摘要
目的:随着我国人口老龄化和社会变革的相互交织,老年群体遭遇社会隔离的风险进一步增加。方法:基于CHARLS2018年数据,本文使用多元回归与倾向得分匹配法实证分析了社会隔离对老年群体健康不平等的影响,采用KHB中介效应分析法探讨孤独感在其中所发挥的作用。结果:社会隔离与健康不平等显著正相关,遭受社会隔离的老年人自评健康与生理健康状况更差,孤独感在其中起到了中介作用。结论:我们应关注老年群体的社会隔离状况,营造适老化环境,满足其社会化需求,实现积极老龄化与健康公平。
Objective To explore the risk of experiencing social isolation of the older people with the intersection of population ageing and social change in China.Methods Based on CHARLS 2018 data,the impact of social isolation on health inequalities in older age groups was empirically analyzed by using multiple regression and propensity score matching method,and the role of loneliness was explored by using KHB mediated effects analyses.Results The results showed that social isolation was significantly positively associated with health inequalities,and the older people suffering from social isolation had worse self-rated health and physical health,in which loneliness played a mediating role.Conclusion It is necessary to pay attention to the social isolation of older adults,create age-friendly environments to meet their socialized needs,and achieve positive ageing and health equity.
作者
董慧秋
王高玲
汤少梁
Dong Huiqiu(School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing,P.R.China)
出处
《中国卫生事业管理》
北大核心
2024年第4期453-458,共6页
Chinese Health Service Management
基金
国家自然科学基金项目“药改新政背景下基于免疫理论的仿制药供给系统安全预警与应急管理”(72074125)
江苏省社科基金项目“互联网时代健康焦虑视角下江苏社区慢病管理优化研究”(23GLB010)
关键词
社会隔离
健康不平等
孤独感
老年社交困境
social isolation
health inequalities
loneliness
social dilemmas in the elderly
