中国老年人口自评健康水平的空间分异及影响因素研究

doi:10.13959/j.issn.1003-2398.2020.03.005

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摘要基于2005年和2015年1%人口抽样调查资料以及2010年人口普查资料，采用ArcGIS分级制图和空间自相关分析等方法，刻画中国老年人口健康水平的时空格局及变化，并使用面板数据线性回归模型和Tobit回归模型识别影响老年人口健康水平空间分异的主要因素。结果表明：①中国老年人口健康水平存在明显的空间分异，老年人口健康水平高的地市主要分布在东南部省份、华北平原和新疆北部，老年人口健康水平低的地市主要集中在青藏高原及其周边地区；②十年间，老年人口健康水平的空间分异水平有所降低，老年人口健康水平中等的地市数量大幅增加；③老年人口健康水平呈现显著的空间正相关性，随着空间分异的缩小，空间集聚程度上升；老年人口健康水平的高—高类型区主要集中在东南部地区，低—低类型区主要分布在青藏高原及周边区域；④社会经济发展水平、人口结构、饮食习惯和自然地理因素是影响老年人口健康水平空间分异的重要因素，东部、中部和西部地区老年人口健康水平的影响因素存在显著的差异。

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	黄柏石
	李思思
	仝广乾
	林宇敏
	刘晔

关键词 ：老年人, 自评健康, 空间分异, 影响因素, Tobit模型

Abstract：Using classification mapping and spatial autocorrelation analysis of ArcGIS, 1% population sampling survey data in 2005and 2015 and census data in 2010 are employed in this study to disclose the spatial and temporal patterns and changes of the health level of the aging population in China. Besides, this paper used random effects linear model and Tobit regression model of panel data to identify the main factors affecting spatial differentiation of health level of old people. The results are as followed: 1) There are obvious spatial differences in health level of old people in China. The cities where older peopleenjoy high health level are mainly distributed in Southeastern provinces, North China Plain, Northeast China Plain and the north of Xinjiang; 2) In the past 10 years, the spatial differentiation level of older people's health has decreased. And the number of cities with moderate health level of older people has increased significantly. 3) There is a significant positive spatial correction on the health level of old people. With spatial differentiation shrinking, spatial agglomeration rises. 4) Social and economic development level, population structure, dietary habitsand natural geographical factors are important factors affecting the spatial differentiation of old people health level, and influencing factors of elderly health varied significantly among different regions.

Key words： old people self-rated health spatial difference influencing factors Tobit model

收稿日期: 2019-07-09

PACS:

K901

基金资助:国家自然科学基金重点项目（41930646）；国家自然科学基金面上项目（41871140，41971194）

通讯作者: 刘晔(1986-),男,广东广州人,教授,博士生导师,主要研究方向为城市人居环境与居民健康福祉、城市化与人口流动、人才流动的机制与影响。E-mail:liuye25@mail.sysu.edu.cn。 E-mail: liuye25@mail.sysu.edu.cn

作者简介: 黄柏石(1992-),男,江西萍乡人,博士研究生,主要研究方向为城市地理和健康地理。E-mail:huangbsh8@mail2.sysu.edu.cn。

引用本文:

黄柏石, 李思思, 仝广乾, 林宇敏, 刘晔. 中国老年人口自评健康水平的空间分异及影响因素研究[J]. 人文地理, 2020, 35(3): 37-47. HUANG Bai-shi, LI Si-si, TONG Guang-qian, LIN Yu-min, LIU Ye. SPATIAL DIFFERENCE AND INFLUENCING FACTORS OF SELF-RATED HEALTH LEVEL OF OLD PEOPLE IN CHINA. HUMAN GEOGRAPHY, 2020, 35(3): 37-47.

链接本文:

http://rwdl.xisu.edu.cn/CN/10.13959/j.issn.1003-2398.2020.03.005 或 http://rwdl.xisu.edu.cn/CN/Y2020/V35/I3/37

