| 引用本文：王雪辉, 彭聪.老年人社会经济地位对健康的影响机制研究——兼论生活方式、公共服务和社会心理的中介效应[J].中国卫生政策研究,2020,13(3):21-30 |
|
| 老年人社会经济地位对健康的影响机制研究——兼论生活方式、公共服务和社会心理的中介效应 |
| 投稿时间：2020-01-06 修订日期：2020-02-10 PDF全文浏览 HTML全文浏览 |
| 王雪辉, 彭聪 |
| 复旦大学人口与发展政策研究中心 上海 200433 |
| 摘要:社会经济地位差异会带来老年人健康的不平等，社会经济地位的弱势对老年健康产生不利影响，但生活方式、公共服务和社会心理因素可在一定程度上弱化社会经济地位对老年健康的直接影响。基于2014年中国老年健康影响因素跟踪调查（CLHLS）数据，利用有序Logistic回归模型实证分析了社会经济地位对老年人健康状况的影响，并考察了生活方式、公共服务和社会心理维度变量的中介效应。研究发现：社会经济地位越高，老年人的自评健康、生理健康和精神健康状况越好；体育锻炼、食用水果和居住安排等生活方式变量有利于缓解社会经济地位弱势对老年健康的负面影响；医疗服务可及性在社会经济地位与老年健康的关系中具有显著的中介效应，但社区服务丰富性的中介效应不明显；生活满意度和社会参与度也能缓解社会经济地位弱势对健康造成的不利影响。改善老年人的健康状况不仅需要改变部分老年群体的社会经济地位弱势状态，也应该倡导健康的生活方式、提高公共服务水平和促进老年社会参与度。 |
| 关键词:社会经济地位 老年健康 生活方式 公共服务 社会心理 |
| 基金项目:国家自然科学基金（71490735）；中国博士后科学基金（2018M630390） |
|
| Study on the impact mechanism of elderly socioeconomic status on health: The mediating effects of lifestyle, public service and social psychology |
| WANG Xue-hui, PENG Cong |
| Center for Population and Development Policy Studies, Fudan University, Shanghai 200433, China |
| Abstract:The differences in social and economic status will lead to inequalities in health of elderly population, and negative impacts may arise in case their socioeconomic status is not strong. However, lifestyle, public service and psychosocial factors may reduce the direct impacts of socioeconomic status on the health of older adults. Based on the data of Chinese Longitudinal Healthy Longevity Survey (CLHLS) carried out in 2014, this paper uses the Ordered Logistic Regression Model to analyze the impacts of socioeconomic status on the health condition of elderly population, and to investigate the mediating effects of lifestyle, public service and social psychology. Research results showed that the higher the social and economic status, the better the self-rated health, physical health and mental health of the elderly. Lifestyle variables such as physical exercise, fruit consumption and living arrangements were found to be helpful in the alleviation of the impact of socioeconomic status on the elderly's health. The accessibility of medical services has a significant mediating effect in the relationship between socioeconomic status and health condition of the elderly, but the intermediary effect of community service richness is not obvious. Life satisfaction and social participation was also found capable of playing an important role in the alleviation of adverse effects of weak socioeconomic status on health of the elderly population. Therefore, promoting the health status of the elderly not only needs to improve the socioeconomic status, but also should pay attention to healthy lifestyle advocacy for elders, public service supply improvement and promotion of elderly social participation. |
| Key words:Socioeconomic status Elderly health Lifestyle Public service Social psychology |
| 摘要点击次数: 1777 全文下载次数: 977 |
|
|
