家庭照料对老年人健康水平的影响研究&#x02014;&#x02014;基于CFPS2020的实证分析

吴香雪; 刘胜芳

doi:10.19546/j.issn.1674-3830.2023.11.010

中国医疗保险 ›› 2023, Vol. 0 ›› Issue (11) : 78-85. DOI: 10.19546/j.issn.1674-3830.2023.11.010

实践调查

家庭照料对老年人健康水平的影响研究——基于CFPS2020的实证分析

吴香雪^1,2, 刘胜芳³

作者信息 +

Study on the Impact of Home Care on the Health Level of the Elderly—— An Empirical Analysis Based on CFPS 2020

Author information +

文章历史 +

摘要

本文基于2020年中国家庭追踪调查（China family panel studies, CFPS）这一具有代表性的跟踪调查数据,利用ordered probit模型,探究家庭照料对老年人健康水平的影响效应,并对比城乡家庭照料对老年人健康水平影响的异质性。研究结果表明,子女为父母照料家务或饮食起居的频率越高,其自评健康水平更好;与子女关系亲近的父母,其自评健康水平更好;生病时被家庭照料的老年人,其自评健康水平较差。此外,在对城乡异质性检验中发现,农村地区子女提供照料的频率对老年人健康的影响较为显著。针对以上分析结果,本文进一步提出提升家庭成员照护能力、强化家庭照料功能以助力老年人更好安享晚年的政策建议,从而推动老年健康服务高质量发展,更好实现健康老龄化、积极老龄化。

Abstract

Based on the representative follow-up survey data of the 2020 China family panel studies (CFPS), this paper uses the ordered probit model to explore the effect of family care on the health level of the elderly and compare the heterogeneity between urban and rural family care. The results show that the more often children take care of household chores or diet for their parents, the better their self-rated health level is. Parents who are close to their children also have better self-rated health level. Old people who are taken care of by their family members when they are sick have poor self-rated health level. In addition, in the test of urban and rural heterogeneity, it is found that the frequency of care provided by children in rural areas has a significant impact on the health of the elderly. In view of the analysis results above, this paper further puts forward policy suggestions to improve the nursing ability of family members and strengthen the family care function to help the elderly enjoy their old age better, so as to promote the high-quality development of elderly health services and better achieve healthy aging and active aging.

导出引用

吴香雪, 刘胜芳. 家庭照料对老年人健康水平的影响研究——基于CFPS2020的实证分析[J]. 中国医疗保险. 2023, 0(11): 78-85 https://doi.org/10.19546/j.issn.1674-3830.2023.11.010

Study on the Impact of Home Care on the Health Level of the Elderly—— An Empirical Analysis Based on CFPS 2020[J]. China Health Insurance. 2023, 0(11): 78-85 https://doi.org/10.19546/j.issn.1674-3830.2023.11.010

