SOCIOECONOMIC DIFFERENTIALS IN HEALTH AND ACCESS TO HEATH CARE AMONG OLD-OLD

老年人在健康和获得医疗保健方面的社会经济差异

• 批准号: 13410071
• 负责人: SUGISAWA Hidehiro
• 金额: $ 9.54万
• 依托单位: OBIRIN UNIVERSITY (2002-2003)Tokyo Metropolitan Institute of Gerontology (2001)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-13410071/
• 关键词: SOCIOECONOMIC DIFFERENTIALS; OLD-OLD; HEATH STATUS; ACCESS TO HEALTH CARE; PSYCHOSOCIAL RISK FACTOR

1) The purposes of this study:This study examined magnitude and causes of socioeconomic differentials in health and access to health care among old-old.2) Methods:We used a cross-sectional survey data and a three-year longitudinal survey data corrected from a national representative sample aged 70 and over. Socioeconomic status was measured from three aspects, (1) educational attainments, (2) types of the longest job career, and (3) spouses' joint annual income.3) Major findings from cross-sectional analyses:(1) Old-old men with lower income status were more likely to have lower level of activities of daily living, cognitive function, or psychological well-being. Other two socioeconomic indicators were not significantly associated with health status. Educational attainment had significant impacts on cognitive function only among old-old women. (2) Psychosocial risk factors at the later life were not related to causes of those socioeconomic differentials. (3) Rates of medical consultation and receiving elderly care services were not significantly associated with socioeconomic indicators after health needs were controlled for.4) Major findings from longitudinal analyses:(1) None of socioeconomic indicators did not have significant effects on health status changes among old-old men. Educational attainment had a significant impact on changes in cognitive function among old-old women. (2) Higher educational attainment had significantly lower rates of medical consultation even after health needs were controlled for.5) Discussion:Equality of access to medical services may not contribute to reduce socioeconomic differentials in health status among old-old.

1)本研究的目的：本研究探讨了老年人在健康和获得医疗保健方面的社会经济差异的大小和原因。2）方法：我们使用了一个横截面调查数据和一个三年的纵向调查数据，该数据是从全国70岁及以上的代表性样本中校正出来的。社会经济状况从三个方面来衡量，（1）教育程度，（2）最长的职业生涯类型，（3）配偶的共同年收入。3）横断面分析的主要结果：（1）老年男性的收入水平较低，更有可能有较低的日常生活活动，认知功能，或心理健康水平。其他两项社会经济指标与健康状况无显著相关性。教育程度仅对老年女性的认知功能有显着影响。(2)晚年的心理社会风险因素与这些社会经济差异的原因无关。(3)4）纵向分析的主要发现：（1）社会经济指标对老年男性健康状况的影响均不显著。受教育程度对老年女性认知功能的变化有显着影响。(2)5）讨论：医疗服务的平等获得可能无助于减少老年人健康状况的社会经济差异。