School of Insurance, University of International Business and Economics, Beijing, China.
Front Public Health. 2023 May 12;11:1112422. doi: 10.3389/fpubh.2023.1112422. eCollection 2023.
With the acceleration of population aging in China, the care of middle-aged and older adults has become the focus of social attention. As China is an "acquaintance society," strong social relations play an important role in residents' access to information and resource allocation, which has an impact on the choice of long-term care models for middle-aged and older adults. Therefore, based on the 19,728 samples from the 2018 CHARLS Phase I data, an empirical analysis was conducted using a logistic dichotomous model, which showed that both kinship ( < 0.01) and friendship (p < 0.01) among social relationships positively influenced the choice of social care models for middle-aged and older adults. The analysis of the heterogeneity showed that the choice of long-term care models was significantly influenced by strong social relationships in the central and western regions and rural areas ( < 0.01). On the basis of this, the transmission mechanism of strong social relationships was further analyzed in conjunction with the further construction of the SIRS Contagion Model, which was used to describe the information transmission process. The results showed that residents who attached importance to strong social ties were more likely to incur medical transfer expenditure, thus further increasing their own demand for the formal care model. The policy implications of this study are to promote the coordinated development of long-term formal care and strong social relations, to further promote the socialization of the formal care model while relying on traditional family care, and to build a multi-level and diversified long-term care system for middle-aged and older adults.
随着中国人口老龄化的加速，中年和老年人的护理已成为社会关注的焦点。由于中国是一个“熟人社会”，强大的社会关系在居民获取信息和资源配置方面发挥着重要作用，这对中年和老年人的长期护理模式选择产生了影响。因此，本研究基于 2018 年 CHARLS 第一阶段的 19728 个样本，使用逻辑二项式模型进行了实证分析，结果表明社会关系中的亲情（<0.01）和友情（p<0.01）均正向影响中年和老年人对社会护理模式的选择。异质性分析表明，在中部和西部地区以及农村地区，强大的社会关系对长期护理模式的选择具有显著影响（<0.01）。在此基础上，结合进一步构建的 SIRS 传染模型，分析了强社会关系的传递机制，用于描述信息传递过程。结果表明，重视强社会关系的居民更有可能产生医疗转移支出，从而进一步增加他们对正规护理模式的需求。本研究的政策意义在于促进长期正规护理和强社会关系的协调发展，在依赖传统家庭护理的同时，进一步推进正规护理模式的社会化，为中年和老年人构建多层次、多元化的长期护理体系。
