Pensions, consumption and health: evidence from rural South Africa.

Pensions, consumption and health: evidence from rural South Africa.
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DOI:
10.1186/s12889-020-09666-6
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发表时间:
2020-10-20
期刊:
影响因子:
4.5
通讯作者:
Gómez-Olivé FX
Gómez-Olivé FX
中科院分区:
医学2区
文献类型:
--
作者:
Lloyd-Sherlock P;Agrawal S;Gómez-Olivé FX

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撒哈拉以南非洲越来越多的老年人能够领取养老金,并且人们常常声称这些养老金促进了健康的消费形式,这对他们的健康状况有显著改善。然而,支持这些说法的证据有限。 本文使用了南非东北部农村地区一项基于人口的研究中2701名60岁及以上老年人的数据。它分析了领取养老金对自述食物短缺、体重指数和消费模式的影响。 本文发现,生活在有养老金的家庭与自述食物短缺风险降低以及食品和饮料消费水平提高有关。本文没有发现生活在有养老金的家庭与当前吸烟率或当前饮酒率更高有关。然而,本文仍然发现烟草和酒精占自述食品和饮料消费的40%以上,并且自述食物短缺与体重指数状况之间的相关性并不完美。 本文没有显示出领取养老金与所选风险因素之间存在显著关联。然而,普遍肥胖的情况以及家庭支出中用于烟草和酒精的高比例,使人们对广泛流传的养老金能提高中低收入国家老年人健康消费的说法产生质疑。
Increasing numbers of older people in sub-Saharan Africa are gaining access to pension benefits and it is often claimed that these benefits promote healthy forms of consumption, which contribute to significant improvements in their health status. However, evidence to support these claims is limited. The paper uses data for 2701 people aged 60 or over who participated in a population-based study in rural north-eastern South Africa. It analyses effects of receiving a pension on reported food scarcity, body mass index and patterns of consumption. The paper finds that living in a pension household is associated with a reduced risk of reported food scarcity and with higher levels of consumption of food and drink. The paper does not find that living in a pension household is associated with a higher prevalence of current smoking nor current alcohol consumption. However, the paper still finds that tobacco and alcohol make up over 40% of reported food and drink consumption, and that the correlation between reported food scarcity and body mass index status is imperfect. The paper does not show significant associations between pension receipt and the selected risk factors. However, the context of prevalent obesity and high shares of household spending allocated to tobacco and alcohol call into question widely-made claims that pensions enhance healthy consumption among older people in low and middle-income countries.
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