首页|健康冲击对农村空巢老年家庭贫困脆弱性的影响研究——基于社会资本的调节作用分析

健康冲击对农村空巢老年家庭贫困脆弱性的影响研究——基于社会资本的调节作用分析

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  • 国家科技期刊平台
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  • NSTL
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目的 分析健康冲击对农村空巢老年家庭贫困脆弱性的影响,并进一步探索社会资本在两者关系中的调节作用,为后扶贫时代制定前瞻性的健康贫困干预措施提供实证依据.方法 基于山东省农村老年健康队列调查数据,共纳入1 951户农村空巢老年家庭,采用双向固定效应模型和双重差分倾向得分匹配模型评估健康冲击对贫困脆弱性的影响,并检验了社会资本在两者关系中的调节作用.结果 健康冲击显著增加了农村空巢老年家庭的贫困脆弱性;社会资本在健康冲击对农村空巢老年家庭贫困脆弱性的正向影响中发挥调节作用,空巢年限(长)、居住安排(偶居)、子女数量(少)会缓解健康冲击对贫困脆弱性的正向影响.结论 后贫困时代健康贫困的治理应重点关注农村空巢老年群体这一健康脆弱人群,鼓励当地政府采取多种措施提高农村空巢老年群体的社会资本水平,以有效预防和缓解未来健康贫困的发生.
Effect of health shocks on vulnerability to poverty among rural empty-nest elderly households:The moderating effect of social capital
Objective To analyze the effect of health shocks on the vulnerability to poverty among rural empty-nest elderly households,and to further explore the moderating effect of social capital on the relations be-tween health shocks and vulnerability to poverty,so as to provide empirical evidence for the development of pro-spective health-poverty interventions in the post-poverty era.Methods Based on data from the Shandong Province Rural Elderly Health Cohort Survey,a total of 1,951 rural empty-nest elderly households were included for the study.Two-way fixed effects regression models and propensity score matching difference-in-differences(PSM-DID)model were used to explore the impact of health shocks on the vulnerability to poverty and to test the modera-ting role of social capital in their relationship.Results Health shocks significantly increased the probability of vulnerability to poverty,and social capital played a moderating role in the positive effect of health shocks on the vulnerability to poverty among rural empty-nest elderly households,with the number of years of empty nest(lon-ger),the living arrangement(living with spouse),and the number of children(fewer)mitigating the positive effect of health shocks on poverty vulnerability.Conclusions The governance of health poverty in the post-pover-ty era should focus on the rural empty-nest elderly population,and encourage local governments to take a variety of measures to improve the social capital level of such group,so as to effectively prevent and alleviate the occurrence of health poverty in the future.

Health shocksVulnerability to povertySocial capitalHealth povertyEmpty-nest elderly householdPropensity score matching difference-in-differences model

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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健康冲击 贫困脆弱性 社会资本 健康贫困 空巢老年家庭 双向差分倾向得分匹配模型

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.1005-5916.2024.04.002

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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