Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study
Abstract Background In China, internal migrants are a vulnerable population due to the challenges of the health and social system. With the increase of population aging, older migrants have an increasing risk of developing chronic conditions. To date, limited research is available to document the li...
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BMC
2025-03-01
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| Online Access: | https://doi.org/10.1186/s12889-025-21550-9 |
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| author | Ruilong Wang Ailin Zhong Jingyi Ye Yuan Liu Lili Sun Jingsheng Chen Guanyang Zou |
| author_facet | Ruilong Wang Ailin Zhong Jingyi Ye Yuan Liu Lili Sun Jingsheng Chen Guanyang Zou |
| author_sort | Ruilong Wang |
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| description | Abstract Background In China, internal migrants are a vulnerable population due to the challenges of the health and social system. With the increase of population aging, older migrants have an increasing risk of developing chronic conditions. To date, limited research is available to document the life and health status of older migrants with hypertension, especially those who live alone. This study aims to report and compare the life and health status of older migrants with hypertension among those who live alone or do not. Methods Data were collected from the 2018 China Health and Retirement Longitudinal Survey (CHARLS). We included 40 older migrants with hypertension who lived alone and 214 who did not. The T-test, Chi-square test, Fisher exact test and Goodman and Kruskal’s Gamma were employed to test the differences between these groups. Additionally, multivariable linear and logistic regression analyses were used to confirm such differences. Results Of the 254 participants, 51.6% were male and the average age was 70.8. Furthermore, 81.1% had received secondary school education or below. Among older migrants with hypertension, 38.9% had received basic public health services such as regular blood pressure measurements from community health workers. Compared to hypertensive older migrants who did not live alone, those who lived alone had a higher CES-D score, a greater proportion of participants with depression, and a lower willingness to reduce alcohol consumption (11.91 vs. 8.53, p = 0.008; 18.8% vs. 6.3%, p = 0.018; 14.3% vs. 33.7%, p = 0.022). The multivariable analysis indicated that hypertensive older migrants who lived alone had higher risk scores for depression (adjusted β = 3.145, 95%CI = 0.092–6.198, p = 0.044). Conclusions Our study indicates the lack of effective implementation of basic public health services for older migrants with hypertension. In particular, hypertensive older migrants who live alone has less favourable psychological status and lifestyle. |
| format | Article |
| id | doaj-art-ebdea31d651140be86ee670b0f73d0ff |
| institution | OA Journals |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj-art-ebdea31d651140be86ee670b0f73d0ff2025-08-20T01:57:48ZengBMCBMC Public Health1471-24582025-03-012511910.1186/s12889-025-21550-9Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal studyRuilong Wang0Ailin Zhong1Jingyi Ye2Yuan Liu3Lili Sun4Jingsheng Chen5Guanyang Zou6School of Public Health and Management, Guangzhou University of Chinese MedicineSchool of Public Health and Management, Guangzhou University of Chinese MedicineSchool of Public Health and Management, Guangzhou University of Chinese MedicineCentre for Disease Prevention and Control of Liwan DistrictCentre for Disease Prevention and Control of GuangzhouCollege of Education science and Law Science, Xiang Nan UniversitySchool of Public Health and Management, Guangzhou University of Chinese MedicineAbstract Background In China, internal migrants are a vulnerable population due to the challenges of the health and social system. With the increase of population aging, older migrants have an increasing risk of developing chronic conditions. To date, limited research is available to document the life and health status of older migrants with hypertension, especially those who live alone. This study aims to report and compare the life and health status of older migrants with hypertension among those who live alone or do not. Methods Data were collected from the 2018 China Health and Retirement Longitudinal Survey (CHARLS). We included 40 older migrants with hypertension who lived alone and 214 who did not. The T-test, Chi-square test, Fisher exact test and Goodman and Kruskal’s Gamma were employed to test the differences between these groups. Additionally, multivariable linear and logistic regression analyses were used to confirm such differences. Results Of the 254 participants, 51.6% were male and the average age was 70.8. Furthermore, 81.1% had received secondary school education or below. Among older migrants with hypertension, 38.9% had received basic public health services such as regular blood pressure measurements from community health workers. Compared to hypertensive older migrants who did not live alone, those who lived alone had a higher CES-D score, a greater proportion of participants with depression, and a lower willingness to reduce alcohol consumption (11.91 vs. 8.53, p = 0.008; 18.8% vs. 6.3%, p = 0.018; 14.3% vs. 33.7%, p = 0.022). The multivariable analysis indicated that hypertensive older migrants who lived alone had higher risk scores for depression (adjusted β = 3.145, 95%CI = 0.092–6.198, p = 0.044). Conclusions Our study indicates the lack of effective implementation of basic public health services for older migrants with hypertension. In particular, hypertensive older migrants who live alone has less favourable psychological status and lifestyle.https://doi.org/10.1186/s12889-025-21550-9Home environmentAgedTransients and migrantsHypertension |
| spellingShingle | Ruilong Wang Ailin Zhong Jingyi Ye Yuan Liu Lili Sun Jingsheng Chen Guanyang Zou Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study BMC Public Health Home environment Aged Transients and migrants Hypertension |
| title | Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study |
| title_full | Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study |
| title_fullStr | Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study |
| title_full_unstemmed | Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study |
| title_short | Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study |
| title_sort | life and health status of older migrants with hypertension in china results from the 2018 china health and retirement longitudinal study |
| topic | Home environment Aged Transients and migrants Hypertension |
| url | https://doi.org/10.1186/s12889-025-21550-9 |
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