我国中老年人保健消费的社区同群效应及社交活动的调节作用  

Community Peer Effect of Healthcare Consumption and Moderating Effect of Social Activities Among Middle-aged and Elderly People in China

作　　者：胡西子 高红霞[1,2] 郑佩瑶 HU Xizi(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]湖北省高校人文社科重点研究基地农村健康服务研究中心,湖北武汉430030

出　　处：《医学与社会》2023年第10期53-58,共6页Medicine and Society

基　　金：教育部人文社科基金面上项目,编号为21YJA630017。

摘　　要：目的:研究社区同群效应对我国中老年人保健消费的影响,分析社交活动在中老年人保健消费的社区同群效应中的作用,为正确引导中老年人保健消费提供参考。方法:利用2018年中国健康与养老追踪调查数据,通过logistic模型和Tobit模型分析社区同群效应对中老年人保健消费是否存在影响,分析社交活跃度的调节效应。结果:社区同群效应(β=3.472,P<0.001)与社交活跃度(β=0.057,P=0.015)对中老年人保健消费存在正向影响。加入不同类型社交活动的回归分析结果显示,上网这一类社交活动正向影响保健消费(β=0.350,P=0.038)。同时,社交活跃度负向调节中老年人保健消费的社区同群效应(β=-0.540,P=0.008)。结论:中老年人保健消费存在社区的同群效应,社交活动会减弱此同群效应。应关注社区在中老年人生活和养老服务中的作用,鼓励中老年人参与社交活动,重视网络在健康宣教中的作用。Objective:To explore the impact of community peer effect on healthcare consumption of middle-aged and elderly people in China,and to analyze the role of social activity in this peer effect,so as to provide reference for the correct guidance of middle-aged and elderly people's health care consumption.Methods:Based on the data of China health and retirement longitudinal study in 2018,the logistic model and Tobit model were used to analyze whether the community peer effect had an impact on healthcare consumption of middle-aged and elderly people,and to analyze the moderating effect of social activeness.Results:There was a significant positive effect of community peer effect(β=3.472,P<0.001)and social activeness(β=0.057,P=0.015)on health care consumption of middle-aged and elderly people.The regression results with the inclusion of different types of social activities showed that the category of Internet access positively influenced health care consumption(β=0.350,P=0.038).Meanwhile,social activity negatively moderated the community peer effect of health care consumption among middle-aged and elderly people(β=-0.540,P=0.008).Conclusion:There is a peer effect of community in the health care consumption of middle-aged and elderly people,and social activities can weaken this peer effect.Attention should be paid to the role of community in the life of middle-aged and elderly services,and it is recommended to encourage middle-aged and elderly people to participate in social activities and pay attention to the role of the Internet in health promotion.

关 键 词：保健消费 中老年人 同群效应 社交活动 

分 类 号：R193.2[医药卫生—卫生事业管理]