| 引用本文：张立龙, 韩润霖.贫困缩短了老年人的预期寿命吗？——基于多状态生命表的研究[J].中国卫生政策研究,2020,13(9):8-14 |
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| 贫困缩短了老年人的预期寿命吗？——基于多状态生命表的研究 |
| 投稿时间：2020-03-22 修订日期：2020-06-28 PDF全文浏览 HTML全文浏览 |
| 张立龙1, 韩润霖2 |
1. 首都经济贸易大学 北京 100070;
2. 中国社会科学院大学 北京 102488 |
| 摘要:本文基于2008-2011年中国老年健康影响因素跟踪调查（CLHLS）数据，利用logit模型和多增减生命表研究了贫困状态对老年人死亡风险和预期寿命的影响。结果发现：（1）非贫困老年人的死亡风险比贫困老年人显著低15.3%；贫困状态对老年人死亡风险的影响在不同居住地（城乡）、不同医疗保险拥有状况的老年人之间存在显著差异。（2）65岁非贫困老年人的平均余寿为16.75年，比贫困老年人长1.21年；其中，农村和城镇65岁非贫困老年人与贫困老年人的平均余寿之差分别为1.11年、2.01年；有无医疗保险者的平均余寿之差分别为1.32年、0.97年。本文建议完善建档立卡贫困人口、低保对象的社会救助体系，提高社会救助水平尤其是医疗救助水平，加强贫困地区医疗卫生服务体系建设，推进贫困地区与城镇地区的基本公共卫生服务均等化。 |
| 关键词:贫困状态 预期寿命 死亡风险 生命表 |
| 基金项目:国家社科基金青年项目“农村失能老年人家庭非正式照料及政策支持研究”（20CRK016） |
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| Does poverty reduce the life expectancy of the elderly: Research on multistate life table |
| ZHANG Li-long1, HAN Run-lin2 |
1. Capital University of Economics and Business, Beijing 100070, China;
2. University of Chinese Academy of Social Sciences, Beijing 102488, China |
| Abstract:Based on the 2008~2011 China's Longitudinal Health Longevity Survey (CLHLS) data, this paper used the logistic model and multistate life table method to study the relationship between economic poverty and the elderly people's death risk and life expectancy. The results found that:(1) death risk of non-poor elderly people is significantly lower than that of poor elderly people by 15.3%; the impact of poverty on the death risk of the elderly exists among the elderly people with different places of residence (urban and rural)and medical insurance status. (2) The average life expectancy of non-poor elderly people is 16.75 years, which is 1.21 years longer than that of the poor elderly people. Based on the results of empirical analysis, it is recommended that, the social assistance system for the poverty-stricken population should be improved;the level of social assistance should be attached more importance, especially the level of medical assistance;the healthcare service system in poverty-stricken areas should be enhanced; and the equalization of basic public health services between poverty-stricken areas and urban areas should be promoted. |
| Key words:The state of poverty Life expectancy Death risk Life table |
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