老年人中社会支持和贫困之间的关联
Hui Liao1, Sangsang Li1, Dan Han1
1Department of Health Management, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
BMC geriatrics
|June 23, 2023
概括
正式的社会支持,如医疗保险,有助于减少老年人的贫困. 然而,家庭的非正式支持并没有显著影响减贫,尽管与正式支持有负面关联.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 人口老龄化给老年人的福祉带来了挑战.
- 财政支持,包括医疗保险和家庭援助,对于老年人来说至关重要.
- 正式/非正式社会支持与老年人贫困之间的相互作用需要澄清.
研究的目的:
- 检查不同类型的社会支持与老年人减贫之间的关联.
- 研究正式和非正式的社会支持系统之间的关系.
- 了解社会支持影响贫困的机制.
主要方法:
- 利用了来自2018年中国健康与退休长度研究的2683名老年人 (≥60岁) 的数据.
- 采用了千平方分析,独立样本T测试,二进制逻辑回归和结构方程建模.
- 分析了正式和非正式社会支持对贫困状况的影响.
主要成果:
- 拥有私人医疗保险和更高的住院护理报销率的老年人,贫困的可能性较低.
- 贫困老年人的平均住院护理赔偿率比非贫困成年人低5%.
- 正式支持直接减少了贫困;通过非正式支持的效果是微不足道的,正式和非正式支持之间存在负相关性.
结论:
- 在降低疾病经济负担和为老年人提供家庭援助之间存在差距.
- 加强健康保障和医疗费用补偿对于预防贫困至关重要.
- 政策建议包括优化初级医疗保健,增加保险赔偿金和加强补充保险.
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