在中国,健康工作寿命的决定因素和不平等
Chenshuang Li1, Lingling Wang1, Lieyun Ding1
1Center for Smart and Healthy Buildings, Huazhong University of Science and Technology, Wuhan, China.
Nature medicine
|August 1, 2024
概括
提高退休年龄忽视了健康差异. 中国的健康工作预期寿命 (HWLE) 显示出性别,社会经济地位和地区的重大不平等,需要针对包容性政策进行有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 人口老龄化对全球养老金系统构成挑战.
- 许多国家正在提高退休年龄,作为主要缓解策略.
- 这种方法可能会忽视人口中健康和工作条件的显著差异.
研究的目的:
- 在中国,从50岁起估计健康工作寿命 (HWLE).
- 根据性别,社会经济地位和地区来确定HWLE中的不平等.
- 通过分析影响HWLE的因素,为政策提供信息.
主要方法:
- 利用来自中国的大规模纵向数据.
- 计算HWLE是从50岁起健康工作多年.
- 分析了慢性疾病 (高血压,关节炎) 和生活方式对HWLE的影响.
主要成果:
- 在中国,从50岁开始的平均HWLE为6.87年.
- 在各个性别,社会经济地位和地理区域之间存在着HWLE的显著不平等.
- 高血压和关节炎是导致不健康工作年的主要原因,而生活方式的采用显示出积极的HWLE收益.
结论:
- 一个"适合所有人"的方法来提高退休年龄是不够的.
- 促进健康和改善工作条件的有针对性的举措至关重要.
- 减少HWLE中的不平等需要包容性和量身定制的政策干预.
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