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Liu Z, Su M, Zhang T, Zhang W, Li D. What role does social class play in the impact of social environment on residents' health. Sci Rep 2025; 15:13430. [PMID: 40251212 PMCID: PMC12008417 DOI: 10.1038/s41598-025-97525-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2024] [Accepted: 04/04/2025] [Indexed: 04/20/2025] Open
Abstract
This study aims to identify the role and pathways through which social class plays a part in the impact of the social environment on residents' health. Using data from the China General Social Survey 2021, we analyzed a sample of 2715 participants to assess the role and pathways of social class in the influence of the social environment on residents' health. We employed the Ordinary Least Squares model to quantify the impact of the social environment on residents' health and utilized the Karlson-Holm-Breen method along with the construction of product terms to estimate the mediating and moderating effects of social class. To address endogeneity, we conducted robustness tests using the instrumental variable method. Our findings indicate that in the process of the social environment's impact on residents' health, social class acts as a moderator, functioning with an approximate effect of 20%. In terms of the pathway of action, this moderating function is realized by exerting an influence on residents' mental health. When analyzing the social determinants of health, it is necessary to consider the significant role played by social class and to pay more attention to the potential impact of the mental health of different social classes on their overall health.
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Affiliation(s)
- Zelin Liu
- School of Public Management, Inner Mongolia University, Hohhot, China
| | - Min Su
- School of Public Management, Inner Mongolia University, Hohhot, China.
| | - Tianjiao Zhang
- School of Public Management, Inner Mongolia University, Hohhot, China
| | - Weile Zhang
- School of Public Management, Inner Mongolia University, Hohhot, China
| | - Dongxu Li
- School of Public Health, Jining Medical University, Jining, China
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Álvarez-Lourido D, Paniza-Prados JL, Álvarez-Sousa A. The influence of COVID-19 on the practice of physical activity in the European Union countries. GACETA SANITARIA 2025; 39:102436. [PMID: 39823678 DOI: 10.1016/j.gaceta.2024.102436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Revised: 10/20/2024] [Accepted: 10/22/2024] [Indexed: 01/20/2025]
Abstract
OBJECTIVE Analyze how pandemics contribute to the increase in social inequalities in the health sector. METHOD Data are taken from Eurobarometer 97.3. We use the Generalized Structural Equation Model (GSEM) methodology for this analysis. RESULTS People with lower socio-economic status, considered to be of lower social class, living in areas with worse infrastructure for practicing physical activity, and in countries with high levels of social inequality, are less likely to engage in leisure time physical activity. In addition, these individuals are more likely to interrupt physical activity practices as a result of COVID-19. In contrast, people of higher socio-economic status, considered to be of upper class, living in contexts where there are opportunities for physical activity, and in countries with low levels of social inequality, are more likely/ to belong to the group of those who increased the frequency of practicing physical activity in free time/ to have increased the frequency of their leisure time physical activity. CONCLUSIONS There are widespread inequalities in leisure time physical activity linked to personal variables (social status and subjective social class) and contextual variables (infrastructures and Gini Index) that were significantly aggravated with the COVID-19 pandemic.
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Affiliation(s)
- Diego Álvarez-Lourido
- Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife (Tenerife), Spain
| | - José Luis Paniza-Prados
- Department of Sociology, Faculty of Political Science and Sociology, University of Granada, Granada, Spain.
