收入相关的非正式护理不平等：来自中国健康长寿纵向调查的证据。
Income-Related Inequalities in Informal Care: Evidence From the Longitudinal Healthy Longevity Survey in China.
机构信息
Department of Global Health and Social Medicine, King's College London, UK.
Department of Social and Behavioural Sciences, Harvard School of Public Health, Boston, Massachusetts, USA.
出版信息
J Gerontol B Psychol Sci Soc Sci. 2021 Sep 13;76(8):1691-1696. doi: 10.1093/geronb/gbab043.
OBJECTIVES
This report aims to examine income-related inequalities in informal care among older people with functional limitations in China.
METHODS
Data are drawn from the 2005, 2008, 2011, and 2014 waves of the Chinese Longitudinal Healthy Longevity Survey. Erreygers concentration index, concentration index, and horizontal inequity index are used to examine inequalities in informal care. A random effects model is then used to investigate the relationship between household income and informal care.
RESULTS
There is no significant association between household income and the probability of receiving informal care. However, we observed a significant positive association between household income and hours of informal care received, indicating that those with higher household income receive more hours of informal care compared to those with lower household income. The degree of this inequality increases as the number of functional limitations increases.
DISCUSSION
Lower household income is associated with lower intensity of informal care received, particularly for older people with more functional limitations. Policies are required to support low-income older people with more functional limitations.
目的
本报告旨在考察中国有功能限制的老年人中，收入与非正式照料之间的不平等关系。
方法
数据来自于中国健康长寿纵向调查 2005 年、2008 年、2011 年和 2014 年的各轮调查。采用 Erreygers 集中指数、集中指数和水平不公平指数来考察非正式照料的不平等情况。然后采用随机效应模型来考察家庭收入与非正式照料之间的关系。
结果
家庭收入与接受非正式照料的概率之间没有显著关联。但是，我们观察到家庭收入与接受非正式照料的时间之间存在显著的正相关关系，表明收入较高的家庭比收入较低的家庭接受更多的非正式照料时间。这种不平等程度随着功能限制数量的增加而增加。
讨论
较低的家庭收入与接受非正式照料的强度较低有关，特别是对于功能限制较多的老年人。需要制定政策来支持有更多功能限制的低收入老年人。
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