社会保险对农村居民心理健康的影响--基于CHARLS数据的实证研究  

The Effect of Social Insurance on Mental Health among Rural Residence:An Empirical Analysis Based on CHARLS Data

作　　者：周钦[1] 蒋炜歌 郭昕 杨伊婧(校对) ZHOU Qin;JIANG Weige;GUO Xin(University of International Business and Economics,Beijing,100029)

机构地区：[1]对外经济贸易大学公共管理学院,北京100029 [2]不详

出　　处：《中国经济问题》2018年第5期125-136,共12页China Economic Studies

基　　金：本文为国家社会科学基金项目“中国城乡居民医保整合下的不公平测度及影响机制研究”(编号：17CGL051)的阶段性研究成果.

摘　　要：关于社会保险制度和身体健康关系的研究已有不少,但关于社会保障对心理健康影响的研究尚存不足。本文使用2011年和2013年中国健康与养老追踪调查数据,研究社会保险对农村居民心理健康的影响。结果显示,新农保养老金的领取显著改善了农村老年人的心理健康,尤其是农村女性和经济地位较低人群,而新农合的相应作用基本不显著。由此可见,养老保险作为稳定的收入来源,在改善居民心理健康上发挥了积极作用,而医疗保险制度未能明显消减农村居民对"看不起病"的隐忧。该结论在使用工具变量解决了内生性问题后仍然稳健。There have been rich studies on the relationship of social security and physical health. However, studies on the effect of social security on mental health are few. This paper evaluate the effect of social insurance on mental health among rural residence using China Health and Retirement Longitudinal Study （CHARLS） data. We find that receiving pension significantly improve the mental health of the rural elderly, and reduce their depressive symptoms, especially for women, and people with lower-economic status; While social health insurance does not have significant effect on mental health. Thus, pension benefits play significant role on improving mental health through increasing personal income, while social health insurance could not sig-nificantly reduce residents＇ medical economic burden. Above results are robust after controlling the endogeneity of insurance participation by using IV methods.

关 键 词：养老保险 医疗保险 心理健康 CES-D得分 农村居民 

分 类 号：D632.1[政治法律—政治学] F842.61[政治法律—中外政治制度] F323.89[经济管理—保险]