THE PANDEMIC AS A GREAT UNEQUALIZER? RURAL–URBAN DIVIDE IN COVID-19 CONCERNS AND OLDER ADULTS’ MENTAL HEALTH IN CHINA
2024

Rural-Urban Divide in Covid-19 Concerns and Mental Health of Older Adults in China

Sample size: 12193 publication Evidence: moderate

Author Information

Author(s): Liu Jingwen, Han Yang

Primary Institution: Rice University, Houston, Texas, United States

Hypothesis

Does the Covid-19 pandemic exacerbate rural-urban disparities in older adults' mental health?

Conclusion

The study found that local rural residents and rural-urban migrants have higher Covid concerns and depressive symptoms compared to local urban residents.

Supporting Evidence

  • Local rural residents and rural-urban migrants show higher Covid concerns and depressive symptoms than local urban residents.
  • Covid concerns are linked to higher depressive symptoms across all groups, especially among local rural residents.
  • Changes in health habits and in-person meetings help explain the associations for both groups.
  • Delayed medical services and increased preventive behaviors explain the association for local rural residents.

Takeaway

Older people living in rural areas worry more about Covid-19 and feel sadder than those in cities, and moving to a city doesn't completely fix their health problems.

Methodology

The study used OLS and KHB analyses on data from the 2020 wave of the China Health and Retirement Longitudinal Study (CHARLS).

Potential Biases

Potential biases may arise from the reliance on self-reported data regarding mental health and Covid concerns.

Limitations

The study may not account for all factors influencing mental health disparities beyond the Hukou system.

Participant Demographics

Participants included local rural residents, rural-urban migrants, and local urban residents, with a total sample size of 12,193.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2342

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