Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Income Inequality, Unequal Health Care Access, and Mortality in China

Bibliographic Data

ID4119928
AuthorsZhongwei Zhao (0000-0002-6175-5664, Australian National University, corresponding author)
Year2006
Volume32
Issue3
Pages461-483
Publication date2006-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePopulation and Development Review (JOURNAL)
Journal identifiersISSN: 0098-7921 • E-ISSN: 1728-4457
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1728-4457.2006.00133.x
OpenAlexW2039213844
LanguageEN
Citations received49
References cited17

China made great progress in reducing mortality between 1950 and 1980 when its life expectancy at birth increased from approximately 35 to more than 65 years. Although China has achieved further reductions in mortality under rapid economic growth since that period, the profound socioeconomic transformation has brought about some negative changes in health care services, such as the collapse of the Cooperative Medical System in rural areas, that have had adverse public health consequences. The growing inequality in income distribution has also impeded progress in mortality decline in poor areas and among disadvantaged social groups. This article analyzes health and mortality data collected through the 2003 National Health Services Survey by the Ministry of Health from about 100 districts and counties. It first compares mortality changes between developed and less developed areas. Then it examines the differences in health care among these regions and the relationship between mortality changes and a wide range of socioeconomic factors, especially recent changes in health care and services. Finally, it considers the implications of inequality in health care and income distribution for further improvement in mortality in China

China · Economic growth · Economics · Inequality · Library science · Life expectancy · Political science · Population · Poverty · Social inequality · Sociology · Demographic Trends and Gender Preferences · Demography · Global Health Care Issues · Health disparities and outcomes · Law

  • Elderly Health Inequality in China and its Determinants

    Open Access•Chenjing Fan, Wei Ouyang et al.•International Journal of…•2019

  • The Impact of China's Market Reforms on the Health of Chinese Citizens

    M K Whyte, Zhongxin SUN•China An International Journal•2010

  • Functional Independence of Community-Dwelling Older Adults in China and South Korea

    Othelia Eun-Kyoung Lee, Othelia Eunkyoung Lee et al.•Journal of Social Service Research•2014

  • The Effect of Sibling Size on Children’s Health and Education

    Hai Zhong•The Journal of Development Studies•2017

  • Socioeconomic status and metabolic syndrome in the general population of China

    Open Access•Yiqiang Zhan, Jinming Yu et al.•BMC Public Health•2012

  • Inequality of public health and its role in spatial accessibility to medical facilities in China

    Open Access•Chaohui Yin, Qingsong He et al.•Applied Geography•2018

  • Changes in Perceived Accessibility to Healthcare from the Elderly between 2005 and 2014 in China

    Open Access•Tao Zhang, Jing Liu et al.•International Journal of…•2019

  • Equity and efficiency of medical service systems at the provincial level of China’s mainland

    Open Access•Jingmei Ding, Xuejun Hu et al.•BMC Public Health•2018

  • The less healthy urban population

    Open Access•Wei Yang, Panos Kanavos•BMC Public Health•2012

  • Outpatient Satisfaction with Tertiary Hospitals in China

    Open Access•Linlin Hu, Bright Zhou et al.•International Journal of…•2019

  • Free to die

    Open Access•Marta Marson, Matteo Migheli et al.•Economics & Human Biology•2023

  • Socioeconomic inequalities in human papillomavirus knowledge and vaccine uptake

    Open Access•Xiaoqian Gong, Jing Xu et al.•Frontiers in Public Health•2024

  • Income, Relative Deprivation and the Self-Rated Health of Older People in Urban and Rural China

    Open Access•Wenzhe Qin, Lingzhong Xu et al.•Frontiers in Public Health•2021

  • A study on the impact of digital infrastructure development on the health of low-income rural residents

    Open Access•Qian Wang, Zhen Ning et al.•Frontiers in Public Health•2025

  • The night light development and public health in China

    Open Access•Di Xu, Jun Gao•Sustainable Cities and Society•2017

  • Developmental idealism, body weight and shape, and marriage entry in transitional China

    Open Access•H Xu•Chinese Journal of Sociology•2016

  • Studying the effects of social environment on health in China

    Yawen Li•China Journal of Social Work•2011

  • A Spatial-Temporal Analysis of Health Care and Mortality Inequalities in China

    Yingru Li, Y D Wei•Eurasian Geography and Economics•2010

  • Assessments of provincial mortality in China’s 2010 population census based on the Developing Countries Mortality Database model life table

    Open Access•Cheng Li, Hong Mi•Journal of Population Research•2021

  • Multilevel socioeconomic differentials in allostatic load among Chinese adults

    Open Access•Hongwei Xu•Health & Place•2018

  • Urban health advantage or urban health penalty? Urban-rural disparities in age trajectories of physiological health among Chinese middle-aged and older women and men

    Open Access•Dawei Zhu, Xin Ye et al.•Health & Place•2021

  • Rethinking the Role of Employment Barriers in Active Labor Market Policy

    Jian Qi Tan, Irene Y H Ng et al.•Journal of Poverty•2021

  • The Health Benefits of College Education in Urban China

    Open Access•A Hu•Social Indicators Research•2013

  • Improving but unequal

    Open Access•Soyoung Kwon, M H Schafer•SSM - Population Health•2016

  • Incorporating biomarkers into the study of socio-economic status and health among older adults in China

