How educational inequality among rural residents relates to healthy lifestyle behaviors in later life
Evidence from the Northern China lifestyle medicine cohort baseline
Datos Bibliográficos
Educational inequality affects health, but its link to healthy lifestyles among older adults in low-resource rural settings remains unclear. This study utilized baseline data from the Northern China Lifestyle Medicine Cohort (July 2023–January 2024). Adults aged 65 and older with hypertension or diabetes in the National Basic Public Health Service program were included. A composite Healthy Lifestyle Score (HLS, range 0–7) was constructed from seven behavioral indicators. We employed linear/logistic regression and propensity score matching (PSM) to analyze associations between educational attainment and lifestyle outcomes. Among 10,459 adults (57.2% female), 34.0% were illiterate. The mean HLS was 4.69 (SD = 1.24). Each educational attainment increase added 0.17 points to HLS (95% CI: 0.14–0.20). Higher education was positively linked to a healthy diet (OR = 1.15, 95% CI: 1.10–1.21), adequate sleep (OR = 1.17, 95% CI: 1.11–1.23), physical activity (OR = 1.18, 95% CI: 1.11–1.24), and leisure activity (OR = 1.34, 95% CI: 1.27–1.41), but negatively with non-drinking (OR = 0.82, 95% CI: 0.77–0.88). After PSM adjustment, illiterate participants had a significantly lower HLS (4.59, 95% CI: 4.55–4.63) than non-illiterate counterparts (4.89, 95% CI: 4.84–4.93), a net difference of 0.30 points. These findings highlight that higher educational attainment is consistently associated with healthier lifestyle choices among older adults in resource-limited rural areas. Strengthening rural education and integrating health literacy into public health strategies could be pivotal for promoting healthy aging
Cohort · Cohort study · Educational attainment · Inequality · Literacy · Public health · Rural area · Sedentary lifestyle · Aging and Gerontology Research · Health disparities and outcomes · Technology Use by Older Adults
Sedentary Behavior, Exercise, and Cardiovascular Health
Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017
Associations of healthy lifestyle and socioeconomic status with mortality and incident cardiovascular disease
Impact of Healthy Lifestyle Factors on Life Expectancies in the US Population
Using adult learning characteristics and the humanities to teach undergraduate healthcare students about social determinants of health
Educational and accessible museums and cultural spaces
Educational Attainment and Lifestyle Risk Factors Associated With All-Cause Mortality in the US
Literacy and self-rated health
The relationship between postsecondary education and adult health behaviors
Health and health behaviors in China
The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China
Gender disparities in physical, psychological, and cognitive multimorbidity among elderly hypertensive populations in rural regions
Evaluating the influence of financial investment in compulsory education on the health of Chinese adolescents
Lifestyle behaviors and mental health during the coronavirus disease 2019 pandemic among college students
Evaluating the differences in healthy lifestyle behaviors between Chinese urban and rural residency after the termination of social distancing
The relationship between socioeconomic position and health literacy among urban and rural adults in regional China
Disparity in Educational Attainment Partially Explains Cognitive Gender Differences in Older Rural South Africans
On the Concept of Health Capital and the Demand for Health
The influence of parents' and partner's education on own health behaviours
Education, adult children's education, and depressive symptoms among older adults in rural China
How urban versus rural residency relates to Covid-19 vaccine hesitancy
Education, Health, and the Default American Lifestyle
Educational Inequalities in Health Behaviors at Midlife
Educational Differences in Age-Related Patterns of Disease
Education and fertility decline in China during transitional times
| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |