农村隔代照顾对中老年健康的影响 ——基于CHARLS 2018实证分析
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1.安徽中医药大学;2.An huizhongyiyaodaxue;3.安徽中医药大学医药经济管理学院

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安徽省教育厅人文社科重大项目“基于新公共管理理论的安徽中医药健康产业绿色发展政策研究”(SK2018ZD019); 教育部创新基金项目“基于大数据处理的居民健康信息服务平台优化设计与应用创新”(2018A02022);安徽省高校协同创新项目“安徽中医药数据集成与治理研究”(GXXT-2022-095);安徽省科协决策咨询项目“安徽中医药产业助力乡村振兴战略路径研究”(2023jczx)


The impact of rural intergenerational care on the health of middle-aged and elderly people ——Empirical Analysis Based on CHARLS 2018
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School of Pharmaceutical Economics and Management, Anhui University of Chinese Medicine

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    摘要:

    农村家庭中青壮年劳动力进城务工的增多和“三孩政策”影响,农村隔代照顾越来越普遍。本章基于2018 年中国健康与养老追踪调查数据(CHARLS),运用OLS和2SLS回归模型研究农村地区提供隔代照料对中老年人在自评健康状况、日常活动能力障碍和心理健康状况三方面的影响。研究结果发现,提供隔代照料对中老年人在自评健康上并没有显著影响。在日常活动能力障碍和心理健康状况两方面均产生了积极促进作用。异质性显示女性中老年人的影响相比男性更为显著,年龄异质性主要表现在日常活动能力方面。因此,在家庭层面上,应合理发挥中老年人在家庭生活中的价值和作用,同时关注不同年龄段身心健康特点。在社会层面上,应完善医疗保险、养老保险等保障制度,并出台有关中老年隔代照顾家庭的政策制度和经济补偿措施,发挥农村隔代照顾对中老年健康更多的积极作用。

    Abstract:

    The increase in the number of young and middle-aged workers in rural families migrating to urban areas to work and the impact of the "three-child policy" have made intergenerational care more and more common in rural areas. Based on the data from the 2018 China Health and Elderly Care Longitudinal Survey (CHARLS), this chapter uses OLS and 2SLS regression models to study the effects of intergenerational care in rural areas on self-rated health status, impairment of daily activity ability, and mental health of middle-aged and elderly people. The results of the study found that the provision of intergenerational care had no significant effect on the self-rated health of middle-aged and elderly people. There are positive effects on both impairment of daily activities and mental health. Heterogeneity showed that the effect of women and older adults was more significant than that of men, and age heterogeneity was mainly manifested in the ability to perform daily activities. Therefore, at the family level, the value and role of middle-aged and elderly people in family life should be reasonably brought into play, and at the same time attention should be paid to the physical and mental health characteristics of different ages. At the social level, we should improve the security systems such as medical insurance and endowment insurance, and introduce policies and systems and economic compensation measures for middle-aged and elderly intergenerational care families, so as to give play to the more positive role of rural intergenerational care in the health of middle-aged and elderly people.

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  • 收稿日期:2023-04-14
  • 最后修改日期:2023-05-30
  • 录用日期:2023-05-31
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