| | - Antonio Álvarez-Sousa
- Department of Sociology and Communications Sciences, Group of Territorial Studies, Sociology Faculty, University of Coruña, A Coruña, Spain
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Agudamu, Bu T, Zhang Y. Marginal effects of economical development and university education on China's regular exercise population. Front Public Health 2024; 12:1411191. [PMID: 39081359 PMCID: PMC11287772 DOI: 10.3389/fpubh.2024.1411191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Accepted: 07/04/2024] [Indexed: 08/02/2024] Open
Abstract
Objective Although the regular exercise population is a key metric for gaging the success of China's fitness-for-all activities, effective policy approaches to increase mass sports participation remain unclear. Previous research suggests that GDP, educational attainment, sports resources, and meteorological conditions could influence regular exercise participation. Therefore, this study first analyzed the macro-level correlates influencing China's regular exercise population. Methods We utilize ordinary least squares (OLS) regression and geographical weighted regression (GWR) to theorize the relationship. The analysis encompasses data from the 31 administrative regions of Mainland China, as reported at the end of the 13th Five-Year Plan period. The log-log model enables us to quantify the marginal effect (elasticity) of the explanatory variables. Results The OLS regression showed that regional GDP and the proportion of the population with a university education were significant predictors. In the global model, the marginal effects of regional GDP and university education were 0.048 and 0.173, respectively. Furthermore, the GWR revealed a distinct geographic pattern that corresponds to the classic Hu Line. Conclusion While regional GDP was also a significant correlate in our model, the elasticity demonstrates that university education had an asymmetric effect on China's regular exercise population. Therefore, this paper sheds light on a policy priority for the upcoming 15th Five-Year Plan, emphasizing the strategic importance of expanding university education to enhance mass sports participation. In turn, a better-educated populace may yield significant secondary effects on public health and contribute to the high-quality development of the Chinese path to modernization.
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Affiliation(s)
- Agudamu
- Graduate School of Social Welfare, Sungkyunkwan University, Seoul, Republic of Korea
| | - Te Bu
- College of Physical Education, Hunan Normal University, Changsha, China
- HEHA CAT Sports Science and Technology Institute, Changsha, China
| | - Yang Zhang
- Independent Researcher, Windermere, FL, United States
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Wang B, Zhao H, Shen H, Jiang Y. Socioeconomic status and subjective well-being: The mediating role of class identity and social activities. PLoS One 2023; 18:e0291325. [PMID: 37713386 PMCID: PMC10503752 DOI: 10.1371/journal.pone.0291325] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 08/28/2023] [Indexed: 09/17/2023] Open
Abstract
BACKGROUND Subjective well-being has a significant impact on an individual's physical and mental health. Socioeconomic status, class identity, and social activity participation play important roles in subjective well-being. Therefore, the aim of this study was to uncover the mechanisms through which these factors influence subjective well-being. METHODS A total of 1926 valid samples were recruited using the Chinese General Social Survey 2021 (CGSS 2021). The Chinese Citizen's Subjective Well-Being Scale (SWBS-CC) was employed to assess subjective well-being. Socioeconomic status was measured using income and education, and class identity and social activity participation were measured using Likert scales. Pearson correlation analysis and the chain mediation model were conducted to explore the relationship between these factors. Finally, the Bootstrap method was used to examine the path coefficients. RESULTS A significant correlation was found between socioeconomic status, class identity, social activity, and subjective well-being (p < 0.01). The indirect effect of socioeconomic status on subjective well-being mediated by class identity was 0.351 (95% CI: 0.721, 1.587), while the indirect effect of socioeconomic status on subjective well-being mediated by social activity was 0.380 (95% CI: 0.059, 0.240). The effect mediated by both class status and social activities was 0.011 (95% CI: 0.010, 0.093). CONCLUSIONS The study showed that socioeconomic status, class identity, and social activity had significant effects on subjective well-being. Class identity and social activity partially mediated the effects of socioeconomic status on subjective well-being, and they had a chain mediating effect between socioeconomic status and subjective well-being. Therefore, policymakers have the opportunity to enhance subjective well-being in lower socioeconomic status groups by promoting individual class identity and encouraging greater social activity participation.
