School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
BMC Health Serv Res. 2022 Sep 5;22(1):1122. doi: 10.1186/s12913-022-08468-3.
From the perspective of informal social support, this paper analysed the impact of factors such as "Relationship with spouse", "Relationship with Children", "Financial support from children", "Sibling support", "Support from other friends and relatives" and "Borrowing costs" on the health poverty vulnerability of elderly people in rural China.
Based on the data of the China Health and Retirement Longitudinal Study (CHARLS) in 2018, the vulnerability of the rural elderly to health poverty was measured from two dimensions of health status and influencing factors of health status by the three-stage feasible generalized least square method. A quantile regression model was used to analyse the impact of six variables in the informal social support network on health poverty vulnerability: "Relationship with spouse", "Relationship with children", "Financial support from children", " Sibling support", " Support from other friends and relatives", and "Borrowing costs".
When the poverty line standards were 2995 CNY/year and 4589 CNY/year, the health poverty vulnerability of the elderly population in rural China was 0.397 and 0.598 in 2018. In the analysis of informal social support, factors such as the relationship with spouse, relationship with children, borrowing costs, support from other friends and relatives, and sibling support had different impacts on the health poverty vulnerability of the rural elderly, who were classified into three groups according to their different vulnerabilities.
According to the analysis of the 2018 CHARLS database, the health poverty vulnerability of the elderly population was related to the informal social support network, and it is necessary to pay attention to the role of informal channels such as children, spouses, relatives and friends in daily care and financial support for rural elderly individuals. Meanwhile, the government and other formal organizations should also give full play to their supporting role for elderly individuals, who are highly vulnerable to health poverty, and their families.
从非正式社会支持的角度出发，本文分析了“夫妻关系”“与子女关系”“子女经济支持”“兄弟姐妹支持”“其他亲友支持”和“借贷成本”等因素对我国农村老年人健康贫困脆弱性的影响。
基于 2018 年中国健康与养老追踪调查（CHARLS）数据，运用三阶段可行广义最小二乘法从健康状况和健康状况影响因素两个维度测度了农村老年人健康贫困脆弱性，并采用分位数回归模型分析了非正式社会支持网络中 6 个变量（“夫妻关系”“与子女关系”“子女经济支持”“兄弟姐妹支持”“其他亲友支持”和“借贷成本”）对健康贫困脆弱性的影响。
当贫困线标准为 2995 元和 4589 元时，2018 年中国农村老年人口的健康贫困脆弱性分别为 0.397 和 0.598。在非正式社会支持分析中，配偶关系、子女关系、借贷成本、其他亲友支持和兄弟姐妹支持等因素对农村老年人的健康贫困脆弱性产生了不同的影响，并根据不同脆弱性将农村老年人分为三组。
根据 CHARLS2018 数据库的分析，农村老年人口的健康贫困脆弱性与非正式社会支持网络有关，需要关注子女、配偶、亲属和朋友等非正式渠道在农村老年人日常护理和经济支持方面的作用。同时，政府和其他正式组织也应充分发挥对健康贫困脆弱性较高的老年人及其家庭的支持作用。
