Abstract
The aging of the rural population is an increasingly influential factor affecting China's social and economic development. By extracting 5450 samples of “rural older adults” with the corresponding entries of housing quality and activities of daily living from China Health and Retirement Longitudinal Study 2013, the study yielded an overview of the seniors’ housing conditions in China’s rural areas. Binary logistic regression analysis was applied to explore the potential association between three aspects of housing characteristics (general features, indoor equipment, and spatial composition) and the ADL status of the rural older adults, revealing that the building age, the building style of independent or compound, the type of structure, and whether there are flush toilets and telephone connections indoors, present a significant association with the ADL status. Possible interpretations of the results and strategies for improving the living conditions for the aging rural population were discussed. This study attempts to bridge the knowledge gap related to the housing conditions of seniors in rural China, thereby providing references for planners and policymakers.
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References
Acheson, D. (2001). Independent inquiry into inequalities in health report. Stationery Office: London.
Ahiadeke, C. (2000). Breast-feeding, diarrhoea and sanitation as components of infant and child health: A study of large scale survey data from Ghana and Nigeria. Journal of Biosocial Science, 32(1), 47–61. https://doi.org/10.1017/S002193200000047X
Bateman OM & Smith S. (1991) A comparison of the health effects of water supply and sanitation in urban and rural Guatemala. In Proceedings of the Demographic and Health Surveys World Conference, Volume 2. Columbia , Md. , USA : IRD/Macro International. pp. 1505–1524.
Capuno, J. J., Tan, C. A. R., & Fabella, V. M. (2015). Do piped water and flush toilets prevent child diarrhea in rural Philippines? Asia-Pacific Journal of Public Health. https://doi.org/10.1177/1010539511430996
Chan, A., Malhotra, C., Malhotra, R., & Østbye, T. (2011). Living arrangements, social networks and depressive symptoms among older men and women in Singapore. International Journal of Geriatric Psychiatry. https://doi.org/10.1002/gps.2574
Chan, I. Y. S., & Liu, A. M. M. (2018). Effects of neighborhood building density, height, greenspace, and cleanliness on indoor environment and health of building occupants. Building and Environment, 145, 213–222. https://doi.org/10.1016/j.buildenv.2018.06.028
Cheung, Y. B. (1999). The impact of water supplies and sanitation on growth in Chinese children. The Journal of the Royal Society for the Promotion of Health, 119, 89–91. https://doi.org/10.1177/146642409911900205
Dahlgren, G., & Whitehead, M. (2007). A framework for assessing health systems from the public’s perspective: The ALPS approach. International Journal of Health Services : Planning, Administration, Evaluation, 37(2), 363–378. https://doi.org/10.2190/U814-6X80-N787-807J
Dupuis, A., & Thorns, D. C. (1998). Home, home ownership and the search for ontological security. Sociological Review. https://doi.org/10.1111/1467-954X.00088
Evans, G. W., Kantrowitz, E., & Eshelman, P. (2002). Housing quality and psychological well-being among the elderly population. Journals of Gerontology—Series B Psychological Sciences and Social Sciences, 57(4), P381–P383. https://doi.org/10.1093/geronb/57.4.P381
Evans, G. W., Wells, N. M., Chan, H.-Y., & Saltzman, H. (2000). Housing quality and mental health. Journal of Consulting and Clinical Psychology. https://doi.org/10.1037//0022-006x.68.3.526
Evans, G. W., Wells, N. M., & Moch, A. (2003). Housing and mental health: A review of the evidence and a methodological and conceptual critique. Journal of Social Issues. https://doi.org/10.1111/1540-4560.00074
Fan, G., Xie, J., Hiroshi Yoshino, U., Yanagi, K. H., Kagi, N., Goto, T., Zhang, Q., Wang, C., & Liu, J. (2018). Indoor environmental conditions in urban and rural homes with older people during heating season: A case in cold region, China. Energy and Buildings, 167, 334–346. https://doi.org/10.1016/j.enbuild.2018.01.064
Gibson, M., Petticrew, M., Bambra, C., Sowden, A. J., Wright, K. E., & Whitehead, M. (2011). Housing and health inequalities: A synthesis of systematic reviews of interventions aimed at different pathways linking housing and health. Health and Place, 17(1), 175–184. https://doi.org/10.1016/j.healthplace.2010.09.011
Gu, J., Xu, J. C., & Lu, K. (2013). Progresses and challenges of the rural housing in China. China Population, Resources and Environment, 23, 62–68.
