Tourism Experiences and Self-Rated Health Among Older Adults in China

Objective: To investigate factors associated with tourism experiences, and the association between tourism experiences and subsequent self-rated health. Method: Multilevel logistic regression models and four waves of panel data from a large nationally representative survey of older adults in China were employed. Results: Those who had a tourism experience tended to be younger, men, urban residents, have a higher socioeconomic status (SES), and frequently participate in leisure activities and exercise. However, controlling for SES, women were more likely than men to have a tourism experience. Notably, tourism was negatively associated with poor self-rated health and the association was robust to adjustments for a wide range of confounders. Discussion: The net beneficial impact of tourism on self-rated health may operate through several mechanisms such as improvements in tourists' cognitive functioning, healthy lifestyles, self-esteen, family and social relations, and psychological and spirtual well-being. Tourism participation is an effective way to promote healthy aging.National Natural Sciences Foundation of China [71110107025, 71233001, 71490732]; U.S. National Institute of Aging [R01AG023627]; United Nations Population FundPubMedSSCIARTICLEgudanan@yahoo.com4675-7032