保险研究2024,Issue(11) :96-112.DOI:10.13497/j.cnki.is.2024.11.008

农村社会养老保险对居民健康行为影响的理论和实证研究

Theoretical and Empirical Analysis on the Effect of Social Pension Program on Health Behavior in Rural China

周钦 田森 王梦潇 潘杰
保险研究2024,Issue(11) :96-112.DOI:10.13497/j.cnki.is.2024.11.008

农村社会养老保险对居民健康行为影响的理论和实证研究

Theoretical and Empirical Analysis on the Effect of Social Pension Program on Health Behavior in Rural China

周钦 1田森 2王梦潇 3潘杰4
扫码查看

作者信息

  • 1. 中国人民大学公共管理学院
  • 2. 西南财经大学中国行为经济与行为金融研究中心
  • 3. 西南财经大学公共管理学院
  • 4. 四川大学华西公共卫生学院/华西第四医院
  • 折叠

摘要

本文在理论层面分析了养老保险对健康行为影响的三个机制,包括收入效应(未来收入的增加)、时间偏好效应(远期消费的边际效用提升),以及承诺工具(强制进行长期投资),并利用2011年和2013年中国健康与养老追踪调查(CHARLS)数据,采用工具变量方法估计农村社会养老保险对居民健康行为的影响,发现养老保险减少了农村居民吸烟和激烈活动等"有害"健康行为,促进了合理饮食、更长的夜间睡眠等"有益"健康行为.研究结果意味着,尽管人们对生命价值的主观评估往往无限高——"生命无价",但在健康水平权衡中表现出的实际健康行为选择确实受到了经济的激励影响——"生命有价".相应社会保障政策的制定应充分考虑对居民健康行为的引导和激励,以及潜在的社会福利效应.

Abstract

This paper explores on the impact of social pension program on health behaviors.From the theoretical perspective,we find three mechanisms underlying the impact of pension program on health behaviors,including the income effect(increase of fu-ture income),the time preference effect(increase of marginal utility of long-term consumption),and the commitment tool(forced long-term investment).Applying the Instrumental Variable method,we use data from the China Health and Retirement Longitudi-nal Study(CHARLS)in year 2011 and 2013 to estimate the impact of pension program on the health behaviors of rural residents,and find that the social pension program significantly reduces the"harmful"health behaviors of enrollees such as smoking and in-tense physical activities,and meanwhile promotes"beneficial"health behaviors such as reasonable diet and adequate night sleep.Our findings suggest that although people's subjective assessment of the life value is often infinitely high-"life is priceless",their actual health behaviors are indeed influenced by economic incentives-"life is valuable".Hence,government should give full con-siderations to the guidance and encouragement of residents'health behaviors and the associated potential social welfare effects in the policy making of corresponding social security policies.

关键词

农村社会养老保险/健康行为/健康资本/Grossman健康需求理论

Key words

social pension insurance/health behavior/health capital/Grossman's Model of Demand for Healthcare and Health

引用本文复制引用

出版年

2024
保险研究
中国保险学会

保险研究

CSSCICHSSCD北大核心
影响因子:1.072
ISSN:1004-3306
段落导航相关论文