负性事件对中国老年人健康的影响——基于童年事件和现期事件的分析  

The Influence of Adverse Experiences on the Health of Chinese Older Adults:Mechanism Analysis of Adverse Childhood Experiences and Moderating Analysis of Current Experiences

作　　者：赵梦晗[1] 黄远丰 Zhao Menghan;Huang Yuanfeng(Center for Population and Development Studies,School of Population and Health,Renmin University of China;School of Population and Health,Renmin University of China)

机构地区：[1]中国人民大学人口与发展研究中心、人口与健康学院 [2]中国人民大学人口与健康学院

出　　处：《人口研究》2024年第3期114-128,共15页Population Research

基　　金：国家社会科学基金青年项目“改革开放以来中国家庭结构变迁与家庭发展研究”(19CRK015)的阶段性成果。

摘　　要：在实施积极应对人口老龄化国家战略和健康中国战略的背景下,理解负性事件对老年人健康的影响有利于完善全方位全周期健康服务政策。使用2018年和2020年中国老年社会追踪调查(CLASS)数据,考察负性童年事件对老年人健康的影响和作用机制,及其在现期事件影响中的调节效应。研究发现,负性童年事件通过影响老年人的受教育水平或预算约束间接对其健康产生负面影响;积极现期事件对老年人的自评健康和日常生活自理能力有正面影响,负性现期事件对老年人多个维度的健康状况有负面影响;负性童年事件在负性现期事件的影响上存在调节效应,相比于未经历过负性童年事件的老年人,负性现期事件对经历过负性童年事件的老年人的自评健康和慢性病数量的负面影响更小。China has recently implemented strategies to actively address population ageing and healthy China.Understanding the influence of adverse experiences on older adults'health helps improve the lifelong health service policy.Using data from the China Longitudinal Ageing Social Survey(CLASS)conducted in 2018 and 2020,this study analyzes the impact of adverse childhood experiences on older adults'health and the mediating effect of individuals'years of education,health behaviors,and budget constraints.Results show that adverse childhood experiences negatively affect older adults'health indirectly through education or budget constraints.Further analysis shows that positive current experiences benefit older adults'self-rated health and activities of daily living,while adverse current experiences have negative impacts on multiple dimensions of health.Adverse childhood experiences moderate the impact of adverse current experiences.In contrast to those without adverse childhood experiences,adverse current experiences have smaller negative effects on the self-rated health and chronic diseases of those who have experienced adverse childhood experiences.

关 键 词：生命历程 负性童年事件 现期事件 老年人健康 中介效应 

分 类 号：R195[医药卫生—卫生统计学] D669.6[医药卫生—卫生事业管理]