| 引用本文：唐丹,李星语,宫正敏.流迁经历对农村人口老年期慢性病的影响基于CHARLS 2011—2020数据[J].中国卫生政策研究,2025,18(5):50-57 |
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| 流迁经历对农村人口老年期慢性病的影响基于CHARLS 2011—2020数据 |
| 投稿时间：2025-04-02 修订日期：2025-05-12 PDF全文浏览 HTML全文浏览 |
| 唐丹1,2,3，李星语1,3，宫正敏1,3 |
| 1.中国人民大学人口与健康学院 北京 100872;2.中国人民大学人口与发展研究中心 北京 100872;3.中国人民大学老年学研究所 北京 100872 |
| 摘要:目的 探究劳动年龄阶段的流迁经历对农村人口老年期慢性病发展的影响。方法 基于中国健康与养老追踪调查（CHARLS）数据，运用回归模型和组基轨迹模型进行实证分析。结果 （1）从患病状况看，有流迁经历的农村人口老年期的慢性病患病率和数量均高于未曾流迁组；（2）从轨迹发展看，有流迁经历的农村人口老年期的慢性病患病数量起点高且增长速度快，面临更大的健康挑战。建议：加强乡—城流动人口职业防护与健康教育，强化对回流返乡人口慢性病干预与管理，完善全生命周期的医疗保障体系，破除流迁经历对老年期健康的劣势累积效应。 |
| 关键词:流迁经历 农村老年人 慢性病 增长轨迹 |
| 基金项目:国家社会科学基金项目（21BRK008） |
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| The impact of migration experience on the chronic disease of rural older adults： Based on CHARLS 2011—2020 data |
| TANG Dan1,2,3, LI Xing-yu1,3, GONG Zheng-min1,3 |
| 1.School of Population and Health， Renmin University of China， Beijing 100872， China;2.Center for Population and Development Studies， Renmin University of China， Beijing 100872， China;3.Institute of Gerontology， Renmin University of China， Beijing 100872， China |
| Abstract:Objective To analyze the effect of migration experiences during working age on the status of chronic disease development among rural older adults.Methods Based on data from the China Health and Retirement Longitudinal Study （CHARLS）， this study applied regression model and group-based trajectory model to examines the impact of migration experience on the status and growth trajectories of chronic diseases among rural older adults.Results （1） Rural older adults with migration experience are more likely to develop chronic diseases and have a greater number of chronic disease in later life. （2） Rural older adults with migration experiences have a higher starting point and a faster rate of growth trajectory of chronic disease. Suggestions：It is necessary to strengthen occupational protection and health education for the rural-urban migrant population， reinforce the intervention and management of chronic diseases for the returning population， and improve the whole life-cycle medical insurance system， to break the disadvantageous cumulative effect of migration experience on health. |
| Key words:Migration experience Rural older adults Chronic diseases Growth trajectory |
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