    Open Access•Melanie Sereny Brasher, L K George et al.•SSM - Population Health•2017

  • Decomposing the causes of socioeconomic-related health inequality among urban and rural populations in China

    Open Access•Jiaoli Cai, Peter C Coyte et al.•International Journal for Equity…•2017

  • Inter-provincial inequality of public health services in China

    Open Access•Tianxiang Chen, Wang Ying et al.•International Journal for Equity…•2018

  • Income-related inequality in health insurance coverage

    Open Access•Jinan Liu, Lizheng Shi et al.•International Journal for Equity…•2012

  • Spatial inequity in access to healthcare facilities at a county level in a developing country

    Open Access•Cheng Jin, Jianquan Cheng et al.•International Journal for Equity…•2015

  • Development and validation of the healthcare access barrier scale (Habs)

    Open Access•Min Hu, Yusheng Jia et al.•International Journal for Equity…•2025

  • Effects of Economic Freedom on Life Expectancy in Africa

    Open Access•Issaka Ouédraogo•Social Science & Medicine•2025

  • Beyond sequential stages

    Open Access•Cheng Li, Xue Deng•Critical Public Health•2026

  • Health Care Access and Regional Disparities in China

    Open Access•Julia Vedom, Huhua Cao•Espace populations sociétés•2011

  • City-level socioeconomic divergence, air pollution differentials and internal migration in China

    Open Access•Haining Wang, Fei Guo•Cities•2023

  • Migration and consumption among poor rural households in China

    Open Access•Pu Hao, Shuangshuang Tang•Habitat International•2023

  • Preparing for an “Insured” Old Age

    Open Access•Lihong Shi•Journal of Cross-Cultural…•2018

  • Multidimensional Inequalities in Health Care Distribution in Provincial C hina

    Open Access•Yingru Li, Y D Wei•Tijdschrift voor Economische en…•2014

  • Trends in Functional and Activity Limitations among Chinese Oldest-Old, 1998 to 2008

    Open Access•L G Martins, LINDA G MARTIN et al.•Population and Development Review•2014

  • Income inequality and health

    Open Access•Martin Karlsson, Thomas Nilsson et al.•Social Science & Medicine•2010

  • Major Socioeconomic Driving Forces of Improving Population Health in China

    Open Access•Zhongwei Zhao, Hongbo Jia et al.•Population and Development Review•2020

  • Income inequality and health in China

    Open Access•Nan Zou Bakkeli•Social Science & Medicine•2016

  • Social Change and Socioeconomic Disparities in Health over the Life Course in China

    Open Access•Feinian Chen, Feinian Chen Feinian Chen et al.•American Sociological Review•2010

  • Son preference, use of maternal health care, and infant mortality in rural China, 1989-2000

    Jiajian Chen, Zhenming Xie et al.•Population Studies•2007

  • Évolution de la mortalité au cours de la transition du socialisme planifié au capitalisme d'État à Shanghai

    Open Access•Jiaying Zhao, Edward Jow-Ching Tu et al.•Population•2016

  • Income inequality and economic growth

    Open Access•Zhaoxin Qi, Bicong Wang et al.•American Journal of Economics and…•2025

  • How kinship systems and welfare regimes shape leaving home

    Open Access•B Nauck, Nicolai Gröpler et al.•Demographic Research•2017

  • The Causal Effects of Rural-to-Urban Migration on Children's Well-being in China

    Hongwei Xu, Yu Xie•European Sociological Review•2015

  • Re-thinking the Incrementalist Thesis in China

    Open Access•Chak Kwan Chan•Journal of Social Policy•2010

  • Expenditure Decentralization and Citizen Satisfaction with Healthcare

    Open Access•Jian Huang, Longjin Chen et al.•Social Indicators Research•2017

  • China's changing population

    Judith Banister•China's changing population•1987

  • The Epidemiologic Transition

    Open Access•Abdel R Omran•Milbank Quarterly•2005

  • The Epidemiologic Transition Theory. A Preliminary Update

    Abdel R Omran•Journal of Tropical Pediatrics•1983

  • A Reassessment of the Demography of Traditional Rural China

    George W Barclay, Ansley J Coale et al.•Population Index•1976

  • The Fourth Stage of the Epidemiologic Transition

    Jay Olshansky, S Jay Olshansky et al.•Milbank Quarterly•1986

  • The Epidemiologic Transition

    Abdel R Omran•The Milbank Memorial Fund Quarterly•1971

  • China’s Changing Population

    Judith Banister•China’s Changing Population•1991

  • One Quarter of Humanity

    James Z Lee, Feng Wang et al.•One Quarter of Humanity•1999

  • How Have the World's Poorest Fared since the Early 1980s

    Shaohua Chen•The World Bank Research Observer•2004

  • Mortality Transition in East Asia

    Zhongwei Zhao, Yohannes Kinfu•Asian Population Studies•2005

  • Mortality in Central and Eastern Europe

    Open Access•France Meslé•Demographic Research•2004

  • Routes to Low Mortality in Poor Countries

    John C Caldwell•Population and Development Review•1986

Unique citing works49
Citations per year2,58
Citation span2007 - 2026 (20)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 45

Tools

Open DOISci-Hub
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae