不同社会经济地位老年人的健康公平研究 仲亚琴.docxVIP

不同社会经济地位老年人的健康公平研究 仲亚琴 不同社会经济地位老年人的健康公平研究lowbar;仲亚琴 □卫生服务调查《中国卫生经济》第32卷第12期（总第370期）2021年12月 不同社会经济地位老年人的健康公平研究 仲亚琴①②，高月霞②，王 目的：考察不同社会经济地位老年人的健康公平情况，为提高老年人健康、促进健康公平提供依据。方法：利用 中国健康与养老追踪调查2021—2021年的数据，计算集中指数，分析不同社会经济地位老年人的健康公平。结果：自评健康不良和日常生活活动能力（ADL ）受损呈现反向的社会经济梯度，经济水平越低，自评健康不良率和ADL 受损率越高，未就诊率、未住院率越高；教育程度越低，未就诊率和未住院率越高；城市老年人的健康状况和卫生服务利用高于农村老年人，东部老年人的健康状况和卫生服务利用高于西部老年人。结论：不同社会经济地位的老年人存在健康不公平。要完善老年人的医疗保险和医疗救助制度，卫生资源的配置向农村和西部地区倾斜，缩小城乡、地区差距，促进老年人健康公平。 社会经济地位；健康公平；老年人；集中指数 文章编号1003-0743(2021)12-0021-03 中图分类号R1-9；R195 DOI 10.7664/CH Study on the Health Equity in the Elderly with Different Socioeconomic Status/ZHONGYa-qin, GAO Yue-xia, WANG Jian//ChineseHealth Economics, 2021,32(12):21-23 Abstract Objective:To investigate health equity status of the elderly with different socioeconomic status(SES)andprovide basis for health promotion. Methods:The data of 2021-2021China Health and Retirement Longitudinal Survey was used to analyze health equity of the elderly with different SES. Results:There is an inverse socioeconomic gradient in self-evaluation of ill health and the prevalence of activity of daily living (ADL).The lower economic level is, the higher self-evaluation of ill health and the damage rate of ADL are, and the higher non-outpatient rate and non-hospitalization rate are; the urban elderly have better health and use more health services and the elderly in eastern region have better health and use more health services than those in eastern region. Conclusion:There is the health inequity for the elderly with different SES. In order to implement the health care insurance and medical assistance system of the elderly, it needs to allocate health resources to rural and western areas, narrow the gap between urban and rural areas and improve the health level of the elderly. Key words socioeconomic status, health equity, the elderly, concentration index First-author ’s address Center for Health Management and Po