老年残疾问题及其社会政策思考——基于第二次残疾人抽样调查广东数据分析

人口老龄化快速发展致使老年残疾人口快速增加,改变了残疾人口结构和残疾人社会保障与服务需求,老年残疾问题凸显为重要社会问题。本文利用第二次全国残疾人抽样调查数据。分析了老年残疾人的分布状况、生活状况、残疾状况、康复服务与需求状况,指出残疾老年人经济贫困而社会保障不足。本文从社会保障、社会服务、社会救助等层面提出了完善老年残疾人社会政策的若干建议。     

Disability among older women and men in Fiji: concerns for the future

This study examines the composition of elderly population at risk of disability and speculates the impact of disability on the quality of their lives and their longevity. Using census and survey data collected in Fiji, life table estimates of unimpaired life expectancy across time are presented for older people and the potential costs of disability, in terms of productive years of life lost. From a planning perspective, the study discusses medical and support services that may be needed to support older individuals in Fiji. The study also describes policy implications of the findings, focusing on the older women, and considers the implications for older women of other developing countries.     

Disability Among Older Women and Men in Fiji: Concerns for the Future

SUMMARY

This study examines the composition of elderly population at risk of disability and speculates the impact of disability on the quality of their lives and their longevity. Using census and survey data collected in Fiji, life table estimates of unimpaired life expectancy across time are presented for older people and the potential costs of disability, in terms of productive years of life lost. From a planning perspective, the study discusses medical and support services that may be needed to support older individuals in Fiji. The study also describes policy implications of the findings, focusing on the older women, and considers the implications for older women of other developing countries.     

Population aging raises questions for policymakers

This issue of Asia-Pacific Population and Policy examines the size of the elderly population in Asia and projections for the next 50 years. It discusses some of the characteristics of Asia's elderly population. Information is based on a study of population momentum and population aging at the East-West Center prepared by the UN for the 32 countries in East, Southeast, and South Asia with populations of 150,000 or more. Demographic analysis revealed that the population aged 65 and above are projected to increase during 2000-50 by about 3% per year; of all Asians aged 55 and older, roughly one-half are now between the ages of 55 and 64, about one-third are between 65 and 74, and almost one-sixth are 75 and above. In most countries of Asia, older women are outnumbered by older men. Among the population aged 55 and above, there are about 90 men for every 100 women and among those aged 75 and above, there are only about 70 men for every 100 women. This analysis of demographic data suggests that the elderly population will expand dramatically in Asia over the next 50 years. This changing situation poses a challenge for policy makers in the provision of personal care and financial support for Asia's growing elderly population.     

The population of Shanghai city: the present situation, some problems, and our recommendations]

A summary is presented of the history of Shanghai's population growth and the accompanying problems relative to high density, employment, housing, and transportation. Some suggestions for controlling Shanghai's population growth are made, including the need to accomodate population growth in national economic planning, to adopt effective measures to lower the birth rate in the suburbs, and to establish an organization with city-wide authority to develop population policy and to handle all population-related problems.     

Explaining Optimistic Old Age Disability and Longevity Expectations

Biased health care decision making has been regarded as responsible for inefficient behaviours (for example, the limited insurance purchase). This paper empirically examines two sets of biases in the perception of old age disability and longevity. Particularly, we test for the existence of a so called cumulative bias and, secondly’ a so called optimism’ bias. Findings are suggestive of a significant overestimation of disability risks but no overestimation of longevity expectations is found. Both disability and longevity perceptions appear to exhibit a ‘cumulative’ pattern when mapped over time. Healthier individuals are less likely to perceive high disability and longevity risks whilst female and younger respondents perceive a higher risk of disability in old age at a population level but not at an individual level.     

Aging in America: Limits to life span and elderly care options

Expanding longevity among the elderly and fertility decline are contributing to an aging US population. The number of persons 65 years or older is projected to double from about 32 million in 1990 to 66 million by 2030; the elderly proportion is expected to increase from 13 to 22 percent over the same period. Chronic illness and functional disability afflicts a significant proportion of older persons. An estimated 80–85 percent of people over age 65 have at least one chronic illness, and nearly one-half of older people report that chronic illness limits their activity to some degree. Altogether, about one-third of the population over 65 may need some kind of medical or social assistance. This paper discusses the three primary modes of care available to older persons: (1) the informal network of the family, (2) the more formal arrangements of home and community care, and (3) the institutionalized care of nursing homes. Of particular policy interest are the questions: Who provides the care? What type of care is available? Who receives the care? How much does each type of care cost? and Who pays? The current patterns and costs especially of long-term care provide a framework for planning future options. A discussion of research and policy recommendations concludes the paper.     

