Department of Management, Jiangsu University, Zhenjiang, China.
Faculty of Social Work, University of Calgary, Calgary, AB, Canada.
Front Public Health. 2023 Jul 5;11:1150344. doi: 10.3389/fpubh.2023.1150344. eCollection 2023.
This study aimed to explore the association between health status (physical, mental, and self-rated health) and multidimensional poverty (subjective and objective poverty) in older adults.
A panel binary logit regression approach was applied to four waves of CLHLS data (2008, 2011, 2014, and 2018). In total,1,445 individuals were included after data cleaning.
The mean values and proportion of physical, mental, and self-rated health were 5.73 (87.42%), 0.93 (93.06%), and 3.46 (86.7%), respectively, and mean values and proportion of subjective and objective poverty were 0.19 (18.51%) and 0.21(21.4%). In addition, physical, mental, and self-rated health were all found to be associated with subjective poverty among older adults ( = -0.181, = -0.630, = -0.321, < 0.05), that is, the better the physical, mental, and self-rated health, the lower the probability of subjective poverty. A comparable connection between self-rated health and objective poverty also exists ( = -0.157, < 0.05). Furthermore, medical expenditure played a mediation role in the association between the health status and poverty of older adults.
In order to effectively alleviate the poverty of older adults, strategies should be taken to improve the health level of older adults, especially the physical and mental health of high-aged older adults, and the self-rated health of middle-aged older adults. Furthermore, social security and pensions should be further developed to adequately reimburse medical expenditures.
本研究旨在探讨老年人健康状况（身体、心理和自评健康）与多维贫困（主观和客观贫困）之间的关系。
采用面板二项逻辑回归方法对 CLHLS 数据的四个波次（2008、2011、2014 和 2018 年）进行分析。经过数据清理，共纳入 1445 名个体。
身体、心理和自评健康的平均值和比例分别为 5.73（87.42%）、0.93（93.06%）和 3.46（86.7%），主观和客观贫困的平均值和比例分别为 0.19（18.51%）和 0.21（21.4%）。此外，身体、心理和自评健康均与老年人的主观贫困有关（ = -0.181， = -0.630， = -0.321， < 0.05），即身体、心理和自评健康状况越好，主观贫困的可能性越低。自评健康与客观贫困之间也存在类似的关联（ = -0.157， < 0.05）。此外，医疗支出在老年人健康状况与贫困之间的关系中发挥了中介作用。
为了有效缓解老年人的贫困问题，应采取措施提高老年人的健康水平，特别是高龄老年人的身体和心理健康以及中年老年人的自评健康水平。此外，应进一步发展社会保障和养老金制度，以充分报销医疗支出。
