首页|我国老年人健康的事后机会不平等——来自三种机会平等理论的新证据

我国老年人健康的事后机会不平等——来自三种机会平等理论的新证据

扫码查看
本文基于2011年、2013年、2015年和2018年中国健康与养老追踪调查(CHALRS)以及2014年CHARLS生命历程调查数据,分别在Barry、Roemer和Swift三种情境下,测度老年人健康不平等和环境、努力、人口学特征因素的相对贡献,并探讨了其变化趋势和成因.结果表明:三种情境下,老年人健康不平等的测度和分解结果不存在显著差异.环境因素对健康不平等的贡献最大,环境和努力因素之间的相关性较弱.2011-2018年老年人健康不平等程度下降,2011-2015年环境因素对适应负荷不平等的贡献度增加.出生地区、儿时的健康与营养以及家庭的社会经济地位是最重要的三个环境因素.睡眠和饮酒是最重要的两个努力因素.因此,改善儿童时期环境因素、干预老年时期生活方式均能有效缩小老年人健康差距.
Ex-post Inequality of Opportunity in Health among the Elderly People in China:New Evidence from Three Theories on Equal Opportunity
Using pooled data from the 2011 to 2018 waves of the China Health and Retirement Longitudinal Study(CHARLS)as well as 2014 CHARLS Life History Survey,we employ the concepts of equality of opportunity of Barry,Roemer,and Swift to analyze inequality in health among older adults and the relative contributions of circumstance,effort and demographic factors to explaining health inequality.We further track the changes in health inequality and relative contributions of three sets of variables.The results show that the explained inequalities in health have no significant differences under the three normative views,as does the share of health inequalities explained by each source.The contribution of circumstances to overall inequality in health appears to be much larger than the contribution of efforts and demographics,and the correlation between efforts and circumstances is weak.From 2011-2018,overall inequalities in health among older adults decrease,and the contribution of circumstances to inequality in allostatic load increases from 2011-2015.Regions of birth,childhood health and nutrition conditions as well as household socioeconomic status are the three most important circumstance factors.Sleeping and alcohol consumption are the two most important effort factors.Thus,improving conditions in childhood and health-related behaviours in later life are both effective for reducing health inequalities among older adults.

Inequality of Opportunity in HealthShapley-value DecompositionAllostatic LoadSelf-rated Health

聂鹏、林夕力、丁兰琳

展开 >

西安交通大学经济与金融学院,710061

北京大学国家发展研究院,100871

健康机会不平等 Shapley值分解 适应负荷 自评健康

国家自然科学基金

72074178

2024

经济评论
武汉大学

经济评论

CSTPCDCSSCICHSSCD北大核心
影响因子:1.49
ISSN:1005-3425
年,卷(期):2024.246(2)
  • 40