, Law S, Lucas H, Tang S, Long Q, Xue L, Wang Z. How and to what extent can pensions facilitate increased use of health services by older people: evidence from social pension expansion in rural China. BMC Health Services Research 2020, 20: 1008. PMID: 33148248, PMCID: PMC7640495, DOI: 10.1186/s12913-020-05831-0.Peer-Reviewed Original ResearchConceptsHealth service utilizationService utilizationHealth servicesOlder peopleFrequency of outpatientInpatient service useHealthcare-seeking behaviorRetirement Longitudinal StudyProportion of peopleTraditional Chinese medicineHealthcare utilisationService useEconomic burdenInpatient servicesAge groupsAdditional economic burdenChina HealthOlder adultsChinese medicineMethodsUsing dataLongitudinal studyOutpatientsRegression analysisState of healthFuzzy regression discontinuity designLinking early life risk factors to frailty in old age: evidence from the China Health and Retirement Longitudinal Study
Li Y, Xue QL, Odden MC, Chen X, Wu C. Linking early life risk factors to frailty in old age: evidence from the China Health and Retirement Longitudinal Study. Age And Ageing 2020, 49: 208-217. PMID: 31957780, PMCID: PMC7047816, DOI: 10.1093/ageing/afz160.Peer-Reviewed Original ResearchConceptsEarly life risk factorsLife risk factorsRisk factorsChildhood health statusRetirement Longitudinal StudyRisk differenceHealth statusChina HealthOlder ageOlder adultsAbsolute risk differenceCross-sectional studyLongitudinal studyUnfavorable socioeconomic statusLate-life frailtyWorse health conditionsChinese older adultsMiddle-income countriesDevelopment of diseaseHigh riskLower riskRepresentative cohortMultinomial regression modelsHealth conditionsFrailtyHealth inequality among Chinese older adults: The role of childhood circumstances
Yan B, Chen X, Gill TM. Health inequality among Chinese older adults: The role of childhood circumstances. The Journal Of The Economics Of Ageing 2020, 17: 100237. PMID: 32064224, PMCID: PMC7021249, DOI: 10.1016/j.jeoa.2020.100237.Peer-Reviewed Original ResearchHealth-related circumstancesHealth inequalitiesChildhood circumstancesOlder ageSelf-rated healthMultiple health outcomesRetirement Longitudinal StudyChinese older adultsHealth outcomesChina HealthCognitive healthMental healthOlder adultsPhysical healthAnalytic sampleLife course approachLongitudinal studyAgeShapley value decomposition approachPerson's ageHealthCourse approachMortalityHistory survey
2019
Social security expansion and neighborhood cohesion: Evidence from community-living older adults in China
Bradley E, Chen X, Tang G. Social security expansion and neighborhood cohesion: Evidence from community-living older adults in China. The Journal Of The Economics Of Ageing 2019, 15: 100235. PMID: 34295643, PMCID: PMC8294082, DOI: 10.1016/j.jeoa.2019.100235.Peer-Reviewed Original ResearchNew Rural Pension SchemeSocial security expansionNeighborhood cohesionSecurity expansionPension programsAltruistic activitiesChina's New Rural Pension SchemePension receiptInformal arrangementsCaring relationsInstrumental variable approachPension schemesEmpirical strategyCohesionRetirement Longitudinal StudyChina HealthVariable approachRecreational activitiesGovernmentPensionsParticipationCommunityLongitudinal studyEldersProgramSocial pension expansions and health-care utilisation in China: cross-sectional evidence from the New Rural Pension Scheme
Hu H, Si Y, Chen X. Social pension expansions and health-care utilisation in China: cross-sectional evidence from the New Rural Pension Scheme. The Lancet 2019, 394: s91. DOI: 10.1016/s0140-6736(19)32427-4.Peer-Reviewed Original ResearchNew Rural Pension SchemePension enrollmentPension incomePension programsHealth care utilisationInpatient health carePension schemesOutpatient health careChina's New Rural Pension SchemeIncome-health gradientSocial pension programCross-sectional evidencePension reformPension eligibilityInstrumental variablesCausal impactHealth careRetirement Longitudinal StudyEconomic resourcesIncomeChina HealthMedical expensesStrong instrumental variablesCare utilisationHealth policy
2018
Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China: A Decomposition Method
Si Y, Zhou Z, Su M, Wang X, Li D, Wang D, He S, Hong Z, Chen X. Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China: A Decomposition Method. International Journal Of Environmental Research And Public Health 2018, 15: 1466. PMID: 29997376, PMCID: PMC6069145, DOI: 10.3390/ijerph15071466.Peer-Reviewed Original ResearchConceptsTobacco consumptionConcentration indexNon-communicable diseasesTobacco use prevalenceRetirement Longitudinal StudySocio-economic inequalitiesPublic health policyPublic health controlRisk factorsLow educational attainmentHealth controlsChina HealthUse prevalenceHealth policyEducational attainmentOlder AdultsUse quantityLongitudinal studyStrongest predictorPrevalenceAgeGenderSmokersIndexDisease