摘要
利用2018年中国家庭追踪调查数据,以60岁及以上育有子女且没有与子女同住的3712名老人为研究对象。采用Logistic回归分析双向代际支持对空巢老人医疗服务利用的影响,采用分位数回归分析双向代际支持对医疗费用的影响。结果发现,不同医疗费用水平下,代际支持对空巢老人医疗费用的影响有差异。向上经济支持的正向影响效应随医疗费用增加而增加;向下照料支持的负向影响效应随医疗费用增加而增加;代际情感支持的正向影响效应在中位医疗费用水平下影响更大。应该充分发挥家庭养老的基础作用,增强子女对空巢老人健康情况的关注,从而有效提高空巢老人医疗服务利用率。
This study utilized data from the 2018 China Family Panel Studies to study 3712 elderly aged 60 and above who have children without living together.Logistic regression was used to analyze the impact of two⁃way intergenerational support on the utilization of medical services for empty nesters,whereas Quantile regression was used to analyze the impact of two⁃way intergenerational support on medical expenses.The results showed differences in the impact of intergenerational support on the medical expenses of empty nesters among different levels of medical expenses.The positive influence of upward economic support increased with medical expenses.The negative influence of downward care support increased with medical expenses.The positive influence of intergenerational emotional support was stronger at the median medical expenses level.This study suggested fully utilizing the fundamental role of family pension to enhance children’s awareness of the health condition of empty nesters,therefore effectively improving the utilization rate of medical services for empty nesters.
作者
王心雨
宗占红
WANG Xinyu;ZONG Zhanhong(School of Science,Nanjing University of Posts and Telecommunications,Nanjing 210023,China;School of Sociology and Population Studies,Nanjing University of Posts and Telecommunications,Nanjing 210023,China)
出处
《南京医科大学学报（社会科学版）》
2023年第4期308-316,共9页
Journal of Nanjing Medical University（Social Sciences）
基金
国家社会科学基金“积极老龄化视角下老年友好型社区构建研究”(20BRK030)。
关键词
双向代际支持
空巢老人
医疗服务利用
医疗费用
分位数回归模型
two⁃way intergenerational support
empty nesters
utilization of medical services
medical expenses
quantile regression model
