Acta Geographica Sinica ›› 2022, Vol. 77 ›› Issue (12): 3072-3089.doi: 10.11821/dlxb202212009

• Population Geography • Previous Articles     Next Articles

Spatial pattern evolution of the health level of China's older adults and its influencing factors from 2010 to 2020

PAN Zehan1(), WU Lianxia2(), ZHUO Chong1, YANG Feiyang1   

  1. 1. Institute for Population Research, Fudan University, Shanghai 200433, China
    2. Institute for Population Research, East China Normal University, Ageing Research Base of China National Committee on Ageing, Shanghai 200241, China
  • Received:2022-07-17 Revised:2022-11-22 Online:2022-12-25 Published:2022-12-29
  • Contact: WU Lianxia;
  • Supported by:
    National Natural Science Foundation of China(42001161);Program of National Social Science Foundation of China(19CRK010);Humanities and Social Sciences Projects of the Ministry of Education of China(18YJC840043);Humanities and Social Sciences Projects of the Ministry of Education of China(19YJC840032);Fundamental Research Funds for the Central Universities and Start-up Fee Project for Talent Introduction of East China Normal University(2020ECNU-HLYT048)


As the speed of population ageing increases in China, understanding the spatial pattern evolution of the older adults' health level is of great significance to the implementation of the healthy aging strategy. Based on the self-rated health data of the older adults from the sixth and seventh national censuses, this paper tried to depict the dynamic evolution of the older adults' health level in urban and rural areas across different provincial-level regions in China from 2010 to 2020 by using exploratory spatial data analysis method. Then this paper built Gravity-GTWR models to explore the temporal and spatial variations in the factors influencing the older adults' health, such as socioeconomic development, population migration, environmental pollution and protection. The main findings were as follows: (1) From 2010 to 2020, the health level of China's older adults increased overall, but the gap between urban and rural areas further expanded. In terms of the health level of the urban older adults, the pattern of "decreasing along east-middle-west" tended to be strengthened. As for the health level of the rural older adults, the spatial pattern has transferred from "decreasing along east-middle-west" to "high in the south and low in the north". (2) Although the role of socioeconomic development was weakened, it was still the primary factor that shaped and altered the spatial pattern. The rural-urban population migration widened the urban-rural gap in the health of older adults. (3) The role of natural environmental background tended to be weakened, while the role of environmental pollution was enhanced. The strengthened environmental protection measures started to exert positive effects on the health level of older adults in urban areas.

Key words: older adults, health level, spatial pattern, influencing factors, census, China