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China has undergone enormous social, economic, and political changes over recent decades and is a novel context in which to examine the potential influence of social change and technological innovation on health disparities. The authors consider efficacy, or the ability to quickly absorb and effectively utilize new medical innovations, and argue that the social stratification of efficacy provides an important conceptual link between education and the greater likelihood of benefitting from medical innovations. Using the 2001 National Family Planning and Reproductive Health Survey data and multilevel, multiprocess models, the authors show that Chinese infants born to better educated mothers retained a survival advantage over the turbulent decades between 1970 and 2000. This occurs largely because educated mothers more actively sought prenatal care and professional delivery assistance use.<\/jats:p>","DOI":"10.1177\/0022146511410886","type":"journal-article","created":{"date-parts":[[2011,9,6]],"date-time":"2011-09-06T11:46:54Z","timestamp":1315309614000},"page":"349-364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Dynamics of Inequality"],"prefix":"10.1177","volume":"52","author":[{"given":"Shige","family":"Song","sequence":"first","affiliation":[{"name":"City University of New York, Flushing, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah A.","family":"Burgard","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,9,6]]},"reference":[{"key":"bibr1-0022146511410886","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2004.03.001"},{"key":"bibr2-0022146511410886","doi-asserted-by":"publisher","DOI":"10.1080\/0032472032000183753"},{"key":"bibr3-0022146511410886","doi-asserted-by":"publisher","DOI":"10.1016\/j.worlddev.2004.09.003"},{"key":"bibr4-0022146511410886","first-page":"207","volume":"4","author":"Basu A. 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