their levels of quality of life. However three dimensional indexes exerted different influences. The mental health and self-rated health played

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1 POPULATION & ECONOMICS No Tot. No. 213 CLHLS CLHLS C92-05 DOI /j. issn A The Effect of Health Changes on Self-reported Quality of Life of the Elderly in China Fixed Effects Model Analysis Based on CLHLS Data LI Jianxin LIU Baozhong Department of Sociology Peking University Beijing China Abstract The previous studies have found that the health status of the elderly was closely related to self-reported quality of life. But these studies generally used the cross-section data and also tended to choose the single dimensional index to measure the health status. Using Chinese Longitudinal Healthy Longevity Survey CLHLS data from multi dimensions of health including body health mental health and self-rated health this paper tested the effect of health changes on the self-reported quality of life of the elderly in China with the fixed effects model. Our study showed that the improvements of body health mental health and self-rated health among the elderly could improve

2 their levels of quality of life. However three dimensional indexes exerted different influences. The mental health and self-rated health played a mediating effect between body health and self-reported quality of life. Keywords elderly health self-reported quality of life fixed effects model 1 - HRQOL Smith OLS CLHLS Gill Feinstein 12 Diener Suh

3 Gayman 19 Livneh Antonak 20 Schieman Turner Jylh Saeedian

4 CLHLS % ADL CLHLS Katz 31 1 = 2 = 3 = 4

5 1-5 Cronbach s Alpha ADL 1 % = = ADL = = = = = = = = = = = = = = = = Logit 5

6 Hausman Ln p i1 / 1 - p i1 = u i1 + β 1 health i1 + β 2 control A i1 + β 3 control B i + v i + ε i1 1 Ln p i2 / 1 - p i2 = u i2 + β 1 health i2 + β 2 control A i2 + β 3 control B i + v i + ε i Ln Pr y i1 = 0 y i2 = 1 /Pr y i1 = 1 y i2 = 0 = u i2 - u i1 + β 1 health i2 - health i1 + β 2 control A i2 - control A i1 + ε i2 - ε i t = t = 2 y it i y 0 1 P it y it = 1 u it health it control A it control B i 60 v i ε it β 1 β 2 β ADL Baron Kenny % e = sig < sig <

7 sig < e e ADL ADL *** *** *** *** * * * *** *** *** *** *** *** *** *** * LR Chi Df LR Chi % Sig *** sig < ** sig < * sig < with-group variance LR Chi2 = 2 LR Chi2-1 LR Chi2 3 LR Chi2 = 3 LR Chi2-2LR Chi = 2 LR Chi2 / 1 LR Chi2 3 = 3 LR Chi2 / 1 LR Chi LR Chi % %

8 ADL *** *** *** Sig *** sig < ** sig < * sig < ADL 1. ADL B = *** B = Logit CLHLS

9 ADL * * *** *** *** *** *** *** Sig *** sig < ** sig < * sig < Bishop TORRANCE G W Utility approach to measuring health-related quality of life J. Journal of Chronic Diseases PATRICK D L ERICKSON P. Assessing health-related quality of life for clinical decision-making M / / WALKER S R ROESER R M. Quality of Life Assessment Key Issues in the 1990s. Netherlands Kluwer Academic Publishers GUATT G H FEENY D H PATRICK D L. Measuring health-related quality of life J. Annals of Internal Medicine J

