Background <p>The aim of current study was to assess the association between household solid fuel use and successful aging among Chinese ≥ 60 years of age.</p> Methods <p>A total of 4,047 participants (2,347 men and 1,700 women with the average age of 67.05 ± 6.05 years) from the China Health and Retirement Longitudinal Study 2011 were included in cross-sectional analyses. 2,517 participants at baseline were included in longitudinal analyses and were followed up in 2018. Successful aging was defined according to five components (without major diseases; without disability; high cognitive functioning; without depressive symptoms; active engagement with life).</p> Results <p>In cross-sectional analyses, the participants who used solid fuel (coal or crop residue/wood) for cooking and heating had lower prevalence of successful aging than those who used clean fuel (solar energy, natural gas, liquefied petroleum gas or electricity). During the follow-up, 175(6.95%) participants experienced successful aging. In the longitudinal analysis, after multivariable adjustment of age, sex and other risk factors, individuals who used solid fuel for cooking showed a lower ratio of successful aging, with corresponding odds ratio of 0.66 (95% confidence interval, 0.42–0.93). Consistently, individuals reported solid fuels use for heating were associated with lower odds ratios of successful aging (odds ratio = 0.59, 95% confidence interval:0.39–0.90). In addition, a self-reported switch from clean to solid fuel or from solid fuel to clean were also significantly associated with successful aging.</p> Conclusion <p>Compared to clean fuel, using household solid fuel showed a negatively associated with successful aging among the elderly in China.</p>

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Association between with household solid fuel use and successful aging among older people in China: a cross-sectional and perspective study from CHARLS

  • Wenyan Wu,
  • Xiaowei Zheng,
  • Yi Ding

摘要

Background

The aim of current study was to assess the association between household solid fuel use and successful aging among Chinese ≥ 60 years of age.

Methods

A total of 4,047 participants (2,347 men and 1,700 women with the average age of 67.05 ± 6.05 years) from the China Health and Retirement Longitudinal Study 2011 were included in cross-sectional analyses. 2,517 participants at baseline were included in longitudinal analyses and were followed up in 2018. Successful aging was defined according to five components (without major diseases; without disability; high cognitive functioning; without depressive symptoms; active engagement with life).

Results

In cross-sectional analyses, the participants who used solid fuel (coal or crop residue/wood) for cooking and heating had lower prevalence of successful aging than those who used clean fuel (solar energy, natural gas, liquefied petroleum gas or electricity). During the follow-up, 175(6.95%) participants experienced successful aging. In the longitudinal analysis, after multivariable adjustment of age, sex and other risk factors, individuals who used solid fuel for cooking showed a lower ratio of successful aging, with corresponding odds ratio of 0.66 (95% confidence interval, 0.42–0.93). Consistently, individuals reported solid fuels use for heating were associated with lower odds ratios of successful aging (odds ratio = 0.59, 95% confidence interval:0.39–0.90). In addition, a self-reported switch from clean to solid fuel or from solid fuel to clean were also significantly associated with successful aging.

Conclusion

Compared to clean fuel, using household solid fuel showed a negatively associated with successful aging among the elderly in China.