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Based on the 2018 China Family Panel Studies (CFPS) (n\u2009=\u200916,589), this nationwide study employed binary\/multinomial logistic regression analyses, stratified by urban\/rural residency, to estimate the likelihood of instrumental activities of daily living (IADLs) disability (0\/1\u20132\/\u22653 limitations) by social determinants of health (SDoH). The estimated overall prevalence of IADLs disability was 14.3%. The multivariable analyses did not find significant ethnic disparity in IADLs disability in urban China, while in rural China, ethnic minorities were 44% more likely to have IADLs disability than Han Chinese. Among rural residents, Mongolians, Tibetans, and Yi minority more than tripled the odds of having \u22653 limitations than Han Chinese; and the intersections of ethnicity and social class were associated with functional limitations. Long-term care and anti-poverty programs should target minority aging populations in rural China.<\/jats:p>","DOI":"10.1177\/00914150221092129","type":"journal-article","created":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T01:41:52Z","timestamp":1649986912000},"page":"350-375","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Functional Disability Among Middle-Aged and Older Adults in China: The Intersecting Roles of Ethnicity, Social Class, and Urban\/Rural Residency"],"prefix":"10.1177","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9792-2372","authenticated-orcid":false,"given":"Shen (Lamson)","family":"Lin","sequence":"first","affiliation":[{"name":"Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, 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