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Affiliation(s)
- Baoqin Wang
- School of Public Health, Chongqing Medical University, Chongqing, China
- Research Center for Medical and Social Development, School of Public Health, Chongqing Medical University, Chongqing, China
| | - Hang Zhao
- School of Public Health, Chongqing Medical University, Chongqing, China
- Research Center for Medical and Social Development, School of Public Health, Chongqing Medical University, Chongqing, China
| | - Hao Shen
- School of Public Health, Chongqing Medical University, Chongqing, China
- Research Center for Medical and Social Development, School of Public Health, Chongqing Medical University, Chongqing, China
| | - Yi Jiang
- School of Public Health, Chongqing Medical University, Chongqing, China
- Research Center for Medical and Social Development, School of Public Health, Chongqing Medical University, Chongqing, China
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Li D, Ruan Y, Kang Q, Rong C. Association of urbanization with psychological well-being in Chinese adults aged 50 years and older: a population-based study. REVISTA BRASILEIRA DE PSIQUIATRIA (SAO PAULO, BRAZIL : 1999) 2023; 45:249-257. [PMID: 36917805 PMCID: PMC10288479 DOI: 10.47626/1516-4446-2022-3025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/25/2022] [Accepted: 02/13/2023] [Indexed: 03/06/2023]
Abstract
OBJECTIVE To examine the association between urbanization and psychological well-being (PWB) in China. METHODS Data were obtained from the 2015 China Health and Nutrition Survey (CHNS) and included 3,071 men and 3,385 women aged 50 years or older who lived in 288 communities across 12 provinces and municipalities. The urbanization index, which summarizes 12 urbanization dimensions at community level, was categorized into tertiles representing low, medium, and high levels of urbanization. PWB was assessed by scoring three self-reported questions. Gender-stratified multilevel analyses were used to estimate the association between urbanization and PWB. RESULTS After controlling for individual-level factors, the urbanization index was associated positively with PWB. More specifically, an increase of one SD in the score of community population density, economic activity, housing, education, sanitation, or diversity was associated significantly with PWB in both genders. In addition, increases in the score of community communications, social services, transportation, or modern markets were associated significantly with PWB in women, but not in men. CONCLUSION Urbanization has, on average, had an independent and positive effect on PWB in middle-aged and older Chinese populations, with many components of urbanization being separately and positively associated with PWB, especially in women.
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Affiliation(s)
- Dianjiang Li
- Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, China
- Research Center for Social Risk Governance for Major Public Health Events, Nanjing Medical University, Nanjing, China
| | - Yuhui Ruan
- School of Politics and Public Administration, Soochow University, Suzhou, China
- Institute of Public Health, Soochow University, Suzhou, China
| | - Qi Kang
- Department of Health Policy Research, Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, China
| | - Chao Rong
- Department of Health Service and Management, School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, China
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Alvarez-Lourido D, Paniza Prados JL, Álvarez-Sousa A. Ageing, Leisure Time Physical Activity and Health in Europe. Healthcare (Basel) 2023; 11:healthcare11091247. [PMID: 37174789 PMCID: PMC10178047 DOI: 10.3390/healthcare11091247] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 04/21/2023] [Accepted: 04/24/2023] [Indexed: 05/15/2023] Open
Abstract
The goal of this article is to analyse leisure time physical activity (LTPA) and health-driven motivations to engage in such activity among elderly people in the European Union. We use as a base the recommendations of the World Health Organisation (WHO) and the theory of the correlation between physical activity according to individual factors (age, gender, socio-economic status) and contextual factors (habitat, community infrastructures, the model of the welfare state of the country of residence). Data are taken from Eurobarometer 88.4. The Generalized Structural Equation Model (GSEM) methodology was used, with the STATA program. The results show that 65.3% of EU citizens over the age of 60 engage in some form of LTPA, that 40.4% do so for health reasons, and that only 32.3% engage in LTPA that meets the minimum guidelines set by the WHO. In addition, there are large differences based on individual and contextual characteristics. The following group was found to be those who practice the most: men, with high socio-economic status, belonging to the middle and upper social classes, living in rural areas where there is infrastructure for physical activity, and above all, in the countries of the Nordic model of social welfare.
