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. 2022 Sep;37(5):2918-2935. doi: 10.1002/hpm.3529. Epub 2022 Jun 16.
Reducing health inequality and ensuring national health equity have become issues of great concern to all countries in the world. This paper based on the ordered Probit model and concentrated index decomposition method, analysed the influencing factors and evolution trend of health inequality among the elderly with high age in China from 2005 to 2017. The study found that in 2005-2017, the self-rated health distribution of the elderly with high age in China showed an obvious inverted "U" shape, with the proportion of general and relatively healthy being the largest, while the proportion of unhealthy and very healthy was lower. Lifestyle, family income, and age were the main important factors to expand health inequality. Therefore, encouraging the elderly with high age to develop good living habits and narrowing the income gap of the elderly are conducive to solving the health inequality of the elderly with high age and achieving the goals of active ageing and healthy ageing.
缩小健康差距,确保全民健康公平,已成为世界各国共同关注的问题。本文基于有序 Probit 模型和集中指数分解方法,分析了 2005-2017 年我国高龄老年人健康不平等的影响因素及其演变趋势。研究发现,2005-2017 年我国高龄老年人自评健康分布呈现明显的倒“U”型,其中一般和较健康的比例最大,而不健康和很不健康的比例较低。生活方式、家庭收入和年龄是扩大健康不平等的主要重要因素。因此,鼓励高龄老年人养成良好的生活习惯,缩小老年人收入差距,有利于解决高龄老年人的健康不平等问题,实现积极老龄化和健康老龄化的目标。