[1]	高晓路,吴丹贤,许泽宁,等.中国老龄化地理学综述和研究框架构建[J]. 地理科学进展,2015,34(12):1480-1494.[Gao Xiaolu, Wu Danxian, Xu Zening, et al. A review and frame-work setting of geographical research on aging in China[J]. Progress in Geography, 2015,34(12):1480-1494.]
[2]	舒玢玢,同钰莹.成年子女外出务工对农村老年人健康的影响——再论"父母在, 不远游"[J].人口研究,2017,41(2):42-56.[Shu Binbin, Tong Yuying. Impact of adult child migration on health of rural elderly parents[J]. Population Research, 2017,41(2):42-56.]
[3]	李滔,王秀峰.健康中国的内涵与实现路径[J].卫生经济研究,2016(1):4-9.[Li Tao, Wang Xiufeng. Connotation and realizing route of Healthy China[J]. Health Economics Research, 2016(1):4-9.]
[4]	Andrea O R, Luz María L M O, Banegas J R, et al. Life-course socioeconomic position and change in quality of life among older adults:Evidence for the role of a critical period, accumulation of exposure and social mobility[J]. Journal of Epidemiology & Community Health, 2011,65(11):964-971.
[5]	Beard J R, Officer A, Carvalho I A D, et al. The world report on ageing and health:A policy framework for healthy ageing[J]. Lancet, 2016,387(10033):2145-2154.
[6]	Hoffmann R. Socioeconomic inequalities in old-age mortality:Acomparison of Denmark and the USA[J]. Social Science Medicine, 2011,72(12):1986-1992.
[7]	Lamberto M, Paolo V, Giovanni M P, et al. Marital status and mortality in the elderly:Asystematic review and meta-analysis[J]. Social Science Medicine, 2007,64(1):77-94.
[8]	Takano T, Nakamura K, Watanabe M. Urban residential environments and senior citizens' longevity in megacity areas:The importance of walkable green spaces[J]. Journal of Epidemiology & Community Health, 2002,56(12):913-918.
[9]	Zunzunegui M V, Béland F, Otero A. Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain[J]. International Journal of Epidemiology, 2001,30(5):1090-1099.
[10]	Fries J. Aging, natural death, and the compression of morbidity[J]. New England Journal of Medicine, 1980,303(3):130-135.
[11]	Manton K. Changing concepts of morbidity and mortality in the elderly population[J]. The Milbank Memorial Fund Quarterly. Health Society, 1982,60(2):183-244.
[12]	龚胜生.中国疫灾的时空分布变迁规律[J].地理学报,2003,58(6):870-878.[Gong Shengsheng. Changes of the temporal-spatial distribution of epidemic disaster in 770BC-AD1911 China[J]. Acta Geographica Sinica, 2003,58(6):870-878.]
[13]	杨林生,吕瑶,李海蓉,等.西藏大骨节病区的地理环境特征[J].地理科学,2006,26(4):466-471.[Yang Linsheng, Lu Yao, Li Hairong, et al. Features of geographical environment of Kaschin-Beck Disease (KBD) affected region in Tibet[J]. Scientia Geographica Sinica, 2006,26(4):466-471.]
[14]	杨林生,王五一, 谭见安,等.环境地理与人类健康研究成果与展望[J].地理研究,2010,29(9):1571-1583.[Yang Linsheng, Wang Wuyi, Tan Jianan, et al. Overview on the research works in the field of environmental geography and human health[J]. Geographical Research, 2010,29(9):1571-1583.]
[15]	Wang J, Yin Q, Tong S, et al. Prolonged continuous exposure to high fine particulate matter associated with cardiovascular and respiratory disease mortality in Beijing, China[J]. Atmospheric Environment, 2017,168:1-7.
[16]	孙斌栋,阎宏,张婷麟.社区建成环境对健康的影响——基于居民个体超重的实证研究[J].地理学报,2016,71(10):1721-1730.[Sun Bindong, Yan Hong, Zhang Tinglin. Impact of community built environment on residents' health:Acase study on individual overweight[J]. Acta Geographica Sinica, 2016,71(10):1721-1730.]
[17]	周素红,刘明杨,卢次勇.中学生药物滥用行为及其影响因素的地域差异[J].地理学报,2018,73(6):1173-1186.[Zhou Suhong, Liu Mingyang, Lu Ciyong. Regional differences of drug abuse behavior and its influencing factors among middle school students[J]. Acta Geographica Sinica, 2018,73(6):1173-1186.]
[18]	程明梅,杨朦子.城镇化对中国居民健康状况的影响——基于省级面板数据的实证分析[J].中国人口·资源与环境, 2015,25(7):89-96.[Cheng Mingmei, Yang Mengzi. Impact of urbanization on the health of Chinese residents:An empirical study based on provincial panel data[J]. Chinese Journal of Population Resources and Environment, 2015,25(7):89-96.]
