摘要
目的:考察不同社会经济地位老年人的健康公平情况,为提高老年人健康、促进健康公平提供依据。方法:利用中国健康与养老追踪调查2011—2012年的数据,计算集中指数,分析不同社会经济地位老年人的健康公平。结果:自评健康不良和日常生活活动能力(ADL)受损呈现反向的社会经济梯度,经济水平越低,自评健康不良率和ADL受损率越高,未就诊率、未住院率越高;教育程度越低,未就诊率和未住院率越高;城市老年人的健康状况和卫生服务利用高于农村老年人,东部老年人的健康状况和卫生服务利用高于西部老年人。结论:不同社会经济地位的老年人存在健康不公平。要完善老年人的医疗保险和医疗救助制度,卫生资源的配置向农村和西部地区倾斜,缩小城乡、地区差距,促进老年人健康公平。
Objective： To investigate health equity status of the elderly with different socioeconomic status（SES）and provide basis for health promotion. Methods： The data of 2011-2012 China Health and Retirement Longitudinal Survey was used to analyze health equity of the elderly with different SES. Results： There is an inverse socioeconomic gradient in self-evaluation of ill health and the prevalence of activity of daily living （ADL）. The lower economic level is, the higher self-evaluation of ill health and the damage rate of ADL are, and the higher non-outpatient rate and non-hospitalization rate are; the urban elderly have better health and use more health services and the elderly in eastem region have better health and use more health services than those in eastern region. Conclusion： There is the health inequity for the elderly with different SES. In order to implement the health care insurance and medical assistance system of the elderly, it needs to allocate health resources to rural and western areas, narrow the gap between urban and rural areas and improve the health level of the elderly.
出处
《中国卫生经济》
北大核心
2013年第12期21-23,共3页
Chinese Health Economics
关键词
社会经济地位
健康公平
老年人
集中指数
socioeconomic status, health equity, the elderly, concentration index
