@article{01JJA946DACQH6VHY0PAG8N7ZV,
  abstract     = {{Chronic pain, as a barometer of population health, remains understudied from a socio-structural lens. This study adopts a life course perspective and integrates hukou as a potential institutional arrangement shaping pain, aiming to advance the understanding of health inequalities in China. Specifically, we examine urban-rural disparities in pain prevalence and investigate how these disparities evolve across the life course by using generalized estimating equations and the China Health and Retirement Longitudinal Study 2011-2020 (N = 16479). Our findings indicate that rural hukou holders experience more pain than their urban counterparts. Among rural hukou holders, urban dwelling is associated with a reduced pain risk. Furthermore, we observe that pain prevalence increases with age, yet such pain trajectories vary across urban and rural populations, showing a converging trend in pain over the life course. This study extends the literature on health inequalities by demonstrating how institutional and geographic characteristics jointly shape urban-rural gradients in pain prevalence. Moreover, it provides novel evidence for the age-as-leveler hypothesis in a non-Western context.}},
  articleno    = {{117719}},
  author       = {{Chen, Siyuan and Bracke, Piet and Delaruelle, Katrijn}},
  issn         = {{0277-9536}},
  journal      = {{SOCIAL SCIENCE & MEDICINE}},
  keywords     = {{LONG-TERM HEALTH,CUMULATIVE ADVANTAGE,SOCIAL-STRATIFICATION,HUKOU,SYSTEM,LIFE,INEQUALITY,EDUCATION,CONSEQUENCES,DISADVANTAGE,ASSOCIATION,Pain,Urban-rural disparities,Hukou,Aging,Age-as-leveler}},
  language     = {{eng}},
  pages        = {{15}},
  title        = {{Walking to the same winter : urban-rural disparities in pain among middle-aged and older Chinese}},
  url          = {{http://doi.org/10.1016/j.socscimed.2025.117719}},
  volume       = {{366}},
  year         = {{2025}},
}

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