不同性别老年人功能轨迹类型及其影响因素——基于2011-2020 年CHARLS追踪数据的实证分析
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1.南京邮电大学;2.南京邮电大学理学院

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基金项目:

国家社会科学基金项目“积极老龄化视角下老年友好型社区构建研究”


Gender Differences in Functional Trajectories Among Older Adults: Evidence from CHARLS Data (2011-2020)
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College of Science, Nanjing University of Posts and Telecommunications

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The National Social Science Fund project "Research on the Construction of Age-Friendly Communities from the Perspective of Active Aging"

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    摘要:

    探讨中国老年人功能发展过程中的性别差异,识别不同性别老年人的功能轨迹类型及其影响因素,为制定性别敏感的老年健康干预策略提供依据。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,并采用多分类逻辑回归分析个体进入不同轨迹的影响因素。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轨迹具有显著影响,且影响因素在性别之间存在差异。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,推动精准化的老年健康管理策略。

    Abstract:

    This study explores gender differences in the functional development of older adults in China, identifies the types and influencing factors of functional trajectories among older men and women, and provides a basis for formulating gender-sensitive health intervention strategies for the elderly. 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 multinomial logistic regression was used to analyze the influencing factors associated with membership in different trajectories. Significant gender differences were found in the functional development trajectories of older adults. Among men, the trajectories 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 factors, and health status significantly influenced the likelihood of individuals entering different functional trajectories, and these influencing factors varied by gender. 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 elderly health management strategies.

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  • 收稿日期:2025-06-09
  • 最后修改日期:2025-07-02
  • 录用日期:2025-07-03
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