Gu, Y., Zhang, X., & Chen, G. (2003). Investigation on the Current Situation of Sanitary Toilets in Some Rural Areas of Linyi City. Occupation and Health, 19(9), 101–102.
Haddon, L., & Silverstone, R. (1996). Information and communication technologies and the young elderly (No. 13). University of Sussex.
Howden-Chapman, P. L., Chandola, T., Stafford, M., & Marmot, M. (2011). The effect of housing on the mental health of older people: The impact of lifetime housing history in Whitehall II. BMC Public Health. https://doi.org/10.1186/1471-2458-11-682
Hwang, E., Kwon, H. J., Beamish, J., & Koh, S.-H. (2014). Aging in place: A rural-urban comparison in Jeju Island, South Korea. Housing and Society, 41(2), 229–245. https://doi.org/10.1080/08882746.2014.11430629
Hyndman, S. O. P. H. I. E. (1998). Making connections between housing and health. Syracuse University Press Syracuse.
Jalan, J., Somanathan, E., & Choudhuri, S. (2003). Awareness and the demand for environmental quality: drinking water in urban India. SANDEE, Kathmandu, NP.
Kerr, J., Rosenberg, D., & Frank, L. (2012). The role of the built environment in healthy aging. Journal of Planning Literature, 27(1), 43–60. https://doi.org/10.1177/0885412211415283
Lee, Y. S. F. (1988). The urban housing problem in China. The China Quarterly. https://doi.org/10.1017/S0305741000027491
Lejeune, Z., Xhignesse, G., Kryvobokov, M., & Teller, J. (2016). Housing quality as environmental inequality: The case of Wallonia, Belgium. Journal of Housing and the Built Environment, 31(3), 495–512.
Leung, M.-Y., Jingyu, Yu., & Chow, H. (2016). Impact of indoor facilities management on the quality of life of the elderly in public housing. Facilities, 34, 564–579. https://doi.org/10.1108/F-06-2015-0044
Liang, Y. (2020). Heterogeneity in the trajectories of depressive symptoms among elderly adults in rural China: The role of housing characteristics. Health and Place, 66, 102449. https://doi.org/10.1016/j.healthplace.2020.102449
Liu, S., & Shiwei, Xu. (2008). Study on evaluation/measurement method for China’s rural informatization. Scientia Agricultura Sinica, 41(4), 1012–1022.
Liu, Y., Hsiao, W. C., & Eggleston, K. (1999). Equity in health and health care: The chinese experience. Social Science and Medicine. https://doi.org/10.1016/S0277-9536(99)00207-5
Malhotra, R., Chan, A., Malhotra, C., & Østbye, T. (2010). Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore. Hypertension Research. https://doi.org/10.1038/hr.2010.177
Mendell, M. J., Mirer, A. G., Cheung, K., Tong, My., & Douwes, J. (2011). Respiratory and allergic health effects of dampness, mold, and dampness-related agents: A review of the epidemiologic evidence. Environmental Health Perspectives, 119(6), 748–756. https://doi.org/10.1289/ehp.1002410
Oswald, F., Wahl, H. W., Mollenkopf, H., & Schilling, O. (2003). Housing and life satisfaction of older adults in two rural regions in Germany. Research on Aging, 25(2), 122–143. https://doi.org/10.1177/0164027502250016
Ren, H., Yuan, N., & Huimin, Hu. (2019). Housing quality and its determinants in rural China: A structural equation model analysis. Journal of Housing and the Built Environment, 34(1), 313–329. https://doi.org/10.1007/s10901-018-9629-y
Shaw, M. (2004). Housing and public health. Annual Review of Public Health. https://doi.org/10.1146/annurev.publhealth.25.101802.123036
Shi, W., Chen, J., & Wang, H. (2016). Affordable housing policy in China: New developments and new challenges. Habitat International. https://doi.org/10.1016/j.habitatint.2015.11.020
Singh, A., Syal, M., Grady, S. C., & Korkmaz, S. (2010). Effects of green buildings on employee health and productivity. American Journal of Public Health. https://doi.org/10.2105/AJPH.2009.180687
Statistics National Bureau of China. (2006). China Statistical Yearbook 2005. https://www.stats.gov.cn/
Statistics National Bureau of China. (2016). China statistical yearbook 2016. China statistics Press.
