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家庭老年照料对女性照料者身体健康的影响研究

A Study on the Impact of Home Care for the Elderly on the Physical Health of Female Caregivers

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【作者】 宋丽敏朱丹华

【Author】 SONG Limin;ZHU Danhua;School of Public Administration,Liaoning University;

【机构】 辽宁大学公共管理学院

【摘要】 利用中国健康和营养调查(1993—2015年)面板数据和IV-Probit模型,实证分析了家庭老年照料活动对女性照料者身体健康的影响。研究结果显示,参与照料活动使女性照料者过去四周的患病(急性病或慢性病)可能性增大。进一步考察照料活动对女性照料者身体健康影响的边际效应,发现其他解释变量处于均值时,提供照料会使女性患病的概率显著增加,稳健性分析中的倾向得分匹配估计也得到了类似结果。异质性分析显示,家庭老年照料活动对照料强度较大,从事私营、个体行业和在外资企业工作,家庭中有1~2个孩子需要照料,家庭人均年收入水平较低的女性照料者健康状况的负向影响更大。应肯定家庭老年照料者的社会价值,向照料者提供经济补贴、幼托照料、免费培训,并设置带薪照料假期、实施弹性工作安排,协助家庭中的女性照料者承担照料责任,同时发挥专业照料机构和社区的作用,减轻家庭照料负担,满足老人的照顾需求。

【Abstract】 Using the panel data of China Health and Nutrition Study(1993—2015) and IV-Probit model, this paper empirically analyzes the impact of family elderly care activities on the physical health of female caregivers. The results show that women who are engaged in care activities are more likely to suffer from the disease, which is significant at the 1% level. On the basis of the above, this paper further examines the marginal effect of elderly care activities on women’s physical health, and finds that when other explanatory variables are at the mean, women who provide care are significantly more likely to get ill by 0.086 compared with women who do not provide care, which is significant at the 1% level. Similar results are obtained in the estimation of Propensity Score Matching(PSM), indicating the robustness of the results. At the same time, heterogeneity analysis shows that family elderly care activities have a greater negative impact on the health status of women with more intensive care, working in private, self-employed and foreign-owned enterprises, caring for one or two children, and with lower family income. This means that these women need more social support. It is necessary to recognize the social values of the home caregivers and provide them with financial subsidies, child care, free training, paid care leave and flexible work arrangements, and assist them to take the responsibility of elderly care, while leveraging the role of professional care institutions and the community to reduce the burden of home care and meet the care needs of the elderly.

【基金】 国家社科基金重大项目“中国人口老龄化对经济增长的影响路径与政策选择研究”(20&ZD077);辽宁省社科联经济社会发展研究课题“辽宁省人口发展关键问题及应对策略研究”(2021lslybkt-059)
  • 【文献出处】 人口与社会 ,Population and Society , 编辑部邮箱 ,2021年04期
  • 【分类号】D669.6;R161.7
  • 【被引频次】6
  • 【下载频次】433
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