[19]	顾丽娟,Rosenberg M,曾菊新.社会经济及环境因子对不同收入群体自评健康的影响[J].地理研究,2017,36(7):1257-1270.[Gu Lijuan, Rosenberg M, Zeng Juxin. The impacts of socioeconomic and environmental factors on self-rated health status among different income groups in China[J]. Geographical Research, 2017,36(7):1257-1270.]
[20]	杨振,丁启燕,王念,等.中国人口健康脆弱性地区差异与影响因素分析[J].地理科学,2018,38(1):135-142.[Yang Zhen, Ding Qiyan, Wang Nian, et al. Distribution characteristics of health vulnerability and its influence factors in China[J]. Scientia Geographica Sinica, 2018,38(1):135-142.]
[21]	王五一,李海蓉,杨林生,等.典型鼠疫疫源地环境——健康脆弱性评价[J].地理研究,2001,20(3):290-297.[Wang Wuyi, Li Hairong, Yang Linsheng, et al. Assessment of environment-health vulnerability in typical plague foci in China[J]. Geographical Research, 2001, 20(3):290-297.]
[22]	王劲峰,孟斌,郑晓瑛,等.北京市2003年SARS疫情的多维分布及其影响因素分析[J].中华流行病学杂志,2005,26(3):164-168.[Wang Jinfeng, Meng Bin, Zheng Xiaoying, et al. Analysis on the multi-distribution and the major influencing factors on severe acute respiratory syndrome in Beijing[J]. Chinese Journal of Epidemiology, 2005,26(3):164-168.]
[23]	张延吉,秦波,唐杰.基于倾向值匹配法的城市建成环境对居民生理健康的影响[J].地理学报,2018,73(2):333-345.[Zhang Yanji, Qin Bo, Tang Jie. The impact of urban built environment on residential physical health:Based on propensity score matching[J]. Acta Geographica Sinica, 2018,73(2):333-345.]
[24]	Su S L, Gong Y, Tan B Q, et al. Area social deprivation and public health:Analyzing the spatial non-stationary associations using geographically weighed regression[J]. Social Indicators Research, 2017,133(3):819-832.
[25]	赵雪雁,王伟军,万文玉.中国居民健康水平的区域差异:2003-2013[J].地理学报,2017,72(4):685-698.[Zhao Xueyan, Wang Weijun, Wan Wenyu. Regional inequalities of residents' health level in China:2003-2013[J]. Acta Geographica Sinica, 2017,72(4):685-698.]
[26]	刘坤,张楠,方玉凤,等.国内外老年人健康不平等影响因素研究综述[J].中国卫生政策研究,2014,7(5):68-75.[Liu Kun, Zhang Nan, Fang Yufeng, et al. A review on health inequality and related factors of the global elderly[J]. Chinese Journal of Health Policy, 2014, 7(5):68-75.]
[27]	许昕,赵媛,张新林,等.中国老年地理学研究进展[J].地理科学进展,2018,37(10):1416-1429.[Xu Xin, Zhao Yuan, Zhang Xinlin, et al. Research progress and prospects of Chinese geriatric geography[J]. Progress in Geography, 2018,37(10):1416-1429.]
[28]	丁继红,董旭达.我国城乡老龄健康:子女的作用有多大?——基于CHNS数据的实证研究[J]. 南开经济研究,2017(5):60-76.[Ding Jihong, Dong Xuda. The role of children on the health of the elderly and the comparison between China's urban and rural areas:Based on the empirical study of CHNS data[J]. Nankai Institute of Economics, 2017(5):60-76.]
[29]	杜本峰,郭玉.中国老年人健康差异时空变化及其影响因素分析[J]. 中国公共卫生,2015,31(7):870-877.[Du Benfeng, Guo Yu. Changes of time and space differences in health status and their influencing factors among the elderly in China[J]. Chinese Journal of Public Health, 2015,31(7):870-877.]
[30]	姜向群,魏蒙,张文娟.中国老年人口的健康状况及影响因素研究[J]. 人口学刊,2015,37(2):46-56.[Jiang Xiangqun, Wei Meng, Zhang Wenjuan. Study on the health status and influencing factors of China's aging population[J]. Population Journal, 2015,37(2):46-56.]
[31]	焦开山.中国老年人健康预期寿命的不平等问题研究[J].社会学研究,2018,33(1):116-141.[Jiao Kaishan. Inequality of healthy life expectancy for the Chinese elderly and its future trend[J]. Sociological Studies, 2018,33(1):116-141.]
[32]	李建新,李春华.城乡老年人口健康差异研究[J].人口学刊,2014,36(5):34-47.[Li Jianxin, Li Chunhua. Health difference of the elderly between the rural and urban districts[J]. Population Journal, 2014, 36(5):34-47.]
[33]	谭涛,张茜,刘红瑞.我国农村老年人口的健康不平等及其分解——基于东中西部的实证分析[J].南方人口,2015,30(3):57-68.[Tan Tao, Zhang Qian. Decomposition of health inequalities among elderly people in rural China:An empirical research based on the survey of eastern, central and western China[J]. South China Population, 2015,30(3):57-68.]
[34]	张文娟,杜鹏.中国老年人健康预期寿命变化的地区差异:扩张还是压缩?[J]. 人口研究,2009,33(5):68-76.[Zhang Wenjuan, Du Peng. Regional disparity in changes of healthy life expectancy of Chinese elderly:Expansion or compression?[J]. Population Research, 2009,33(5):68-76.]
[35]	Feng Z, Phillips D R, Jones K. A geographical multivariable multilevel analysis of social exclusion among older people in China:Evidence from the China Longitudinal Aging Social Survey ageing study[J]. The Geographical Journal, 2018, 184(4):413-428.
[36]	Feng Z, Wang WW, Jones K. A multilevel analysis of the role of the family and the state in self-rated health of elderly Chinese[J]. Health Place, 2013,23:148-156.
[37]	Feng Z, Wang W W, Jones K, et al. An exploratory multilevel analysis of income, income inequality and self-rated health of the elderly in China[J]. Social Science & Medicine, 2012,75(12):2481-2492.
[38]	敖荣军,李浩慈,杨振,等.老年人口健康的空间分异及影响因素研究——以湖北省为例[J].地理科学进展,2017,36(10):1218-1228.[Ao Rongjun, Li Haoci, Yang Zhen, et al. Spatial differentiation and influencing factors of health level of the elderly population:A case study of Hubei province[J]. Progress in Geography, 2017,36(10):1218-1228.]
[39]	阎志强.广东老年人口的健康状况特点——基于2015年1%人口抽样调查的分析[J].南方人口,2017,32(6):42-53.[Yan Zhiqiang. The features of the health status of the elderly in Guangdong province:An analysis of the 1% sampling survey 2015[J]. South China Population, 2017,32(6):42-53.]
[40]	葛淼,肖雁飞,刘昆.老年前期男性血红蛋白正常参考值与中国地理因素[J].地理科学,2004,24(6):767-770.[Ge Miao, Xiao Yanfei, Liu Kun, et al. Reference value of presenile men's hemoglobin and geographical factors in China[J]. Scientia Geographica Sinica, 2004,24(6):767-770.]
[41]	杨青生,张红贤,葛淼,等.基于人工神经网络的老年男性血沉参考值与地理环境关系研究[J].地理科学,2006,26(6):749-754.[Yang Qingsheng, Zhang Hongxian, Ge Miao. Relationship between reference value (wintrobe) of Chinese old men's erythrocyte sedimentation rate (ESR) and geographical factors based on NN[J]. Scientia Geographica Sinica, 2006,26(6):749-754.]
[42]	杨林生,李海蓉,李永华,等.医学地理和环境健康研究的主要领域与进展[J].地理科学进展,2010,29(1):31-44.[Yang Linsheng, Li Hairong, Li Yonghua, et al. Progress of medical geography and environmental health studies[J]. Progress in Geography, 2010,29(1):31-44.]
[43]	Feng Z, Jones K, Wang WW. An exploratory discrete-time multilevel analysis of the effect of social support on the survival of elderly people in China[J]. Social Science & Medicine, 2015,130:181-189.
[44]	Jia X, Yu Y, Xia W, et al. Cardiovascular diseases in middle aged and older adults in China:The joint effects and mediation of different types of physical exercise and neighborhood greenness and walkability[J]. Environment Research, 2018, 167:175-183.
[45]	Liu Y, Dijst M, Faber J, et al. Healthy urban living:Residential environment and health of older adults in Shanghai[J]. Health Place, 2017,47:80-89.
[46]	Idler E L, Benyamini Y. Self-rated health and mortality:Areview of twenty-seven community studies[J]. Journal of Health and Social Behavior, 1997,38(1):21-37.
[47]	谷琳,乔晓春.我国老年人健康自评影响因素分析[J].人口学刊, 2006(6):25-29.[Gu Lin, Qiao Xiaochun. Factor analysis on subjective health of the elderly in China[J]. Population Journal, 2006(6):25-29.]
[48]	Amelin L. Local indicators of spatial association-LISA[J]. Geographical Analysis, 1995,27(2):93-115.
[49]	Lee L, Yu J. Some recent developments in spatial panel data models[J]. Regional Science and Urban Economics, 2010, 40(5):255-271.
[50]	Noymer A, Lee R. Immigrant health around the world:Evidence from the world values survey[J]. Journal of Immigrant & Minority Health, 2013, 15(3):614-623.