The Relation of Socioeconomic Status and Functional Health of Chinese Elderly People: Physic Exercises and Health Insurance as Mediator
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摘要: 社会经济地位是影响健康不平等的根本要素之一,行为论和环境论对影响机制提供了不同的理论视角。文章采用2014年“中国老年健康影响因素调查”(CLHLS)数据,运用Logit回归模型和KHB方法,分析社会经济地位对中国老人身体功能健康的影响,并以个体行为方面的锻炼和制度环境方面的医疗费支付方作为中介变量,来分析影响发挥的作用机制。研究发现,社会经济地位的不同维度对老人身体功能健康的影响具有不同方向,教育和经济状况与老人身体功能健康显著正相关,但只有富裕老人与贫困老人身体功能健康的显著性差异,部分是通过锻炼这一中介因素实现的。锻炼和医疗费支付方这两个中介变量部分抵消了职业和居住地对老人身体功能健康差异的直接影响,发挥了压抑效应,且锻炼比医疗费支付方的贡献大。文章表明,在社会经济地位对老人身体功能健康的影响机制上,行为论和环境论都有一些解释力,但个体因素的锻炼比环境因素的医保制度中介作用大。Abstract: Socioeconomic status is one of the fundamental causes which have effects on health,and the theories which pay attention to the behavioral or environmental factors supply different perspectives.Based on the Chinese Longitudinal Healthy Longevity Survey Data(2014),this paper uses Logit regression models and KHB method to analyze the relation and mechanism how socioeconomic status affect functional health of Chinese elderly people through the mediating variables of physical exercises of individual behavioral aspect and health insurances of institutional environmental factor.This research finds that the different dimension of SES has different direction on the physical health of the elderly,education level and self-rated economic status have a significant positive impact,but only the significant difference in functional health between the rich and the poor elderly people is in part caused through physical exercises.As suppression,physical exercises and health insurance partly cancel the effects which vocation and residence contribute to the elderly's functional health difference,and physical exercises has greater influence than payer of medical expense.This paper shows both behavioral and environmental theoretical perspectives are explanatory to the mechanism of socioeconomic status on the elderly's functional health,but the individual factor of physical exercises is a more powerful mediator than the institutional element of health insurance.
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Key words:
- socioeconomic status /
- physical function health /
- KHB /
- medication effect /
- suppression effect
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