摘要
随着中国老龄化形势日益严峻,老年人的健康问题,尤其是心理健康问题,已成为亟待解决的社会难题。长期护理保险是提高老年人生活水平的重要社会政策,具有保障健康和补偿经济的双重性质。基于中国健康与养老追踪调查面板数据,采用双重差分模型研究发现,长期护理保险显著改善了老年人心理健康,使老年人抑郁症状得分平均降低10.92%;作用机制分析表明,长期护理保险通过健康支持效应和代际情感支持效应提升老年人心理健康;异质性结果显示,长期护理保险对全覆盖模式参保者、女性老人、独生子女家庭和贫困家庭的老年人效果更为显著。研究指出,应细化长期护理保险分级分类服务标准,强化家庭的情感支持作用,以改善老年人心理健康。
With the increasingly severe aging situation in China,the health problems of the elderly,especially mental health issues,have become pressing social challenges that need to be resolved.Long-term care insurance(LTCI)as an important social policy to improve the living standards of the elderly,is featured with a dual nature of safeguarding health and compensating economy.Based upon the panel data from the China Health and Retirement Longitudinal Study(CHARLS),this study employs a difference-in-differences(DID)model and finds that the LTCI significantly improves the mental health of the elderly,reducing their depression symptom scores by an average of 10.92%.Mechanism analysis indicates that LTCI enhances the mental health of the elderly through the health support effect and the intergenerational emotional support effect.Heterogeneity results show that LTCI has a more significant effect on the elderly in the full-coverage insurance participants,female elderly,single-child families,and low-income households.This study suggests it is necessary to refine the grading and categorized service standards of LTCI and strengthen the familial emotional support,in order to improve the mental health of the elderly.
作者
章芡
周春霞
李春秋
ZHANG Qian;ZHOU Chunxia;LI Chunqiu(School of Government Management,Beijing Normal University,Beijing 100875,China)
出处
《广东财经大学学报》
北大核心
2025年第2期90-103,共14页
Journal of Guangdong University of Finance & Economics
关键词
长期护理保险
老龄化
心理健康
情感支持
long-term care insurance
aging
mental health
emotional support
作者简介
章芡(1990-),女,北京人,北京师范大学政府管理学院讲师,博士;周春霞(1999-),女,山西运城人,北京师范大学政府管理学院硕士研究生;通讯作者:李春秋(1987-),女,河南周口人,北京师范大学政府管理学院讲师,博士。
