老年人功能轨迹类型的性别差异及其影响因素——基于2011—2020年CHARLS数据的实证分析
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作者单位:

1.南京邮电大学理学院,2.社会与人口学院,江苏 南京 210023

作者简介:

柳欣萍(2001—),女,河南潢川人,硕士研究生在读,研究方向为人口健康统计;

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中图分类号:

C913.6

基金项目:

国家社会科学基金“积极老龄化视角下老年友好型社区构建研究”(20BRK030)


Research on gender differences in functional trajectories among older adults and their influencing factors:an empirical analysis based on CHARLS data from 2011 to 2020
Author:
Affiliation:

1.School of Science,2.School of Sociology and Population Studies,Nanjing University of Posts and Telecommunications,Nanjing 210023 ,China

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    摘要:

    为探讨老年人功能发展过程中的性别差异,制定性别敏感的老年健康干预策略,文章基于2011—2020年中国健康与养老追踪调查数据,选取60岁及以上老年人为研究对象,运用组基轨迹模型识别不同性别老年人功能的动态轨迹,并分析相关影响因素。结果显示,老年人功能发展轨迹存在显著性别差异。男性被划分为“健康平稳型”“低起点先稳后降型”“低起点快速上升型”和“高起点缓慢上升型”,女性则为“健康平稳型”“低起点先降后稳型”“低起点快速上升型”和“高起点缓慢上升型”。女性进入“健康平稳型”轨迹的比例低于男性。人口学特征、生活方式和健康状况等因素对个体进入不同功能轨迹具有显著影响,且影响因素在性别之间存在差异。研究表明,老年人功能发展具有明显的性别特征和轨迹异质性,应建立动态、分性别的干预机制,推动制定精准化的老年健康管理策略。

    Abstract:

    This study aims to explore gender differences in the functional development of older adults in China and the influencing factors of functional trajectories among older adults,to provide a basis for formulating gender-sensitive health intervention strategies for older adults. Using data from the China Health and Retirement Longitudinal Study(CHARLS)from 2011 to 2020,individuals aged 60 and above were selected as the study population. Group - based trajectory modeling(GBTM) was employed to identify the dynamic functional trajectories by gender,and analyze the influencing factors. Significant gender differences were found in the functional development trajectories among older adults. The trajectories of men were classified as“stable and healthy”“low baseline - stable - then declining”“low baseline - rapidly increasing”and“high baseline - slowly increasing”. Among women,the categories were“stable and healthy”“low baseline-declining-then stable”“low baseline-rapidly increasing”and“high baseline-slowly increasing”. The proportion of women in the“stable and healthy”trajectory was lower than that of men. Demographic characteristics,lifestyle,and health status significantly influenced the likelihood of individuals entering different functional trajectories,with influencing factors varying across genders. Given the evident gender - specific patterns and heterogeneity of functional development among older adults,it is essential to establish dynamic,gender-specific intervention mechanisms to advance precise and personalized health management strategies for older adults.

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柳欣萍,宗占红,温勇.老年人功能轨迹类型的性别差异及其影响因素——基于2011—2020年CHARLS数据的实证分析[J].南京医科大学学报(社会科学版),2025,25(6):557~566

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  • 收稿日期:2025-06-09
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  • 在线发布日期: 2025-12-26
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