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Community-Based Residential Relocation in Middle and Older Age: A United States-China Comparison Study on Its
1Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.
Journal of Aging and Health
|August 24, 2024
Summary
Community relocation is linked to lower mortality in both the US and China. This survival advantage was more pronounced in China, suggesting better post-move adaptation and environment may play a role.
Area of Science:
- Gerontology
- Sociology
- Public Health
Background:
- Understanding factors influencing residential relocation among older adults is crucial for public health.
- Residential mobility patterns and their health implications can vary significantly across different cultural and economic contexts.
Purpose of the Study:
- To compare the predictors of community-based residential relocation.
- To examine the association between relocation and mortality risk in older adults in the United States and China.
Main Methods:
- Utilized data from the US Health and Retirement Study (2010-2018) and the China Health and Retirement Longitudinal Study (2011-2018).
- Included community-dwelling respondents aged 50 and older, tracking relocation and mortality until 2018.
- Employed log-binomial regression and Cox survival analysis to analyze the data.
Main Results:
- Common predictors for relocation in both countries included younger age, higher education, urban residence, and renter status.
- Community-based relocation was associated with reduced mortality risk in both the US (HR=0.63) and China (HR=0.40).
- The protective association between relocation and mortality was significantly stronger in China than in the US.
Conclusions:
- Identified shared predictors for community-based relocation in the US and China.
- The findings suggest a significant survival advantage associated with relocation for older adults.
- Post-move adaptation and improved living environments may explain the relocation-associated survival benefits, particularly in China.
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