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