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Affiliation(s)
- Diego Alvarez-Lourido
- Hospital Universitario Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain
| | - José Luis Paniza Prados
- Department of Sociology, Faculty of Political Science and Sociology, University of Granada, 18071 Granada, Spain
| | - Antonio Álvarez-Sousa
- Department of Sociology and Communications Sciences, Group of Territorial Studies (GET), Sociology Faculty, University of Coruna, 15071 Coruna, Spain
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Dong J, Liu W. Association of Physical Activity Level, Income and Environmental Factors Among Chinese Adults. Front Public Health 2022; 10:946756. [PMID: 35844874 PMCID: PMC9282824 DOI: 10.3389/fpubh.2022.946756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 06/10/2022] [Indexed: 11/13/2022] Open
Abstract
The purpose of this study was to evaluate associations between physical activity level and income and environmental factors among chinese adults. Through the empirical study of the survey data, it is found that: (1) after controlling for the relevant variables, residents' income has a positive impact on residents' participation in physical activities, and the regression coefficient is 0.541 (P < 0.01) (2) In the regression model after adding environmental variables, the regression coefficient of environmental variables increased from 0.401 (P < 0.01) to the highest 1.32 (P < 0.01) (3) Through the comparison of the KHB decomposition method, the intermediary effect of residents' income on environmental factors and participation in physical activities is 0.134 (P < 0.01), and the intermediary effect ratio is 27.01%. Suggestions: first, the government and society should actively provide public goods needed for physical activities to meet the needs of residents for physical activities; second, the government should strengthen the supply of sports facilities in residential areas, speed up the transformation of villages in cities and improve the living conditions in residential areas; third, through legislation to protect residents' income, improving income is not only to give citizens enough sense of security and happiness but also a way to improve residents' participation in physical activities.
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Affiliation(s)
- Jingjuan Dong
- Physical Education College, Quanzhou Normal University, Quanzhou, China
| | - Wei Liu
- Key Research Base of Humanities and Social Sciences in Colleges and Universities in Anhui Province–Quality Education Research Center for College Students of Anhui Xinhua University, Hefei, China
- Department of Physical Education, Anhui Vocational and Technical College of Sports, Hefei, China
- *Correspondence: Wei Liu
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Wang M, Shen X, Deng L, Yu F, Lou Y, Liu J, Huang Y. Mediating Effects of Adolescent Physical Activity, Self-Rated Health and Family Income. Front Public Health 2022; 10:940141. [PMID: 35812513 PMCID: PMC9258192 DOI: 10.3389/fpubh.2022.940141] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 05/25/2022] [Indexed: 11/25/2022] Open
Abstract
Objective To investigate and analyse the situation and relationship between adolescent physical activity and self-assessment of health to provide a reference for adolescent physical activity research. Methods A questionnaire was used to investigate the physical activity and self-rated health of 1,804 adolescents aged 14–18 years. Results There was a significant relationship between adolescents' physical activity and self-rated health. The coefficient was 0.109 (P < 0.01) in urban areas and 0.127 (P < 0.01) in rural areas. At the same time, it was found that when family income was used as the intermediary variable between physical activity and self-rated health, the intermediary effect was 0.12 (P < 0.01), and the intermediary effect accounted for 25.97%. Conclusion Adolescent obesity, physical activity, smoking, wellbeing and physical activity can affect adolescents' self-rated health status. At the same time, it is also found that adolescents' family income is an intermediary variable between physical activity and self-rated health. Suggestions (1) Increase the methods of sports venues, sports organizations and sports activities, improve the possibility of teenagers participating in physical activities, and improve teenagers' self-rated health; (2) There is a large gap between the physical activity and self-rated health of urban and rural adolescents. Increasing the guidance of physical activity of adolescents in rural areas promotes the balance of self-rated health of urban and rural adolescents. (3) Family income is the intermediary variable of teenagers' physical activities and self-rated health. Reducing family expenditure through financial transfer payments or reducing taxes and fees can increase the level of teenagers' physical and mental health.
