参与社区居家养老服务对老年人生理健康的影响  

Impact of Community-based Elderly Care Services on the Physical Health of the Elderly

作　　者：梁钰可欣 LIANG Yukexin(Heilongjiang Provincial Academy of Social Sciences,Institute of Political Science,Harbin 150028,China)

机构地区：[1]黑龙江省社会科学院政治学研究所,黑龙江哈尔滨150028

出　　处：《太原学院学报（社会科学版）》2025年第1期34-43,共10页Journal of Taiyuan University(Social Science Edition)

摘　　要：保证身体健康是老年人享受幸福晚年生活的基础。基于中国健康与养老追踪调查(CHARLS)2018年的数据,运用logit回归模型探究60~100岁老年人参与社区居家养老服务对其生理健康水平的影响效应并进行异质性分析,通过倾向得分匹配法(PSM)对基准回归的内生性问题进行补充验证。主要结论有:(1)参与社区居家养老服务显著改善了老年人自评健康和工具性日常生活活动能力。(2)社区居家养老服务对患慢性病样本病情的缓解和控制有显著作用。(3)异质性检验表明,社区居家养老服务对60~75岁、受教育水平较低、农村地区老人的生理健康改善作用更为显著。上述发现表明:应持续推广普惠性的居家或社区养老服务,弥补区域和群体间差异,同时大力推动医养结合养老服务发展,提升老年人整体健康水平。Physical health is critical for the elderly to enjoy a happy life.Based on data from CHARLS in 2018,the article uses logit regression models to explore the impact of community-based elderly care services on their physical health among those aged 60-100 years old,and then utilizes PSM to supplement the endogeneity problem of the baseline regression,followed by a heterogeneity analysis of the impact effects.Findings are as follows.Firstly,the services significantly improve the self-assessed health and instrumental self-care ability of the elderly.Secondly,the services are effective in the alleviation and control of chronic diseases for the sample.Thirdly,the heterogeneity test suggests that the health improvement effect of the services is more significant for the elderly aged 60-75 years old,with a lower level of education,and in rural areas.This paper argues that universal home or community-based elderly care services should be continuously promoted to make up for regional and inter-group differences,while vigorously promoting the medical-care integrated elderly care services to enhance the overall health of the elderly.

关 键 词：老年健康 社区居家养老服务 慢性病 倾向得分匹配 

分 类 号：C913.6[经济管理]