摘要
目的:探讨我国中老年人口受教育程度和健康状况之间的相关关系,研究健康行为和社会经济状况的中介效应。方法:利用2018年中国健康与养老追踪调查(CHARLS)的数据,以15691名45岁及以上中老年人为研究对象,采用PLS-SEM模型和逐步回归方法研究受教育程度对健康的影响。结果:总体来看,我国中老年人口受教育程度越高健康状况越好,通过健康行为、社会经济状况影响健康的中介效应分别是0.017、0.080。教育主要对心理健康和日常生活自理能力有积极促进作用,不同健康行为和社会经济状况对躯体健康、心理健康、日常生活自理能力的影响不同。结论:教育对中老年人口健康产生显著的正向影响,并通过健康行为和社会经济状况发挥间接效用;教育通过健康行为、社会经济状况影响健康状况的路径存在差异性;在受教育程度相同背景下,个体特征和地区特征会影响其健康状况。
Objective:To explore the correlative relationship of education level and health condition in China's middle-aged and elder population,and to study the mediating effects of health behavior and socioeconomic situation.Methods:15,691 case of middle-aged and elder individuals aged 45 or over were extracted from the 2018 data of China Health and Retirement Longitudinal Study(CHARLS)as research subjects.PLS-SEM model and stepwise regression method were used to study how education level affected the health condition of these subjects.Results:Overall,middle-aged and elder individuals in China with higher education level had a better health condition.The mediating effects of health behavior and socioeconomic situation on health were 0.017 and 0.080 respectively.Education mainly had a positive promoting effect on mental health and daily self-care abilities.Different health behaviors and socioeconomic situations were found to have different effects on physical health,mental health and daily self-care abilities.Conclusions:Education has a significant positive impact on the health of middle-aged and elder population,and plays an indirect role through health behavior and socioeconomic situation.Education affects health conditions through health behavior and socioeconomic situation via different routes.Among individuals with comparable education levels,personal and regional characteristics would act as the influencing factors for health conditions.
作者
任嘉庆
苏彬彬
郑晓瑛
REN Jia-qing;SU Bin-bin;ZHENG Xiao-ying(Institute of Population Research,APEC HeSAY,Peking University,Beijing 100871,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2021年第12期60-66,共7页
Chinese Journal of Health Policy
