我国老年健康的动态变化及对健康老龄化的含义

发布时间：2018-01-18 07:35

本文关键词：我国老年健康的动态变化及对健康老龄化的含义　出处：《世界经济文汇》2017年03期 　论文类型：期刊论文

【摘要】：基于1991—2009年中国营养与健康调查(CHNS)数据,本文考察不同时期出生老人的健康动态变化轨迹及其影响机制。在利用随机效应模型,并用Cox比例风险模型解决估计偏误,发现不同维度的健康指标表现迥异:日常行为能力指标在代际间逐步改善,但慢性病和健康风险指标却在逐步恶化,且农村更为严峻;进一步从经济发展水平、营养状况和教育程度三方面进行了解释。上述结论表明需要综合考虑不同健康指标以更好地理解及推进我国健康老龄化;且未来要以农村为重点,通过有效发挥基层医疗、教育的作用,加强对慢性病和健康风险的防治。
[Abstract]:Based on the CHNSdata of China Nutrition and Health Survey from 1991 to 2009, this paper investigates the track of health dynamics and its influence mechanism in the elderly born at different stages. The stochastic effect model is used. The Cox proportional risk model was used to solve the estimation bias, and it was found that the health indicators of different dimensions were very different: the daily behavior ability index gradually improved among generations, but the chronic disease and health risk index was deteriorating gradually. And the countryside is more severe; The above conclusions indicate that it is necessary to consider different health indicators to better understand and promote healthy aging in China. In the future, we should focus on rural areas and strengthen the prevention and treatment of chronic diseases and health risks by effectively exerting the role of primary medical care and education.
【作者单位】：上海财经大学公共经济与管理学院;复旦大学经济学院;
【基金】：国家自然科学基金(71273056、71303150) 教育部新世纪优秀人才支持计划(NCET-12-0133)、教育部人文社科青年基金(13YJC790188) 上海市社科青年基金(2014EJB002) 国家留学基金委的资助
【分类号】：D669.6;R161.7
【正文快照】： 一、引言老龄化社会的一个普遍担忧在于随着预期寿命延长,老年健康状况变差,对社会造成较重的照料、医疗、养老等负担。也是出于这样的考虑,世界卫生组织(WHO)在1990年提出“健康老龄化”(healthy ageing)作为应对人口老龄化的一项发展战略,重视健康与生命质量,旨在减少老龄化

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