The impact of education on health transitions, life expectancy, and healthy life expectancy among older adults in China
摘要
This paper aims to explore the impact of education on health transitions, Life Expectancy (LE), and Healthy Life Expectancy (HLE) among older adults in China. Data from the Chinese Longitudinal Healthy Longevity Survey were utilized. Multi-state Markov models with continuous time were employed to estimate how education impacts health transitions, HLE, LE and the ratio of HLE to LE (HLE/LE). Individuals with no schooling were significantly more likely to experience transitions from good health to adverse health, as well as from adverse health to mortality. Educational disparities in HLE/LE became more pronounced with advancing age. Individuals born in later cohorts exhibited age-related increases in educational disparities in LE and HLE but showed lower age-related increases in educational disparities in HLE/LE. Interventions aimed at improving education for older adults in China could target early life stages and specifically focus on later birth cohorts as a means to reduce negative health transitions and enhance both LE and HLE.