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主观社会经济地位、阶层流动性与老年人健康差距。

Subjective Socioeconomic Status, Class Mobility and Health Disparities of Older People.

机构信息

Institute of Population Research, Peking University, Beijing 100871, China.

出版信息

Int J Environ Res Public Health. 2022 Oct 27;19(21):13955. doi: 10.3390/ijerph192113955.

Abstract

The aim of this study is threefold: (1) investigate the impact of subjective socioeconomic status on the health of older people with a further exploration of its extent, (2) explore the relationship between diverse class mobility trajectories and health disparities among older people, and (3) examine the health disparities among older people with different subjective socioeconomic statuses in groups of various class mobility. The data for this study came from the Chinese General Social Survey (CGSS) of 2017, and regression and moderation models are used. The results indicate that for each level of increase in the subjective socioeconomic status of older people, the health score significantly increased by 0.159. The health status of older people who experienced upward class mobility is significantly better than those who did not; therefore, different class mobility trajectories also shape health disparities. The moderation role of class mobility on the impact of subjective socioeconomic status on the health of older people is also confirmed. The results provide further support for the subjective socioeconomic status having a significant impact on the health of older people with different class mobility trajectories. An upward class mobility trajectory somewhat diminishes this influence. Therefore, policy interventions should be provided to enhance the subjective socioeconomic status of older people and increase their opportunities for upward class mobility.

摘要

本研究旨在达成三个目标

(1)探讨主观社会经济地位对老年人健康的影响,并进一步探讨其影响程度;(2)探究不同阶层流动轨迹与老年人健康差距之间的关系;(3)检验不同主观社会经济地位的老年人在不同阶层流动群体中的健康差距。本研究的数据来源于 2017 年中国综合社会调查(CGSS),采用回归和调节模型进行分析。结果表明,老年人主观社会经济地位每提高一个等级,健康得分显著增加 0.159。经历阶层向上流动的老年人的健康状况明显好于没有经历阶层向上流动的老年人,因此,不同的阶层流动轨迹也会导致健康差距。阶层流动对主观社会经济地位对老年人健康影响的调节作用也得到了验证。研究结果进一步支持了主观社会经济地位对具有不同阶层流动轨迹的老年人健康具有显著影响,阶层向上流动轨迹在一定程度上削弱了这种影响。因此,应提供政策干预措施,以提高老年人的主观社会经济地位,增加他们向上流动的机会。

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本文引用的文献

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Defining health and health inequalities.定义健康和健康不平等。
Public Health. 2019 Jul;172:22-30. doi: 10.1016/j.puhe.2019.03.023. Epub 2019 May 31.
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