社会保障连续性条件和死亡率的变化之间的关联:MHAS 2001-2018年分析分析
Héctor García-Hernández1, Rosa Estela García-Chanes2, Mario Ulises Pérez-Zepeda3
1Dirección de Investigación, Instituto Nacional de Geriatría. Mexico City, Mexico.. hector.garcia.hernandez@facmed.unam.mx.
Salud publica de Mexico
|December 7, 2023
概括
社会保障 (SS) 连续性的中断显著增加了老年人的死亡风险. 然而,教育和婚姻等因素与死亡率的降低有关,突出了健康的社会决定因素.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 社会保障的连续性是影响老龄化人口健康结果的关键因素.
- 了解社会保障状况与死亡率之间的关系对于公共卫生政策至关重要.
研究的目的:
- 调查社会保障连续性变化与死亡风险之间的关联.
- 用墨西哥健康和衰老研究 (MHAS) 来分析60岁及以上个体的这些关联.
主要方法:
- 使用了回顾性队列研究设计.
- 社会保障连续性被分为稳定,不稳定与SS,不稳定没有SS,没有SS.
- 使用探针回归模型来确定边际效应,控制与死亡率相关的共变量.
主要成果:
- 不稳定的社会保障连续性 (有或没有SS) 与死亡概率显著增加有关 (分别为52.9%和50.3%).
- 多种疾病也增加了13.3%的死亡概率.
- 作为女性,有正规教育,结婚与降低死亡风险有关.
结论:
- 社会保障入学与死亡率的增加有关,与教育等其他社会健康决定因素形成鲜明对比.
- 社会保障连续性和其他社会因素对老年人死亡率产生重大影响.
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