| 应用Fairlie分解法的老年人自评健康状况性别差异研究 |
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| 引用本文： | 阚超杰, 张晓. 应用Fairlie分解法的老年人自评健康状况性别差异研究[J]. 中华疾病控制杂志, 2019, 23(1): 75-79. doi: 10.16462/j.cnki.zhjbkz.2019.01.016 |
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| 作者姓名： | 阚超杰 张晓 |
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| 作者单位： | 210009 南京, 东南大学公共卫生学院医疗保险与社会保障研究中心 |
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| 基金项目： | 国家自然科学基金项目71373042 |
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| 摘 要： | 目的 了解我国老年人健康状况之间存在的性别差异，为缩小老年人性别之间存在的健康差异，提高健康公平性提供依据。 方法 以2013年中国健康与养老追踪调查（China health and retirement longitudinal study，CHARLS）中3 744名65岁及以上老年人为研究对象，采用Stata 14.0软件分析老年人健康状况存在的性别差异。 结果 3 744名老年人当中，男性的自评健康率为47.1%，女性为41.6%。不同性别老年人健康状况差异有统计学意义（χ2=11.74，P<0.001）；经Fairlie分解后得出，老年人自评健康状况之间存在的性别差异，主要受生活方式、收入和受教育程度的影响（均有P<0.05），贡献率分别为73.98%、17.48%和16.70%。 结论 我国男性老年人的自评健康状况好于女性。对女性老年人加大健康教育的宣传工作，提倡形成健康的生活习惯和生活方式，有益于提高女性老人的健康水平，从而缩小老年人健康状况的性别差异，促进老年人的健康公平。
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| 关 键 词： | 老年人 自评健康 性别差异 Fairlie分解法 |
| 收稿时间： | 2018-08-29 |
| 修稿时间： | 2018-09-26 |
Disparity in self-rated health between male and female elderly: a Fairlie decomposition analysis |
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| KAN Chao-jie, ZHANG Xiao. Disparity in self-rated health between male and female elderly: a Fairlie decomposition analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(1): 75-79. doi: 10.16462/j.cnki.zhjbkz.2019.01.016 |
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| Authors: | KAN Chao-jie ZHANG Xiao |
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| Affiliation: | School of Public Health, Southeast University, the center of Medical Insurance and Social Security, Nanjing 210009, China |
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| Abstract: | Objective To investigate the disparity and factors of self-rated health between male and female elderly so as to provide evidence for narrowing the disparity and promoting health equity. Methods We extracted data from China Health and Retirement Longitudinal Study in 2013. Fairlie decomposition was adopted to analyze the disparity of self-rated health between 3 744 male and female elderly who were 65 and older. Results The male elderly reported a significantly higher ratio of good health than the female elderly(47.1% vs 41.6%, χ2=11.74, P<0.001). Fairlie decomposition analysis revealed that lifestyle, income and educational level were significant influencing factor for self-rated health (all P<0.05), which could explain 73.98%, 17.48% and 16.70% of the overall disparity in self-rated health among the elderly. Conclusions There is a disparity between male and female elderly's self-rated health. The self-rated health of male elderly is better than that of female elderly. It would contribute to the equity of male and female elderly's health by promoting publicity of health education and advocating healthy lifestyle of female elderly. |
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| Keywords: | Elderly Self-rated health Disparity of male and female Fairlie decomposition |
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