中国人口劳动参与率与未来劳动力供给分析

对未来劳动力供给进行准确预测判断将有利于我们未来就业政策、现实人口政策和社会保障政策的科学制定,也是对未来人口与经济形势准确判定的依据,是一项非常重要的工作。在充分考虑人口老龄化、劳动参与率年龄模式变动以及受教育水平提高影响的基础上,对未来劳动供给进行预测。预测结果显示,如果不考虑65岁及以上人口的就业,到2016年将达到从业人员的高峰7.58亿,其后持续减少,到2050年前后减少到6.4亿;如果考虑65岁及以上人口的就业,我国的就业高峰将出现在2022年前后,到2045年以后,劳动力供给将大规模减少。届时劳动供养人口将会大大增加,这必须引起当代人在规划人口发展时的重视。     

Preliminary achievements of China's national economy development and family planning]

A preliminary view of the population control policies of the People's Republic of China is the subject of this report. The report maintains that population control policies are closely linked to economic growth and indicates that criticism by the West of these policies is unfounded. According to an investigation of 1000 married women of child-bearing age carried out in 1981, 19.1% of them have 1 child, 21.4% of them have 2, 49.5% have 3 and only 9.9% of them have no children. This would seem to refute the West's idea of the "1 child only" policy as strict and clear-cut. The report maintains that economic growth and family planning are functions of one another. Although China has made marked progress in population control, its population problem is still far from being resolved as population growth is still relatively high compared to productivity. The marriageable population is extremely high and increase in population create a burden on education, employment, transportation, welfare, housing and medicine each year. The trend in rural areas (which make up 80% of China's population) to have larger families to produce more labor must be reversed in order to make population control objectives feasible. Thus, the need for China to continue its efforts to promote rural economy and family planning must continue. The needs for improvement in promotion and family planning education as well as for improved medical conditions are also evident.     

Population and family planning of minority groups]

The population of minority groups has been increasing rapidly in recent years, but the rate of increase is different depending on the region, for various reasons: 1) Population increase rates are high in flat, low regions with warm weather, a good natural environment, and good transportation systems. Productivity is beginning to lag behind population growth (population increased by 90% from 1953 to 1982). 2) Population is increasing at a slower rate in high regions with cool weather and an average natural environment. The productivity growth rate in these regions is about the same (the population increased by 37.5% from 1949 to 1980). 3) Population is increasing at a lower, or even negative, rate in mountainous regions with little flat land and poor transportation service. 4) In some regions, large families are predominant because of tradition and/or religion. In some minority groups, where large extended families are the rule, increases are low because of health problems. People in minority groups are willing to practice family planning, but it is impossible to make one general family planning policy because people in different regions face different problems.     

Aging in Japan: population policy implications

This article was prepared for the International Conference on Aging in the East and West in 1995. The focus is on trends in aging in Japan and demographic determinants and consequences. Findings are presented from a 1990 study conducted by the Institute of Population Problems on acceptance of alternative population policies aimed to slow population aging in Japan. Japan is the seventh most populous country in the world, and the current growth rate is around 0.3%. Declines in fertility and mortality have contributed to the low growth rate. Population aging accelerated over the decades. The present share of aged population is 14.1%. The aged population is expected to continue to increase from 14.9 million in 1990 to 32.7 million in 2020 (25.8% in 2025). Decreases in the aged population are not expected until after the mid-2040s. The proportion of very old (ages 75 years and older) will dramatically increase to 14.5% in 2025. The primary demographic determinant of population aging and fertility decline is identified as the higher proportion of never-married and the higher age at marriage. One of the consequences of population aging is the increase in the age dependency ratios and the aged-child ratios. The proportion of intergenerationally extended households declined over time, but the pace of decline has slowed recently. The proportion of aged in one person or couple only households has risen but not to the same extent as the West. The majority of older old still live with a married child. Logistic analysis of 1985 survey data reveal that the custom of the elderly living with the eldest child remains. The 1985 survey also revealed much indecision about a pronatalist policy or a fertility policy. Logistic analysis of 1990 public opinion survey data shows acceptance of immigration as a policy alternative to slowing population aging. Acceptance varied by socioeconomic, demographic, and regional factors. A pronatalist policy received stronger acceptance. However, reference is made to Kojima's literature review, which suggests that indirect policies on fertility and a comprehensive family policy would be more effective in raising fertility than a population policy.     

On the relationship between population growth and economic development]

People are producers as well as consumers. If we look at only one side and ignore the other, we will be unable to reach impartial conclusions concerning the population problem. An obvious and close relationship exists between population growth and national economic development. If the two do not match each other, there will be numerous contradictory problems. For example, if the population grows too fast, serious social and economic problems will be created, such as a rise in the demand for living resources, an oversupply of the labor force, unemployment, and an insufficient availability of arable land, a shortage of public housing, more demand for health care and public transportation, and cultural and educational enterprises. In addition, a rapid population growth may cause more problems for the natural environment. As a result of overpopulation, the pressure on natural resources will be intensified and may therefore cause damage to the environment and create an ecological imbalance. All the above may bring very serious difficulties and obstacles to the advancement of socialism and modernized constructions. To avoid this, we must try to solve the population problem thoroughly and maintain a balanced relationship between the population growth and economic development.     

