| 共同富裕视阈下我国老年人健康不平等研究 |
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| 引用本文： | 张拓凡,袁志田.共同富裕视阈下我国老年人健康不平等研究[J].西华大学学报(哲学社会科学版),2022,41(2):54-64. |
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| 作者姓名： | 张拓凡 袁志田 |
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| 作者单位： | 中共江苏省委党校世界经济与政治教研部 江苏南京 210009 |
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| 摘 要： | 随着我国社会老龄化程度不断加深，老年人的健康及健康不平等问题是实现共同富裕与社会公平需要关注的重点。文章使用2020年最新发布的中国健康与养老追踪调查（CHARLS）数据，首先探究老年人健康的影响因素，然后利用集中指数法测度中国老年人健康不平等的状况，并对集中指数进行分解，探究不同因素对健康不平等的贡献率。研究结果表明:（1）我国老年人健康不平等指数达到了7.941%，我国老年群体存在显著的亲高收入人群的健康不平等；（2）收入、教育水平、性别、城乡户口、东部地区对老年群体的健康及健康不平等都有显著的影响，但是对健康不平等的影响方向不同；（3）代际经济支持、年龄、最近就诊状况、过去一年住院状况、中部地区、慢性病数量、医保对健康不平等的贡献相对较小。因此，完善收入分配机制、促进城乡和地区经济的协调发展、促进义务教育均等化、保障劳动者权益、提高医疗卫生服务与养老保障水平是在共同富裕道路上实现健康公平的几条重要路径。
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| 关 键 词： | 健康不平等 健康公平 共同富裕 老年人 集中指数 |
| 收稿时间： | 2021-11-20 |
On Health Inequality of the Elderly in China from the Perspective of Common Prosperity |
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| ZHANG Tuo-fan,YUAN Zhi-tian.On Health Inequality of the Elderly in China from the Perspective of Common Prosperity[J].Journal of Xihua University:Philosophy & Social Sciences,2022,41(2):54-64. |
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| Authors: | ZHANG Tuo-fan YUAN Zhi-tian |
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| Affiliation: | Department of World Economy and Politics, CPC Party School, Jiangsu Province, Nanjing, Jiangsu, 210009, China |
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| Abstract: | With the population aging in China, health and health inequality of the elderly are the focus of attention to achieve common prosperity and social equity. Using the latest data of China health and pension tracking survey (CHARLS) released in 2020, this paper first explores influencing factors of the health of the elderly, then uses the centralized index method to measure health inequality of the elderly in China, decomposes the centralized index, and explores the contribution rate of different factors to health inequality. The results show that: 1) the health inequality index of the elderly in China has reached 7.941%, and there is significant health inequality between the elderly and the high-income group; 2) income, education level, gender, urban and rural registered household registration and the eastern region have a significant impact on health and health inequality of the elderly, but the impact direction of health inequality is different; 3) intergenerational economic support, age, recent medical visits, hospitalization status in the past year, central region, number of chronic diseases, and health insurance contribute less to health inequality. The following are several important paths to achieve health equity on the road of common prosperity: perfecting income distribution mechanism, promoting coordinated development of urban and rural regional economies and equalization of compulsory education, protecting the rights and interests of workers, and improving the level of medical and health services and the elderly security. |
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