ADL limitations, environment, physical functioning, Chinese elders


This study examined the influence of municipal-level environmental factors (i.e., economy, pollution, health care) on the physical functioning of the elder population in urban China using a two level hierarchical linear model (HLM) method. Data came from the 2005 wave of the Chinese Longitudinal Healthy Longevity Survey, including 3,830 older adults (Ma, - 86.4) randomly selected from 152 cities across China. Municipal-level data retrieved from the Chinese Statistical Yearbook 2005 include indictors of economic development, pollution, and health service availability. Higher gross domestic product (GDP) per capita and more doctors were associated with fewer functioning limitations. The effect of selfrated health on functioning limitations was moderated by indicators of health service availability. Policies need to eliminate disparities in economic development and health care access across regions.

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