首页|不同社会经济因素对老年人死亡质量的影响研究

不同社会经济因素对老年人死亡质量的影响研究

扫码查看
伴随着大健康观的普及,国民的死亡质量得到了越来越多的关注,而不同群体之间死亡质量不平等的问题也逐渐暴露出来.为了更深入地探究痛苦死亡风险在老年群体中的分布情况,研究基于中国老年健康影响因素跟踪调查(CLHLS)2005至2018年四个阶段的死亡老年人数据,运用描述统计和Mlogit回归模型,从个体、家庭和社会三个层次细致分析社会经济因素对老年人死亡质量的影响.研究结果发现,不同社会经济背景的老年人死亡质量存在显著差异:在控制其他因素的情况下,受教育程度越低、家庭经济条件越差的老年人痛苦离世的概率越大.家庭收入水平的提高虽然可以降低老年人"痛苦"死亡的可能性,但更强支付能力所带来的过度医疗风险亦会降低其"安详"离世的可能性.从地域差别来看,相比农村和西部地区的老年人,生活在城市和中东部地区的老年人死亡质量更优.最后,从年龄的弥合效应而言,死亡年龄推迟仅能缩小不同社会经济背景老年人痛苦死亡的概率差异,而无法缩减其安详离世的可能性差异.为此,建议政府、企业、社会组织和基层单位形成合力,共同弥合临终照料资源的分布差距,让更多弱势老年人亦得以善终.
The Impact of Different Socioeconomic Factors on End-of-Life Quality for the Older Adults
With the popularization of the concept of holistic well-being,the quality of death has received increasing attention among the general population,revealing inequalities in end-of-life quality across different groups.To investi-gate the distribution of painful death risks among the elderly,this study utilized data from the Chinese Longitudinal Healthy Longevity Survey(CLHLS)from 2005 to 2018.By employing descriptive statistics and Mlogit regression mod-els,the study analyzed the individual,family,and societal factors that influence the quality of death among older adults.The results indicate significant differences in end-of-life quality among older adults of different socioeconomic backgrounds.Controlling for other factors,those with lower levels of education and poorer family economic conditions are more likely to experience painful death.While an increase in household income can reduce the likelihood of elderly individuals experiencing"peaceful"death,the risk of overtreatment due to increased payment capacity may also reduce the likelihood of"peaceful"death.Older adults living in urban areas,the central region and the eastern region had bet-ter death quality than those in rural and western areas.Lastly,delaying the age of death only narrowed the probability gap of painful death among older adults with different socioeconomic backgrounds but did not reduce the disparity in the probability of peaceful death.Therefore,it is recommended that the government,entrepreneurs,social organiza-tions,and grassroots units work together to bridge the gap in end-of-life care resources,ensuring a good death for more vulnerable older adults.

Death InequalitySocioeconomic FactorsOlder AdultsDeath QualityPalliative Care

黄钰婷、陆杰华

展开 >

香港大学社会工作与社会行政学系,香港 999077

北京大学社会学系,北京 100871

死亡不平等 社会经济因素 老年人 死亡质量 安宁疗护

2024

西北人口
甘肃省计划生育委员会,兰州大学, 甘肃省统计局,甘肃省人口学会

西北人口

CHSSCD北大核心
影响因子:0.806
ISSN:1007-0672
年,卷(期):2024.45(6)