Gender differential impact of bereavement on health outcomes: evidence from the China Health and Retirement Longitudinal Study, 2011-2015.
Gender differential impact of bereavement on health outcomes: evidence from the China Health and Retirement Longitudinal Study, 2011-2015.
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DOI：
10.1186/s12888-020-02916-2
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发表时间：
2020-10-22
期刊：
影响因子：
4.4
通讯作者：
Feng Z
中科院分区：
文献类型：
--
作者：
Chen Z;Ying J;Ingles J;Zhang D;Rajbhandari-Thapa J;Wang R;Emerson KG;Feng Z
丧亲之痛是一个人的经验后，一个重要的人死亡的个人，最常见的是指配偶。已知发病率、卫生保健利用率和死亡率的增加与丧亲之痛有关。鉴于中国老年人口的不断增长，迫切需要评估丧亲之痛对健康的影响。我们使用中国健康与退休纵向研究的数据，以中老年成年人为样本，研究丧亲之痛对心理健康和生活质量的影响。我们使用倾向分数匹配来构造匹配样本，并采用差异中差异法来估计丧亲之痛对心理健康和自评健康的影响。我们发现，丧亲之痛与女性抑郁症状增加有关（流行病学研究中心抑郁（CES-D）10分的1.542分或0.229标准差），但随着时间的推移，男性并不一致。丧亲之痛对自我评估的健康没有统计学上的显著影响，我们的研究结果表明，丧亲之痛对中国老年妇女的心理健康产生了有害影响，并指出中国需要一个全面的遗属福利政策，特别是对农村老年妇女。
Bereavement is the experience of an individual following the death of a person of significance to the individual, most often referring to the spouse. Increased morbidity, health care utilization, and mortality are known to be associated with bereavement. Given China’s growing population of older adults, there is a critical need to assess the health consequences of bereavement. We use data from the China Health and Retirement Longitudinal Study to examine the impact of bereavement on mental health and quality of life among a sample of mid- and older-aged adults. We use propensity score matching to construct a matching sample and difference-in-differences method to estimate the impact of bereavement on mental health and self-assessed health. We find bereavement is associated with increased depression symptoms among women (1.542 point or 0.229 standard deviations of Center for Epidemiologic Studies Depression (CES-D) 10 score) but not consistently for men over time. No statistically significant effect of bereavement on self-assessed health is found. Our results show a harmful impact of bereavement on mental health among older women in China and point to the need for a comprehensive policy on survivor benefits in China, particularly for rural older women.
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