Dataset Information

Socioeconomic status and prevalence of chronic non-communicable diseases in Chinese women: a structural equation modelling approach.

ABSTRACT:

Objective

To investigate the role of socioeconomic status (SES) in chronic non-communicable diseases (NCDs) and offer theoretical evidence for the prevention and control of NCDs.

Design

Cross-sectional survey and structural equation modelling.

Setting

Nationwide, China.

Participants

Female participants in the 2008 National Health Services Survey in China who were 15 years and older.

Results

SES factors were associated with the increased risk of NCDs in Chinese women. Education was identified as the most important factor with a protective role (factor loading=-0.115) for NCDs. Income mainly affected NCDs directly, whereas occupation mainly affected NCDs indirectly. The effects of SES on NCDs were more significant than that of smoking. Medical insurance, smoking and self-reported health played a mediating role in the correlations between those SES factors and NCDs.

Conclusions

In China, socioeconomic disparities associated with the prevalence of NCDs exist among women. Educational and social interventions are needed to mitigate their negative consequences on health outcomes in Chinese women.

SUBMITTER: Yin H

PROVIDER: S-EPMC5724228 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Socioeconomic status and prevalence of chronic non-communicable diseases in Chinese women: a structural equation modelling approach.

Yin Hui H Wu Qunhong Q Cui Yu Y Hao Yanhua Y Liu Chaojie C Li Ye Y Liang Libo L Wang Limin L Tao Yuchun Y

BMJ open 20170821 8

<h4>Objective</h4>To investigate the role of socioeconomic status (SES) in chronic non-communicable diseases (NCDs) and offer theoretical evidence for the prevention and control of NCDs.<h4>Design</h4>Cross-sectional survey and structural equation modelling.<h4>Setting</h4>Nationwide, China.<h4>Participants</h4>Female participants in the 2008 National Health Services Survey in China who were 15 years and older.<h4>Results</h4>SES factors were associated with the increased risk of NCDs in Chinese ...[more]

PMID: 28827232

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Project description:BackgroundNon-communicable diseases (NCDs) are increasingly becoming a challenge worldwide, causing high mortality and morbidity. Saudi Arabia has one of the highest rates of NCDs globally and the highest in the Arabian Gulf region. Epidemiological data indicate that NCDs are responsible for 70 % of all deaths in Saudi Arabia. The aim of this study was to examine the socioeconomic determinants and inequalities in the prevalence of NCDs in Saudi Arabia.MethodsData from the Saudi Family Health Survey conducted in 2018 by the General Authority for Statistics were used for this study. Univariate, bivariate, and multivariate logistic regression analyses were employed to examine the socioeconomic factors associated with the prevalence of NCDs. Moreover, the concentration curve and concentration indices were used to assess inequalities in the prevalence of NCDs.ResultsAmong the 11,527 respondents, the prevalence of NCDs was 32.15 %. The prevalence of NCDs was higher among women and among elderly respondents aged ≥ 60 years. With respect to the determinants of the prevalence of NCDs, the logistic regression results showed that the likelihood of reporting NCDs was lower among people with a higher education (OR: 0.599, 95 % CI: 0.497-0.723, p < 0.01) compared with that of people with an education below the primary school level. Other factors significantly associated with the prevalence of NCDs were age, marital status, nationality, and region of residence. The inequality analysis showed that at the national level, the prevalence of NCDs was concentrated among less educated people (concentration index = - 0.338, p < 0.01), but with significant regional variations. Gender disaggregation showed that both income-based and education-based concentration indices were significantly negative among women, indicating that the prevalence of NCDs is concentrated among women with a lower income level and with less education.ConclusionsThe findings of this study are important for policymakers to combat both the increasing prevalence of and socio-economic inequalities in NCDs. The government should develop targeted intervention strategies to control NCDs and achieve health equality considering socio-economic status. Future policies should target women and the lower educated population in Saudi Arabia.

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Dataset Information

Socioeconomic status and prevalence of chronic non-communicable diseases in Chinese women: a structural equation modelling approach.

Objective

Design

Setting

Participants

Results

Conclusions

Publications

Socioeconomic status and prevalence of chronic non-communicable diseases in Chinese women: a structural equation modelling approach.

Similar Datasets

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