认知偏差、健康投资与农村老年人健康水平——以高血压为例

发布时间：2018-01-07 21:48

  本文关键词：认知偏差、健康投资与农村老年人健康水平——以高血压为例　出处：《经济学报》2016年03期 　论文类型：期刊论文

  更多相关文章： 认知偏差 ADL/IADL 健康投资 最大似然估计

【摘要】：在老龄化和留守老人问题日益严重的今天,如何有效提高农村老年人的健康状况是非常重要的研究课题。本文以高血压病为例,研究了影响老年人健康状况的因素之一——自我健康认知偏差。在对农村老年人的体检结果中发现,25.8%的老人(71.6%患有高血压的老人)对自己的血压状况没有正确的认识,即对自身健康状况的认知存在偏差。本文通过建立Ordered Probit模型,并用最大似然估计(MLE)对认知偏差与老年人的健康状况是否存在因果关系进行了检验。结果发现在其他条件不变的情况下,自我健康认知偏差对老年人的健康状况有着显著的负向影响,有认知偏差的老年人达到最佳健康状况的概率比无认知偏差的老年人低23.7%~25.6%。进一步的分析发现,有认知偏差的老人由于并不清楚自身真实的健康状况,对自身的健康投资明显低于没有认知偏差的老人,其中购买医疗保险的概率低40.1%,用于自身的医疗支出少34.5%左右。自我健康认知偏差导致的健康投资不足是影响老年人健康状况的重要因素。
[Abstract]:In the aging and the elderly left behind the increasingly serious problem of today, how to improve the health status of rural elderly is a very important research topic. In this paper, hypertension as an example, one of the factors which have impact on the health status of the elderly: self health cognitive biases. Found in the rural elderly health examination results in 25.8%. The elderly (71.6% hypertensive elderly) does not have a correct understanding of their blood pressure condition, the health status of their own cognitive biases. The paper establishes the Ordered model of Probit, and the maximum likelihood estimation (MLE) on cognitive bias and the health status of the elderly whether there is a causal relationship between the test results in the same. Other conditions, health status of self health cognitive bias for the elderly have a significant negative impact, a cognitive bias of the elderly reach most of Jia Jiankang The probability of further analysis of the low 23.7%~25.6%. ratio without cognitive bias of elderly people found that cognitive deviation due to the elderly do not know their own true health and health investment on their own without cognitive bias was significantly lower than that of the elderly, including the purchase of medical insurance for its low rate of almost 40.1%, the medical expenditure is about 34.5% less. Health investment leads to self health cognitive bias is an important factor affecting the health of the elderly.

【作者单位】： 西南财经大学经济学院;美国罗彻斯特大学;
【基金】：教育部人文社会科学研究青年基金项目“中国家庭财富的代际转移与代间转移研究”(项目批准号:13YJC790056) 国家自然科学基金青年项目“大宗消费对中国家庭储蓄率的影响——基于跨期动态优化模型的结构估计和政策模拟(71303189)”的资助
【分类号】：R161.7
【正文快照】： 0引言近年来我国的老龄化问题日益严重,而农村老人由于收入水平低、社会保障程度不足、可获得的医疗保健等公共服务较差,加之很多家庭子女进城务工无法提供照料,其生活质量和健康状况更加值得关注。在影响老年人健康水平的决定因素中,收入、教育、医保政策、医疗服务的可及性，

本文编号：1394371