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Impact of China’s Social Transition on Health Inequality

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In the intricate fabric of health disparities, social transition emerges as a less-explored determinant. The transformative market-oriented reforms in China have subtly yet significantly influenced residents’ self-rated health (SRH). This study delves into the nuanced impacts of these reforms alongside socioeconomic status (SES), revealing complex interdependencies that shape the health outcomes of diverse populations. Through a meticulous analysis of the 2017 Chinese General Social Survey data, the research underscores the imperative for resource allocation favoring disadvantaged groups to attain equitable health outcomes.

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Methodological Approach

The research utilized cross-sectional data from the 2017 Chinese General Social Survey (CGSS) and applied the Recentered Influence Function (RIF) method. This analytical approach enabled a detailed investigation of health disparities among different population segments and identified the key determinants influencing these variations.

By employing the RIF decomposition method, the study dissected the complex interplay between social transition, SES, and SRH. The findings illustrated that both social transition and SES have a positive impact on the SRH of Chinese residents. Notably, social transition was found to moderate the correlation between SES and SRH, suggesting its role in mitigating SES-related health inequalities.

Implications of Findings

The results indicated that the effects of SES and social transition on SRH are not uniform across all populations. This variability highlighted the necessity for tailored policies that address the specific needs of different demographic groups. The study’s insights underscore the need for continued efforts in promoting social transition while ensuring that resources are allocated more equitably.

Key Inferences and Action Points

The study provides valuable inferences for policy-makers and public health officials:

  • Social transition can significantly improve SRH, emphasizing the importance of ongoing reforms.
  • SES remains a strong determinant of SRH, but its impact can be moderated through strategic social policies.
  • Targeted support for disadvantaged groups is crucial for reducing health disparities.
  • Customizing health policies to cater to diverse population needs can enhance overall health outcomes.

In conclusion, the study highlights the critical role of social transition in shaping health outcomes in China. The findings advocate for strategic resource allocation and policy interventions aimed at fostering equitable health improvements across all societal strata.

Original Article: Front Public Health. 2024 Jun 6;12:1359609. doi: 10.3389/fpubh.2024.1359609. eCollection 2024.


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