首页|农村空巢老年家庭因病致贫风险的动态转变与影响因素分析

农村空巢老年家庭因病致贫风险的动态转变与影响因素分析

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的 了解农村空巢老年家庭因病致贫风险的动态转变过程,并探讨其影响因素,以解释导致不同因病致贫风险状态的成因,为后扶贫时代因病致贫风险的防范提供依据.方法 基于山东省老年健康队列数据,依托于致贫性卫生支出指标描述农村空巢老年家庭因病致贫风险的动态变化概率和类型,采用有序Probit模型分析因病致贫风险动态变化的影响因素.结果 农村空巢老年家庭的因病致贫状态是动态变化的,并且因病致贫风险的发生多为暂时性发生;物质资本、金融资本、社会资本和人力资本对农村空巢老年家庭因病致贫风险的动态变化类型具有显著影响.结论 后扶贫时代因病致贫风险的治理仍需重点关注农村空巢老年家庭,为其设计具有动态瞄准机制的健康救助政策和采取多种途径改善农村空巢老年家庭的生计资本以增强抵御疾病风险冲击的能力.
Dynamic transition process and influencing factors analysis of poverty caused by illness among rural empty-nest elderly households in China
Objective To know about the dynamic transition process of poverty caused by illness among empty-nest elderly households in rural China,and to explore the influencing factors to explain the causes of differ-ent kinds of poverty due to illness,so as to provide the basis for preventing the risk of poverty caused by illness in the post-poverty era.Methods Based on data from the Shandong Elderly Health Cohort,impoverished health ex-penditure indicators were used to describe the dynamic transition probabilities and types of poverty caused by ill-ness in rural empty-nest elderly households,and an Ordered Probit Model was used to analyze the factors influen-cing the dynamic changes in poverty caused by illness.Results The status of poverty caused by illness in rural empty-nest elderly households was changing dynamically,and the occurrence of such poverty was mostly tempora-ry.Physical capital,financial capital,social capital,and human capital were significantly associated with the type of dynamic changes in poverty due to illness.Conclusions Governance of the risk of poverty due to illness in the post-poverty era should still focus on rural empty-nest elderly households,thus designing health assistance policies with dynamic targeting mechanisms and adopting multiple approaches to improving the livelihood capital of rural empty-nest elderly households in order to enhance their resilience to the impacts of illness.

Poverty caused by illnessImpoverished health expenditureLivelihood capitalDynamic transitionInfluencing factors analysisEmpty-nest elderly households

景正月、周成超

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南京医科大学医政学院,江苏南京 211166

山东大学公共卫生学院卫生管理与政策研究中心,山东济南 250012

国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南 250012

山东大学医养健康产业研究院,山东济南 250012

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因病致贫风险 致贫性卫生支出 生计资本 动态转变 影响因素分析 农村空巢老年家庭

国家自然科学基金项目国家自然科学基金项目国家自然科学基金项目国家自然科学基金项目山东大学人文社科青年团队项目江苏高校哲学社会科学研究一般项目

72274109723041517177410471974117IFYT18102022SJYB0296

2024

10.19955/j.cnki.1005-5916.2024.04.001

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子：0.744
ISSN：1005-5916
年,卷(期)：2024.44(4)
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