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Liu, Guiping Max-Planck-Institute for Demographic Research

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1 Liu, Guiping Max-Planck-Institute for Demographic Research
Social-economic Differentials of the Dying Risk of the oldest-old Chinese Liu, Guiping Max-Planck-Institute for Demographic Research

2 Summary 1. Briefing the existing studies 2. A simple framework
3. Data and method 4. Variables and descriptive statistics 5. Statistical outcomes 6. Main findings 7. Brief discussion

3 1.Briefing the existing studies
1. Kannisto (1994) reported the differentials of mortality at high ages in developed countries. No social economic factors were involved. 2. Martelin, Koskinen, Valkonen (1998): the dying risk of the oldest-old Finish is significantly associated with income level, educational attainment, occupational experience,marital status, residential place,linguistic attachment. 3. The similar researches in developing countries are rare.

4 2.A simple framework

5 3. Data and method Data: the second wave of Chines Healthy Longevity Survey 2000 Starting time of the observation:1998 base-line survey Method: Cox Proportional Hazard Model

6 4.Variables Variables: age group, sex , place of birth,ethnicity;
years of education, number of children ever born; number of biological siblings, birth orders, main occupation before age 60; marital status, living arrangement, main source of financial support, self-rated health status.

7 5. The descriptive statistics
Majority of the oldest-old were born in countryside; Hans account for major proportion of the interviewees; A few people received education longer than seven years; Fifty percent of the interviewees were farm labors before age 60; Eighty percent of the interviewees were taken care by children, grand-children, or children-in-law when they were ill; Eighty-four percent of the oldest-old are living with household members; Sixty-five percent of the oldest-old depended on their children financially.

8 6. Statistical outcomes (1)
Age group relative risk of dying 80-84(ref.) * * * * * 106 and older *

9 6. Statistical outcomes (2)
sex relative risk of dying Male (ref.) Female *

10 6. Statistical outcomes (3)
place of birth relative risk of dying urban areas (ref.) rural areas * ethnicity  Hans (ref.) minority groups *

11 6. Statistical outcomes (4)
Marital status relative risk of dying married, living with spouses(Ref.) separated or divorced widowed * never married

12 6. Statistical outcomes (5)
Years of education relative risk 0 year (ref.) 1-6 years * 7 years or more

13 6. Statistical outcomes (6)
Main occupation before age relative risk professional & technical personnel(ref.) governments, management farm labors, forest, husbandry,fishery workers * manufacture workers * commercial or services workers * househusband or housewife * other *

14 6. Statistical outcomes (7)
Main source of financial support relative risk retirement pension(ref spouse children grand-children other relative local governments or community still on work * others

15 6. Statistical outcomes (8)
No.of biological siblings relative risk 0 (ref.) * 6 or more *

16 6. Statistical outcomes (9)
Birth order  relative risk 1st (ref.) 2nd 3rd 4th * 5th 6th or higher

17 6. Statistical outcomes (10)
Self-rated health status relative risk of dying very good(ref.) good * so-so * poor or very poor * not able to answer *

18 7. Main findings Social economic statuses are associated with mortality of the oldest-old Chinese; Lower social status, e.g, born in rural areas; manual workers, expose to higher risk of dying than do professionals and technicians; The widowed expose to high risk of dying; Having more siblings indicate a lower risk of dying;

19 7.Main findings (continued)
Those persons who were in birth order four show lower risk of dying, but we have no solid theory to explain the result; We did not find living arrangement, residential place, are associated with the dying risk of the oldest-old Chinese.

20 8. Discussion Our study is based on the following background:
1. The oldest-old is a highly selective groups; 2. The length of the observation is around 24 months; 3. A common statistical method is applied. Our study suggests that the early events in human life course have impacts on survival probability at age 80 and over.


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