Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in China
With China’s aging population on the rise, addressing population aging has become a national priority, particularly focusing on improving older adult health. This study employs the social determinants of health framework, considering China’s unique macro-social, economic, policy, healthcare, and fam...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-10-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1255877/full |
| _version_ | 1797667756266487808 |
|---|---|
| author | Songbiao Zhang Songbiao Zhang Xining Wang Huilin Wang |
| author_facet | Songbiao Zhang Songbiao Zhang Xining Wang Huilin Wang |
| author_sort | Songbiao Zhang |
| collection | DOAJ |
| description | With China’s aging population on the rise, addressing population aging has become a national priority, particularly focusing on improving older adult health. This study employs the social determinants of health framework, considering China’s unique macro-social, economic, policy, healthcare, and family cultural factors, to develop a framework for understanding the social determinants of health for older adult in China. Using the fsQCA method and a configurational perspective, the complex relationship between social determinants of health and older adult health status is examined. The findings indicate that individual social determinants alone are insufficient for achieving high levels of older adult health. Instead, three configurations of social determinants have been identified as conducive to high older adult health: Economic Development-Environment – Cultural Dominant Type, Socio-Economic Development – Older Adult Security – Environment – Cultural Dominant Type, and Economic Development Dominant Type. These configurations offer diverse pathways for enhancing older adult health. Conversely, the study identifies two configurations associated with low older adult health levels, exhibiting an asymmetric relationship with the configurations resulting in high older adult health levels. Moreover, economic development consistently emerges as a core condition across all three configurations associated with high older adult health levels, while two configurations associated with low older adult health lack this core condition. These findings underscore the universal contribution of enhancing economic development to improving older adult health. |
| first_indexed | 2024-03-11T20:17:58Z |
| format | Article |
| id | doaj.art-1fccb4d05597426fad3f498da26263d6 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-11T20:17:58Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-1fccb4d05597426fad3f498da26263d62023-10-03T09:46:52ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-10-011110.3389/fpubh.2023.12558771255877Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in ChinaSongbiao Zhang0Songbiao Zhang1Xining Wang2Huilin Wang3School of Business, Hunan University of Science and Technology, Xiangtan, ChinaResearch Center for Regional High-quality Development, Xiangtan, ChinaSchool of Business, Hunan University of Science and Technology, Xiangtan, ChinaSchool of Business, Hunan University of Science and Technology, Xiangtan, ChinaWith China’s aging population on the rise, addressing population aging has become a national priority, particularly focusing on improving older adult health. This study employs the social determinants of health framework, considering China’s unique macro-social, economic, policy, healthcare, and family cultural factors, to develop a framework for understanding the social determinants of health for older adult in China. Using the fsQCA method and a configurational perspective, the complex relationship between social determinants of health and older adult health status is examined. The findings indicate that individual social determinants alone are insufficient for achieving high levels of older adult health. Instead, three configurations of social determinants have been identified as conducive to high older adult health: Economic Development-Environment – Cultural Dominant Type, Socio-Economic Development – Older Adult Security – Environment – Cultural Dominant Type, and Economic Development Dominant Type. These configurations offer diverse pathways for enhancing older adult health. Conversely, the study identifies two configurations associated with low older adult health levels, exhibiting an asymmetric relationship with the configurations resulting in high older adult health levels. Moreover, economic development consistently emerges as a core condition across all three configurations associated with high older adult health levels, while two configurations associated with low older adult health lack this core condition. These findings underscore the universal contribution of enhancing economic development to improving older adult health.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1255877/fullsocial determinants of healtholder adult healthconfigurational effectsfsQCAhealth policy |
| spellingShingle | Songbiao Zhang Songbiao Zhang Xining Wang Huilin Wang Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in China Frontiers in Public Health social determinants of health older adult health configurational effects fsQCA health policy |
| title | Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in China |
| title_full | Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in China |
| title_fullStr | Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in China |
| title_full_unstemmed | Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in China |
| title_short | Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in China |
| title_sort | exploring configurations of social determinants for enhancing older adult health in china an fuzzy set qualitative comparative analysis based on 31 provinces in china |
| topic | social determinants of health older adult health configurational effects fsQCA health policy |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1255877/full |
| work_keys_str_mv | AT songbiaozhang exploringconfigurationsofsocialdeterminantsforenhancingolderadulthealthinchinaanfuzzysetqualitativecomparativeanalysisbasedon31provincesinchina AT songbiaozhang exploringconfigurationsofsocialdeterminantsforenhancingolderadulthealthinchinaanfuzzysetqualitativecomparativeanalysisbasedon31provincesinchina AT xiningwang exploringconfigurationsofsocialdeterminantsforenhancingolderadulthealthinchinaanfuzzysetqualitativecomparativeanalysisbasedon31provincesinchina AT huilinwang exploringconfigurationsofsocialdeterminantsforenhancingolderadulthealthinchinaanfuzzysetqualitativecomparativeanalysisbasedon31provincesinchina |