Objectives: This study aimed to identify the multi-trajectories of 3-D health of older adults in China and to explore whether the childhood predictors are associated with 3-D health trajectory.
Methods: Data came from five waves of the China Health and Retirement Longitudinal Study (CHARLS, 2011 to 2018). A multi-trajectory modeling approach was carried out to jointly estimate the trajectories of 3-D health. A multinomial regression model was used to investigate the relationship between childhood predictors and the joint trajectories.
Results: We identified three typical joint 3-D health trajectories. Female, childhood health, maternal and paternal educations, childhood friendships, family and neighborhood predictors could all affect disability trajectories of older adults directly or indirectly through adults variables.
Discussion: The 3-D health trajectories showed increasing trends, thus the government should perform more interventions toward the childhood predictors for better health of older adults.

Figure 1

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The full text of this article is available to read as a PDF.
No competing interests reported.
This is a list of supplementary files associated with this preprint. Click to download.
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Posted 02 Feb, 2021
On 11 Mar, 2021
Received 20 Feb, 2021
On 17 Feb, 2021
Invitations sent on 17 Feb, 2021
On 17 Feb, 2021
On 29 Jan, 2021
On 29 Jan, 2021
On 25 Jan, 2021
Posted 02 Feb, 2021
On 11 Mar, 2021
Received 20 Feb, 2021
On 17 Feb, 2021
Invitations sent on 17 Feb, 2021
On 17 Feb, 2021
On 29 Jan, 2021
On 29 Jan, 2021
On 25 Jan, 2021
Objectives: This study aimed to identify the multi-trajectories of 3-D health of older adults in China and to explore whether the childhood predictors are associated with 3-D health trajectory.
Methods: Data came from five waves of the China Health and Retirement Longitudinal Study (CHARLS, 2011 to 2018). A multi-trajectory modeling approach was carried out to jointly estimate the trajectories of 3-D health. A multinomial regression model was used to investigate the relationship between childhood predictors and the joint trajectories.
Results: We identified three typical joint 3-D health trajectories. Female, childhood health, maternal and paternal educations, childhood friendships, family and neighborhood predictors could all affect disability trajectories of older adults directly or indirectly through adults variables.
Discussion: The 3-D health trajectories showed increasing trends, thus the government should perform more interventions toward the childhood predictors for better health of older adults.

Figure 1

Figure 2

Figure 3
The full text of this article is available to read as a PDF.
No competing interests reported.
This is a list of supplementary files associated with this preprint. Click to download.
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