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引用本文:苗钟元, 范围.子女收入、家庭支持与老年人健康[J].中国卫生政策研究,2023,16(7):31-39
子女收入、家庭支持与老年人健康
投稿时间:2023-05-04  修订日期:2023-06-09  PDF全文浏览  HTML全文浏览
苗钟元, 范围
首都经济贸易大学劳动经济学院 北京 100070
摘要:目的:分析子女收入对老年人健康状况的影响及群体性差异,并探究家庭支持在其中的中介效果。方法:使用2011—2018年四期中国健康与养老追踪调查(CHARLS)数据构建非平衡面板,以60岁及以上老年人作为研究对象,基于时间固定效应模型分析子女收入对老年人健康的效应水平,使用倾向得分匹配法对内生性问题进行讨论,并采用Karlson-Holm-Breen(KHB)方法对子女经济转移、时间转移以及二者组合路径的家庭支持方式进行机制检验。结果:子女收入提高分别在0.049和0.033水平上显著改善老年人自评健康和生活满意度,在修正选择性偏差后结论依旧稳健;子女提供经济支持、照料与情感支持在改善老年人健康中发挥重要的中介作用。结论:子女收入对老年人存在健康溢出效应,但在不同年龄、性别和户籍状况老年群体中存在差异;提高青年收入水平,倡导子女提供兼顾经济和时间转移的家庭支持方式有利于改善老年人健康状况,有助于实现健康老龄化战略目标。
关键词:子女收入  老年人  健康  家庭支持
基金项目:教育部留学回国人员项目“人口老龄化背景下超龄就业人员权利保障立法研究”(教外司留[2015]311号)
Children's income level, family support and the health of older adults
MIAO Zhong-yuan, FAN Wei
School of Labor Economics, Capital University of Economics and Business, Beijing 100070, China
Abstract:Objective: To analyze the effect of children's income level on the health status of older adults and group differences, and analyze the mediation effect of family support in it. Methods: Construct an unbalance panel, using the data from the China Health and Retirement Longitudinal Study (CHARLS), which was conducted four periods from 2011 to 2018, older people aged 60 years and older being included as the research object, to analyze the level of health effects of children's income on older adults based on a time fixed effect model, to discuss endogenous issues through the Propensity Score Matching method, and to test the mechanism of children's financial transfer, time transfer and their combined pathways of family support with Karlson-Holm-Breen (KHB) method. Results: The increase in children's income significantly improved self-rated health and life satisfaction of the older adults at the levels of 0.049 and 0.033, respectively, and the conclusion was still stable after correcting for selectivity bias. Children's financial support, care and emotional support play an important mediating role in improving the health of older adults. Conclusions: Overall, children's income has a health spillover effect on the older adults, and there are differences in older adults of different age, gender and household registration status. Increasing the income level of young people and advocating children to provide family support that takes into account financial and time transfer are conducive to improving the health status of older adults and achieving the strategic goal of healthy aging in China.
Key words:Children's income level  Older adults  Health  Family support
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