10 J SMITH K W AVIS N E ASSMANN S F. Distinguishing between quality of life and health status in quality of life research a meta-analysis J. Quality of Life Research BISHOP M. Quality of life and psychosocial adaptation to chronic illness and disability J. Rehabilitation Counseling Bulletin KIM W S CHO S I SHIN H I PARK J H. Identifying factors associated with self-rated health according to age at onset of disability J. Disability and Rehabilitation ARNOLD S B. Measurement of quality of life in the frail elderly M / / Birren J E. The Concept and Measurement of Quality of Life in the Frail Elderly. San Diego CA Academic Press J BIRREN J E DIECKMANN L. Concepts and content of quality of life in the later years an overview M / / BIRREN J E. The Concept & Measurement of Quality of Life in the Frail Elderly. San Diego CA Academic Press GILL T M FEINSTEIN A R. A critical appraisal of the quality of quality-of-life measurements J. Jama the Journal of the American Medical Association DIENER E SUH E. Measuring quality of life economic social and subjective indicators J. Social Indicators Research World Health Organization. Constitution of the World Health Organization R SCHIEMAN S TURNER H A Age disability and the sense of mastery J. Journal of Health and Social Behavior MCAULEY E KONOPACK J F MOTL R W MORRIS K S DOERKSEN S E ROSENGREN K R. Physical activity and quality of life in older adults influence of health status and self-efficacy J. Annals of Behavioral Medicine NEWSOM J SCHULZ R. Social support as a mediator in the relation between functional status and quality of life in older adult J. Psychology and Aging J GAYMAN M D TURNER R J CUI M. Physical limitations and depressive symptoms exploring the nature of the association J. The Journals of Gerontology Series B Psychological Sciences and Social Sciences S219 - S LIVENEH H ANTONAK R F. Psychosocial adaptation to chronic illness and disability a primer for counselors J. Journal of Counseling and Development SINGH R UPADHYAY A. Mental health of elderly people J. Journal of Psychosocial Research Jylh M. What is self-rated health and why does it predict mortality towards a unified conceptual model J. General Information BOSWORTH H B SIEGLER I C BRUMMETT B H BAREFOOT J C WILLIAMS R B VITALIANO P P MARK D B. The relationship between self-rated health and health status among coronary artery patients J. Journal of Aging and Health JOHNSON R J WOLINSKY F D. The structure of health status among older adults disease disability functional limitation and perceived health J. Journal of Health & Social Behavior J HOOKER K SIEGLER I C. Separating apples from oranges in health ratings perceived health includes psychological well-being J. Behavior Health and Aging ROSS C E BIRD C E. Sex stratification and health lifestyle consequences for men s and women s perceived health J. Journal of Health and Social Behavior FARMER M M FERRARO K F. Distress and perceived health mechanisms of health decline J. Journal of Health and Social Behavior SAEEDIAN R G NAGYOVA I KLEIN D SKORVANEK M ROSENBERGER J GDOVINOVA Z GROOTHOFF J W VAN DIJK J P. 10

11 Self-rated health mediates the association between functional status and health-related quality of life in Parkinson s disease J. Journal of Clinical Nursing ZENG Yi. Toward deeper research and better policy for healthy aging using the unique data of Chinese longitudinal healthy longevity survey J. China Economic Journal KATZ S FORD A B MOSKOWITZ R W JACKSON B A JAFFE M W. Studies of illness in the aged the index of ADL a standardized measure of biological and psychosocial function J. Journal of the American Medical Association STATA M BARON R M KENNY D A. The moderator - mediator variabledistinction in social psychological research conceptual strategic and statistical considerations J. Journal of Personality and Social Psychology M TAYLOR S E KEMENY M E BOWER J E GRUENEWALD T L REED M G. Psychological resources positive illusions and health J. American Psychologist TAYLOR S E CLARK L F. Does information improve adjustment to noxious events M / / SAKS M J SAXE L. Advances in Applied Social Psychology Vol. 3. Hillsdale NJ Lawronce Erlbaum WRIGHT J FRANK A AYRES P JONE K ROBERTS T WHITTY P. Public health in hospitals the missing link in health improvement J. Journal of Public Health VEENSTRA M MOUM T GARRATT A M. Patient experiences with information in a hospital setting association with coping and self-rated health in chronic illness J. Quality of Life Research J

P. C Evelyn. M. Duvall 2 quality of life cabana

P. C Evelyn. M. Duvall 2 quality of life cabana 2012 3 193 POPULATION JOURNAL No. 3. 2012 Tot. No. 193 100871 2008 Logit C913. 6 A doi 10. 3969 /j. issn. 1004-129X. 2012. 03. 004 1004-129X 2012 03-0031 - 11 2011-12 - 10 10JJD840001 1962-2010 1% 60 1.