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Affiliation(s)
- Meng Wang
- Department of Health Education, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Xi Shen
- Department of Student Manager and Education, Hangzhou Medical College, Hangzhou, China
- *Correspondence: Xi Shen
| | - Lamei Deng
- Department of Student Manager and Education, Hangzhou Medical College, Hangzhou, China
| | - Feng Yu
- Department of Health Education, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - Yin Lou
- Department of Health Education, Hangzhou Center for Disease Control and Prevention, Hangzhou, China
| | - JunJi Liu
- Department of Student Manager and Education, Hangzhou Medical College, Hangzhou, China
| | - Yibing Huang
- Department of Student Manager and Education, Hangzhou Medical College, Hangzhou, China
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Zhang F, Liu W, Deng L, Li Z, Wang Y, Jin B. The Relationship Between Chinese College Student Offspring's Physical Activity and Father Physical Activity During COVID-19 Pandemic. Front Public Health 2022; 10:896087. [PMID: 35719677 PMCID: PMC9204172 DOI: 10.3389/fpubh.2022.896087] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 04/11/2022] [Indexed: 11/29/2022] Open
Abstract
The purpose of this study was to evaluate the relationship between the physical activity of Chinese college students and the physical activity of their parents. This relationship was examined by linear regression. The results showed that (1) the physical activities of China's college students will be refurbished and used for the parents. The offspring of COVID-19's later generation sports population showed that the offspring's physical activity was not broken during the later stage of the epidemic, and the coefficient of promotion (r = 1.515) (p < 0.01) of the offspring's participation in the physical activities was. (2) The increase or decrease of parents' sports population is affected by their children's occupation. Therefore, it shows the dynamic role of individuals and the two-way nature of socialization in the process of socialization. With the transformation from traditional society to modern society, promoting college students' physical activities can increase parents' physical activities and improve the level of social physical activities.
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Affiliation(s)
- Feng Zhang
- Physical Education Institute, Xuzhou University of Technology, Xuzhou, China
| | - Wei Liu
- Department of Physical Education, Anhui Vocational and Technical College of Sports, Hefei, China
| | - Lamei Deng
- Students' Affairs Division, Hangzhou Medical College, Hangzhou, China
- *Correspondence: Lamei Deng
| | - Zhifu Li
- Department of Physical Education, Anhui Vocational and Technical College of Sports, Hefei, China
| | - Yajun Wang
- Department of Physical Education, Anhui Vocational and Technical College of Sports, Hefei, China
| | - Bo Jin
- Department of Electrical and Computer Engineering (DEEC), Institute of Systems and Robotics (ISR), University of Coimbra, Coimbra, Portugal
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Ren H, Liu W. The Effect and Mechanism of Cultural Capital on Chinese Residents' Participation in Physical Activities. Front Psychol 2022; 13:848530. [PMID: 35529567 PMCID: PMC9069810 DOI: 10.3389/fpsyg.2022.848530] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 03/28/2022] [Indexed: 12/02/2022] Open
Abstract
Background Using Bourdieu’s cultural capital theory, this paper discusses the inequality of Chinese urban residents’ participation in physical activities caused by cultural capital and explores the relationship and role of residents’ income and self-rated health in cultural capital and physical activity participation. Methods Using Chinese social survey data (2017), the proposed assumptions were tested and analyzed by using a linear regression model. Results Cultural capital can promote the participation of Chinese urban residents in physical activities, and personal income and health self-assessment play an intermediary role in promoting residents’ participation in physical activities. Conclusion Promoting Chinese residents’ participation in physical activities can be realized not only through traditional publicity and sports venue construction but also by increasing residents’ educational level, art appreciation level and health awareness.
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Affiliation(s)
- Huitao Ren
- Sport and Health College, Wenzhou University, Wenzhou, China.,Physical Education College, Quanzhou Normal University, Quanzhou, China
| | - Wei Liu
- Key Research Base of Humanities and Social Sciences in Colleges and Universities in Anhui Province-Quality Education Research Center for College Students of Anhui Xinhua University, Hefei, China.,Department of Physical Education, Anhui Vocational and Technical College of Sports, Hefei, China
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