School of Government, Central University of Finance and Economics, Beijing, China.
Center for Social Security Studies, Wuhan University, Wuhan, China.
Int J Health Plann Manage. 2021 Mar;36(2):515-531. doi: 10.1002/hpm.3099. Epub 2020 Dec 17.
This paper used pooled cross-sectional data from the Chinese Longitudinal Healthy Longevity Survey to comprehensively investigate how childhood experiences of starvation affect the health of older Chinese adults. The study found that the childhood experience of starvation was negatively correlated with self-rated health, functional health and cognitive health among older adults. After using the model and variable substitution methods to address the endogeneity problems caused by omitted variables, the negative effects of childhood experiences of starvation on the health of older adults were still present. The Karlson-Holm-Breen decomposition method was used to test the mediation effects, and it was found that childhood experiences of starvation had adverse effects on the health of older adults through endowment insurance, household income, education and nutrition. Consequently, the government should strengthen nutrition or other related health interventions for children and make longer-term plans for improving the health of older adults.
本文利用中国老年健康长寿调查的 pooled 横截面数据,全面考察了童年时期的饥饿经历如何影响中国老年人的健康。研究发现,童年时期的饥饿经历与老年人的自评健康、功能健康和认知健康呈负相关。在使用模型和变量替换方法解决由遗漏变量引起的内生性问题后,童年时期饥饿经历对老年人健康的负面影响仍然存在。使用 Karlson-Holm-Breen 分解方法检验中介效应,结果表明,童年时期的饥饿经历通过养老保险、家庭收入、教育和营养对老年人的健康产生不良影响。因此,政府应该加强对儿童的营养或其他相关健康干预,并制定改善老年人健康的长期计划。