Statistics National Bureau of China. (2020). “[Main Expected Goals of Overall Stable Development of National Economy in 2019 Are Well Achieved](in Chinese).” http://www.stats.gov.cn/tjsj/zxfb/202001/t20200117_1723383.html.
Tao, Z., & Gui, H. (2014). The succession of families: Analysis on the regional types of Chinese rural families. Thinking, 40(03), 59–68.
Thomson, H., Thomas, S., Sellstrom, E., & Petticrew, M. (2009). The health impacts of housing improvement: A systematic review of intervention studies from 1887 to 2007. American Journal of Public Health. https://doi.org/10.2105/AJPH.2008.143909
Tuckett, A. G., Banchoff, A. W., Winter, S. J., & King, A. C. (2018). The built environment and older adults: A literature review and an applied approach to engaging older adults in built environment improvements for health. International Journal of Older People Nursing, 13(1), e12171.
Vaid, U., & Evans, G. W. (2017). Housing quality and health: An evaluation of slum rehabilitation in India. Environment and Behavior, 49(7), 771–790. https://doi.org/10.1177/0013916516667975
Wang, H., Wang, L., Fubing, Su., & Tao, R. (2012). Rural residential properties in China: Land use patterns, efficiency and prospects for reform. Habitat International, 36(2), 201–209.
Wang, X., & Zheng, C. (2014). The impact of health insurance on medical expenditure and health of the elderly. Journal of Finance and Economics, 40(12), 65–75.
Wang, Y. P. (2017). Progress and problems of urban housing reform. Social Policy Reform in China, 177-190.
Wickham, C., Cooper, C., Margetts, B. M., & Barker, D. J. P. (1989). Muscle strength, activity, housing and the risk of falls in elderly people. Age and Ageing, 18(1), 47–51. https://doi.org/10.1093/ageing/18.1.47
Yi, C., & Zhang, Z. (2014). An analysis on temporal and spatial dynamics of housing conditions in rural China. Real Estate Research, 1(1), 1–15.
Yorkston, K. M., Bourgeois, M. S., & Baylor, C. R. (2011). Communication and ageing. Physical Medicine and Rehabilitation Clinics, 21(2), 309–319.
Yu, Z. (2006). Heterogeneity and dynamics in china’s emerging urban housing market: Two sides of a success story from the late 1990s. Habitat International. https://doi.org/10.1016/j.habitatint.2004.02.010
Zhang, C., Jia, S., & Yang, R. (2016). Housing affordability and housing vacancy in China: The role of income inequality. Journal of Housing Economics. https://doi.org/10.1016/j.jhe.2016.05.005
Zhang, K., & Song, S. (2003). Rural–urban migration and urbanization in China: Evidence from time-series and cross-section analyses. China Economic Review, 14(4), 386–400.
Zhao, L., Deng, X., & Wang, X. (2018). Socioeconomic status, environmental sanitation facilities and health of rural residents. Issues in Agricultural Economy, 7, 96–107.
Zhao, L., Tatara, K., Kuroda, K., & Takayama, Y. (1993). Mortality of frail elderly people living at home in relation to housing conditions. Journal of Epidemiology and Community Health, 47(4), 298–302. https://doi.org/10.1136/jech.47.4.298
Zhou, Lv. (2012). The association between SES and ADL dependence among elderly Chinese. Population and Development, 18(3), 82–86.
Zhou, P., Grady, S. C., & Chen, G. (2017). How the built environment affects change in older people’s physical activity: A mixed-methods approach using longitudinal health survey data in urban China. Social Science and Medicine, 192, 74–84.
Zhao, Y., Hu, Y., Smith, J. P., Strauss, J., & Yang, G. (2014). Cohort profile: the China health and retirement longitudinal study (CHARLS). International journal of epidemiology, 43(1), 61–68.
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The authors would like to express sincere gratitude to the insightful comments from anonymous reviewers that helped to improve the article considerably.
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This research was funded by the National Natural Science Foundation of China, grant number Grant No. 52008241.
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Zhang, Z., Wang, Z. Quality of housing and association with ADL situation among older adults in China’s rural contexts. J Hous and the Built Environ 37, 909–925 (2022). https://doi.org/10.1007/s10901-021-09869-2
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DOI: https://doi.org/10.1007/s10901-021-09869-2