我国特大城市人口调控政策的量化研究——以北京市为例

国内关于特大城市人口调控政策的研究已有多年,但是这方面的政策量化分析还比较缺乏。以北京市为例,通过构建特大城市人口调控概念框架和指标体系,并收集和筛选北京市20世纪80年代中期以来涉及人口调控的相关政策文件,综合采用文献统计法和文本分析法,对北京市人口调控政策的总强度及演变规律、政策手段和措施的转变及特征等进行了量化分析。研究发现,北京市人口调控政策强度总体上呈现上升趋势,并且表现为明显的五阶段特征;人口调控政策发布的主体层次多元化且层级有所下移,基层调控的力度明显增大;人口调控政策手段已经基本摆脱依靠直接的行政管控措施为主,进入以间接手段为主、多手段并存的新阶段;人口调控措施从过去“以证控人”为主转变成“以业控人”为主,并表现为多措并举的新调控模式。最后,针对上述研究发现,得到一系列的政策启示并提出了相关的政策建议。     

Work Disability Among Native-born and Foreign-born Americans: On Origins,Health, and Social Safety Nets

Public debates about both immigration policy and social safety net programs are increasingly contentious. However, little research has explored differences in health within America’s diverse population of foreign-born workers, and the effect of these workers on public benefit programs is not well understood. We investigate differences in work disability by nativity and origins and describe the mix of health problems associated with receiving Social Security Disability Insurance benefits. Our analysis draws on two large national data sources—the American Community Survey and comprehensive administrative records from the Social Security Administration—to determine the prevalence and incidence of work disability between 2001 and 2010. In sharp contrast to prior research, we find that foreign-born adults are substantially less likely than native-born Americans to report work disability, to be insured for work disability benefits, and to apply for those benefits. Overall and across origins, the foreign-born also have a lower incidence of disability benefit award. Persons from Africa, Northern Europe, Canada, and parts of Asia have the lowest work disability benefit prevalence rates among the foreign-born; persons from Southern Europe, Western Europe, the former Soviet Union, and the Caribbean have the highest rates.     

Immigrants’ ages and the structure of stationary populations with below-replacement fertility

A sustained regime of low fertility plus immigration yields an unusual kind of stationary population. The author demonstrates that all stationary populations have a common structure, and that the familiar replacement-level fertility population is the youngest among the many stationary populations corresponding to a particular life table. This finding has important consequences for policy because although fertility increase and immigration are equally effective at halting population decline, immigration is inferior as a means of rejuvenating low-fertility populations. In fact, an immigration-based policy could make a low-fertility population older rather than younger. The paper includes examples using U.S. and West German vital rates.     

印度人口政策述评

20世纪印度人口的高速增长令人注目.作为世界第二人口大国的印度来说,人口政策不仅决定其人口类型、人口增长模式,还决定着整个民族的命运.本文对半个世纪以来印度人口政策的发展、转变作了简要概述,并着重对2000年印度新出台的人口政策进行了详细的分析和评述.     

Population aging, health care, and growth

This paper constructs a small open two-sector (health care and non-health care) overlapping generations model and investigates how changes in the demand for health care induced by population aging influence the economy’s employment structure and per capita income growth rate. We show that population aging induces a shift in labor from the non-health care sector to the health care sector and lowers the per capita income growth rate. This paper also investigates public policy for child care and demonstrates the existence of an intergenerational conflict between current and future generations concerning public policy on child care.     

小区域家庭户预测的理论、方法与应用

小区域人口和家庭户预测越来越受到学界和社会各界的重视 ,但该领域的研究受方法论和数据可得性等的限制 ,还存在许多没有解决的问题。而且发展中国家的综合家庭户和人口预测更是少见。本文应用近年来有关家庭人口学、区域人口学、小区域人口估计的理论和方法的最新成果 ,采用多维动态宏观家庭户预测模型ProFamy,对中国两个区域泰和县和深圳特区的人口和家庭户进行了同时、一致的预测。通过实际应用 ,提出了小区域家庭户预测的理论、方法和应用的一些思考     

Measuring natural resource scarcity

One fundamental index of world social welfare is the availability of natural resources relative to population. In recent years, social, policy, and even physical scientists have been unable to reach consensus on whether natural resources are becoming increasingly scarce. The prevailing pessimistic view of the 1970s has been strongly challenged in the 1980s by resource-population optimists such as Julian Simon. In this paper, we argue that one source of failure to reach consensus is the fundamental ambiguity of available measures of natural resource scarcity. Surveying measures such as unit extraction cost, relative price, and the reserves-to-production ratio, we discuss difficulties of interpretation. Some of the problems identified may yield to further research, but others appear irremediable.     

First Exits from the Swedish Labor Market Due to Disability

Nowadays, with an increasingly aging population, an increasing proportion of the population on disability benefits, and an implicitly lower level of economic output and foregone tax revenue, disability has become a major public policy issue in many countries. Estimating both single risk and competing risks models on a Swedish longitudinal database, this study analyzes the risk of exit from the labor market due to disability at a certain age, conditional on having remained in the labor force until that age. The explanatory variables did not have identical coefficients across destination types. For example, the estimated single risk model shows that a higher level of education decreased the hazard of exiting the labor market with a disability pension, while the estimated competing risks model suggests that a higher level of education increased the hazard of exiting with a partial disability pension, but it decreased the hazard of exiting with a full disability pension.