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社会参与对中国老年人口健康结果收入相关不平等的影响。

The effect of social participation on income-related inequality in health outcome among Chinese older adults.

机构信息

School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.

High School Affiliated to Shanghai Jiao Tong University, Shanghai, China.

出版信息

Int Health. 2021 Jan 14;13(1):80-88. doi: 10.1093/inthealth/ihaa023.

DOI:10.1093/inthealth/ihaa023
PMID:33443288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7807233/
Abstract

BACKGROUND

This study aimed to investigate the effect of social participation on income-related inequality in health outcome among older adults in China.

METHODS

The panel data used in this study were sourced from the 2011 and 2014 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Furthermore, this study employed a concentration index to assess the income-related inequality in health outcome. Moreover, this study used the decomposition method of concentration index to analyse the effect of social participation on income-related inequality in health outcome.

RESULTS

The total concentration index of Instrumental Activity of Daily Living (IADL) status decreased from 0.0257 in 2011 to 0.0172 in 2014. Furthermore, the total concentration index of psychological health decreased from 0.0309 in 2011 to 0.0269 in 2014. The decomposition analysis indicates that social participation made a major contribution to the pro-rich inequality in IADL status. Moreover, the results also indicate that social participation made a minor contribution to the pro-rich inequality in psychological health.

CONCLUSIONS

This study demonstrated that overall there were pro-rich inequalities in IADL status and psychological health among older adults in China. Moreover, social participation made a major contribution to the pro-rich inequality in IADL status, while it made a minor contribution to the pro-rich inequality in psychological health.

摘要

背景

本研究旨在探讨社会参与对中国老年人健康结果收入相关不平等的影响。

方法

本研究使用的面板数据来源于 2011 年和 2014 年中国长寿纵向研究（CLHLS）的两个波次。此外，本研究采用集中指数评估健康结果的收入相关不平等。此外，本研究还使用集中指数分解方法分析社会参与对健康结果收入相关不平等的影响。

结果

工具性日常生活活动（IADL）状态的总集中指数从 2011 年的 0.0257 降至 2014 年的 0.0172。此外，心理健康的总集中指数从 2011 年的 0.0309 降至 2014 年的 0.0269。分解分析表明，社会参与对 IADL 状态的贫富不均状况有重大影响。此外，结果还表明，社会参与对心理健康的贫富不均状况有一定影响。

结论

本研究表明，中国老年人的 IADL 状态和心理健康总体上存在贫富不均现象。此外，社会参与对 IADL 状态的贫富不均状况有重大影响，而对心理健康的贫富不均状况有一定影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4376/7807233/0b2a34775424/ihaa023fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4376/7807233/711d32ce7bd9/ihaa023fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4376/7807233/0b2a34775424/ihaa023fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4376/7807233/711d32ce7bd9/ihaa023fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4376/7807233/0b2a34775424/ihaa023fig2.jpg

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