农村空巢老人认知功能的性别差异及Oaxaca-Blinder分解
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南京中医药大学卫生经济管理学院

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:江苏省中医药科技发展计划专题研究项目(ZT202202);江苏省高等教育教改研究课题重点项目(2021JSJG053);养老服务与管理学院(南京中医药大学)专项研究项目(2023YLFWYGL013);江苏高校“青蓝工程”资助第一作者:李嘉雨(1998-),女,硕士在读,研究方向:社会医学与卫生事业管理通信作者:陈娜,女,教授,硕士生导师,E-mail:chenna@njucm.edu.cn


Gender difference comparison and nonlinear Oaxaca-Blinder decomposition of cognitive function of empty-nesters in rural areas of China
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School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing

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    摘要:

    目的 分析我国农村不同性别空巢老人认知功能的影响因素及差异,为缩小老年人认知功能差异提供参考。方法 使用非条件logistic回归及非线性Oaxaca-Blinder分解法,对中国老年健康影响因素跟踪调查(CLHLS 2018)的3467位60岁及以上老年人数据进行分析,研究其认知功能现状及差异。结果 农村女性空巢老人认知正常比例为76.73%(1253/1633),男性为87.30%(1601/1834),差异存在统计学意义(X2=66.254,P<0.001)。非线性Oaxaca-Blinder分解结果显示,不同性别间认知功能的差异63.39%与性别差异自身有关,36.61%与个体特征有关。结论 农村空巢老人认知功能存在认知差异,且农村女性空巢老人认知评分低于男性,可通过提高医疗服务可获得性、提供社会交往活动等措施缩小认知功能差异。

    Abstract:

    Objective To analyze the influencing factors and gender differences of cognitive function among empty-nesters in rural areas of China, and to provide reference for reducing the differences in cognitive function among the elderly. Methods Unconditional logistic regression and nonlinear Oaxaca-Blinder decomposition were used to analyze the data of 3467 elderly people aged 60 and above from Chinese Longitudinal Healthy Longevity Survey (CLHLS 2018) to study the status and differences of cognitive function. Results The female normal cognitive function ratio was 76.73% (1253/1633), while male was 87.30% (1601/1834), with significant difference (X2=66.254, P<0.001). The nonlinear Oaxaca-Blinder decomposition showed that the differences in cognitive function between different gender was 63.39% related to gender differences themselves, and 36.61% related to characteristics. Conclusion The cognitive function of rural female empty-nesters is lower than that of male. Measures such as improving the availability of medical services and providing social interaction activities can be taken to reduce the difference in cognitive function.

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  • 收稿日期:2023-09-15
  • 最后修改日期:2023-10-09
  • 录用日期:2023-12-13
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