中图分类号： F840.684C913.7

参考文献

[1] 翟振武,陈佳鞠,李龙.2015~2100年中国人口与老龄化变动趋势[J].人口研究,2017,41(04):60-71.
[2] 彭希哲,胡湛.公共政策视角下的中国人口老龄化[J].中国社会科学,2011(03):121-138+222-223.
[3] 胡宏伟,袁水苹,郑翩翩.中国城乡老年人健康及医疗卫生状况分析[EB/OL].(2018-04-30)[2021-01-15].https://www.pishu.com.cn/skwx_ps/literature/6331/9600276.html.
[4] 刘昌平,汪连杰.社会经济地位对老年人健康状况的影响研究[J].中国人口科学,2017(05):40-50+127.
[5] 中共中央,国务院.关于加强新时代老龄工作的意见[EB/OL].(2021-11-24)[2022-10-30].http://www.gov.cn/zhengce/2021-11/24/content_5653181.htm.
[6] 李建新,李春华.城乡老年人口健康差异研究[J].人口学刊,2014,36(05):37-47.
[7] GROSSMAN M.On the concept of health capital and the demand for health[J].Journal of political economy, 1972, 80(2):223-255.
[8] 胡宏伟,李玉娇.我国老年人自评健康状况及其影响因素研究——基于ordered probit模型的估计[J].山西财经大学学报,2011,33(02):1-8.
[9] 高敏,李延宇.家庭照料对老年人健康水平影响的效应分析研究[J].江苏大学学报(社会科学版),2016,18(04):63-73.
[10] 谷琳,乔晓春.我国老年人健康自评影响因素分析[J].人口学刊,2006(06):25-29.
[11] 郑志丹,郑研辉.社会支持对老年人身体健康和生活满意度的影响——基于代际经济支持内生性视角的再检验[J].人口与经济,2017(04):63-76.
[12] 陶裕春,申昱.社会支持对农村老年人身心健康的影响[J].人口与经济,2014,(03):3-14.
[13] 刘昊,李强.子女照料对农村失能老年人精神健康的影响——来自中国家庭的微观证据[J].云南民族大学学报(哲学社会科学版),2020,37(02):104-116.
[14] WU H, LU N.Informal care and health behaviors among elderly people with chronic diseases[J].Journal of health population and nutrition, 2017, 36(1):40.
[15] ZIMMER Z, KWONG J.Family size and support of older adults in urban and rural China:current effects and future implications[J].Demography,2003,40(1):23-44.
[16] 王萍,高蓓.代际支持对农村老年人认知功能发展趋势影响的追踪研究[J].人口学刊,2011(03):70-79.
[17] 薛晶予.子女生活照顾对老年人健康的影响研究[D].北京:首都经济贸易大学,2018.
[18] 宋璐,李树茁.代际交换对中国农村老年人健康状况的影响:基于性别差异的纵向研究[J].妇女研究论丛,2006(04):14-20+46.
[19] 黄庆波,胡玉坤,陈功.代际支持对老年人健康的影响——基于社会交换理论的视角[J].人口与发展,2017,23(01):43-54.
[20] 贾仓仓,何微微.子女代际支持对老年人健康的影响——基于内生性视角的再检验[J].人口与经济,2021(03):52-68.
[21] LEVINE C, HALPER D, PEIST A, et al.Bridging troubled waters:family care givers, transitions, and long-term care[J].Health affairs, 2010,29(1):116-124.
[22] 张莉.从性别和婚姻状况的角度探讨代际支持对我国老年人抑郁的影响[J].华中科技大学学报(社会科学版),2019,33(05):28-38.
[23] 白兰,顾海.子女代际支持对农村老年人健康水平的影响研究[J].现代经济探讨,2021(07):40-47.
[24] 范丛.城乡居民养老观念的差异及影响因素——基于CGSS 2013数据的实证研究[J].西南交通大学学报(社会科学版),2019,20(03):91-98.
[25] 李晗.农村老年人临终前生活质量和照料需求分析[D].成都:西南财经大学,2022.
[26] 李国梁.城乡居民养老观念比较研究[J].四川理工学院学报(社会科学版),2017,32(03):16-36.
[27] 陈江豪.城乡居民养老观念及其差异研究——基于CGSS 2015数据的实证分析[J].社会与公益,2021,12(03):84-87.
[28] 范璐琪,刘素姣.城乡居民养老观念差异及其影响因素分析——基于CGSS2017数据的实证研究[J].广西职业师范学院学报,2022,34(02):69-77.
[29] 张伟.子女照看对父母健康水平的影响[D].成都:西南财经大学,2020.
[30] 中共中央,国务院.“十四五”国家老龄事业发展和养老服务体系规划[EB/OL].(2022-02-21)[2023-10-25].http://www.gov.cn/zhengce/zhengceku/2022-02/21/content_5674844.htm.
[31] 褚业娴.乡村振兴背景下农村地区养老困境及法律对策研究[J].财富时代,2022(04):67-70.