首页|健康城市试点政策能否降低中老年人跌倒风险?——基于CHARLS数据的实证分析

健康城市试点政策能否降低中老年人跌倒风险?——基于CHARLS数据的实证分析

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跌倒一直是全球重要的公共卫生话题,如何降低中老年人跌倒风险是政府、社会和学界普遍关注的议题.研究基于2011-2018 年中国健康与养老追踪调查数据,以健康城市试点政策为切入点,通过构造双重差分模型实证考察了健康城市试点政策对中老年人跌倒风险的影响及其作用机制.研究发现,健康城市试点政策显著降低了中老年人跌倒风险,并通过一系列稳健性检验.异质性研究发现,健康城市试点政策对男性、已婚且同居和60 岁以下群体是否发生跌倒存在显著负向影响,即降低了跌倒风险.机制研究发现,其跌倒缓解效应主要通过"健康状况改善"和"设施适老化改造"等机制发挥作用.据此,建议进一步扩大健康城市试点范围,充分发挥健康城市建设在降低中老年人跌倒风险中的促进作用.同时,还应重视健康状况改善和设施适老化改造在预防中老年人跌倒风险中所发挥的重要作用,从而有助于缓解我国中老年人因跌倒事件而引发的健康冲击.
Can Pilot Healthy City Policies Reduce Fall Risk among Middle-Aged and Older People?——Empirical Analysis Based on CHARLS Data
Fall has always been a public health topic of global importance,and how to reduce the fall risk of middle-aged and older people is a topic of general concern to the government,society,and academia.Based on the data of China Health and Retirement Longitudinal Study from 2011 to 2018,this paper takes the pilot policies of healthy cities as the starting point and uses the difference-in-differences model to empirically examine the impact of the pilot policies of healthy cities on the fall risk of middle-aged and older people and its mechanism.The study found that the healthy city pilot policy significantly reduced the risk of falls in middle-aged and older people,and passed a series of robustness tests.The heterogeneity study found that the healthy city pilot policy had a significant negative impact on the incidence of falls in men,married and cohabiting groups,and groups under 60 years of age,that is,reduced the risk of falls.The mechanism study found that the fall mitigation effect mainly plays a role through the mechanism of"health improvement"and"age-friendly facility modifications".Therefore,this paper suggests further expanding the scope of healthy city pilot and giving full play to the promotion role of healthy city construction in reducing the fall risk of middle-aged and older people.At the same time,attention should be paid to the important role of improving health conditions and age-friendly facility modifications in preventing falls risk of the middle-aged and older people,which will help to alleviate the health impact caused by falls in our country.

Healthy City PilotFall RiskAge-Friendly ModificationDifference-in-Differ-ences Method

吕国营、刘文军

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中南财经政法大学 公共管理学院,湖北 武汉 430073

健康城市试点 跌倒风险 适老化改造 双重差分法

国家社会科学基金一般项目中南财经政法大学学科会聚项目

21BGL19231712211003

2024

人口与发展
北京大学

人口与发展

CSSCICHSSCD北大核心
影响因子:1.626
ISSN:1674-1668
年,卷(期):2024.30(5)