中国慢性病老年群体脆弱性评价及特征研究

doi:10.15936/j.cnki.1008-3758.2023.01.011

东北大学学报（社会科学版） ›› 2023, Vol. 25 ›› Issue (1): 96-105.DOI: 10.15936/j.cnki.1008-3758.2023.01.011

中国慢性病老年群体脆弱性评价及特征研究

王雪辉

(复旦大学人口与发展政策研究中心，上海200433)

发布日期:2023-01-30
通讯作者: 王雪辉
作者简介:王雪辉(1988-)，女，河南新乡人，复旦大学讲师，法学博士，主要从事老龄健康研究。
基金资助:
国家社会科学基金重大资助项目(21ZDA106)。

Research on Vulnerability Assessment and Characteristics of the Elderly with Chronic Diseases in China

WANG Xuehui

(Center for Population and Development Policy Studies， Fudan University， Shanghai 200433， China)

Published:2023-01-30
Contact: -
About author:-
Supported by:
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摘要/Abstract

摘要： 慢性病老年人具有多维脆弱性的特征。引入脆弱性理论视角，基于世界粮食计划署“风险因素-抵御风险能力-社会服务体系”的脆弱性分析框架，从健康、经济、社会、生活等多个维度构建了反映慢性病老年人脆弱程度的评价指标体系及评估模型。研究发现:随着年龄的增加，慢性病老年男性和女性的脆弱指数均值均呈现上升趋势。在65~80岁年龄组，慢性病老年男性的脆弱指数均值高于老年女性;在80~105岁年龄组，慢性病老年女性的脆弱指数均值总体高于男性。在高脆弱性慢性病老年人中，风险因素致脆型比例最高，面临的风险因素较多及抗风险能力不足是导致其高脆弱的核心诱因;中、低脆弱性慢性病老年人中的社会因素致脆型比例最高。

关键词: 慢性病老年人; 脆弱指数; 脆弱类型; 综合评价

Abstract: The elderly with chronic diseases has the characteristics of multidimensional vulnerability. From the perspective of vulnerability theory， based on the “risk factors-anti-risk ability-social service system” analysis framework of the World Food Program (WFP)， an assessment index system and evaluation model reflecting the vulnerability of the elderly with chronic diseases are constructed from multiple dimensions such as health， economy， society and life. It is found in the study that with the increase of age， the average vulnerability index of elderly men and women with chronic diseases has shown an upward trend. In the 65~80 age group， the average vulnerability index of elderly men with chronic diseases is higher than that of elderly women. In the 80~105 age group， the mean vulnerability index of elderly women with chronic diseases is generally higher than that of men. Among the elderly with high vulnerability and chronic disease， the proportion of risk factor brittleness is the highest. The core inducement leading to high vulnerability is that they face more risk factors and lack anti-risk ability. The proportion of vulnerability caused by social factors is the highest among the elderly with moderate and low vulnerability and chronic diseases.

Key words: elderly with chronic disease; vulnerability index; type of vulnerability; comprehensive evaluation

中图分类号:

C923

王雪辉. 中国慢性病老年群体脆弱性评价及特征研究[J]. 东北大学学报（社会科学版）, 2023, 25(1): 96-105.

WANG Xuehui. Research on Vulnerability Assessment and Characteristics of the Elderly with Chronic Diseases in China[J]. Journal of Northeastern University(Social Science), 2023, 25(1): 96-105.

参考文献

[1]WHO. World Report on Ageing and Health［R］. Geneva: WHO， 2015.
[2]国家卫健委. 健康中国行动推进委员会办公室2019年7月29日新闻发布会文字实录［EB/OL］. (2019-07-29)［2021-05-10］. http:∥www.nhc.gov.cn/xcs/s7847/201907.shtml.
[3]钱军程，陈育德，徐玲，等. 中国老年人口主要慢性病患病率变化与突发增长的分析［J］. 中国卫生信息管理杂志， 2011，8(3):70-74.
[4]熊智. 我国慢性病防治面临的挑战与对策［J］. 中国慢性病预防与控制， 2019，27(9):720-721.
[5]杨贝贝，张莹. 老年慢性病照护者负担的研究回顾与展望［J］. 上海交通大学学报(医学版)， 2014，34(9):1304-1308.
[6]张蒙，李颂兵，陈茜. 老年常见慢性病患者自我感受负担及其影响因素研究［J］. 中国护理管理， 2017，17(1):63-68.
[7]李正禹，武继磊，李佳佳，等. 慢性病对中国65岁及以上老年人日常活动能力影响的队列研究［J］. 中华流行病学杂志， 2019，40(1):33-40.
[8]胡宏伟，蒋浩琛. 多维脆弱与综合保护:困难家庭老年人群体比较与反贫困政策迭代［J］. 社会保障研究， 2020(4):70-83.
[9]徐洁，李树茁，吴正，等. 农村老年人家庭养老脆弱性评估——基于安徽农村地区的实证研究［J］. 人口研究， 2019，43(1):91-101.
[10]Janssena M A，Schoon M L，Ke W，et al. Scholarly Net Works on Resilience， Vulnerability and Adaptation Within the Human Dimensions of Global Environmental Change［J］. Global Environmental Change， 2006，16(3):240-252.
[11]Timmerman P. Vulnerability， Resilience and the Collapse of Society: a Review of Models and Possible Climatic Applications［R］. Toronto: Institute for Environmental Studies， University of Toronto， 1981:121-135.
[12]李鹤，张平宇，程叶青. 脆弱性的概念及其评价方法［J］. 地理科学进展， 2008(2):18-25.
[13]White G. Natural Hazards， Local， National， Global［M］. New York: Oxford University Press， 1974:33-75.
[14]联合国开发计划署. 促进人类持续进步: 降低脆弱性，增强抗逆力［EB/OL］. ［2021-03-01］. https:∥hdr.undp.org/content/human-development-report-2014.
[15]唐丽霞，李小云，左停. 社会排斥、脆弱性和可持续生计: 贫困的三种分析框架及比较［J］. 贵州社会科学， 2010(12):4-10.
[16]Bogard W C. Bringing Social Theory to Hazards Research: Conditions and Consequences of the Mitigation of Environmental Hazards［J］. Sociological Perspectives， 1988，31(2):147-168.
[17]Dow K. Exploring Differences in Our Common Futures: the Meaning of Vulnerability to Global Environmental Change［J］. Geoforum， 1992，23(3):417-436.
[18]Vogel C. Vulnerability and Global Environmental Change［R］. Johannesburg: Department of Geography and Environmental Studies， University of the Witwatersrand， South Africa， 1998.
[19]Adger W N. Vulnerability［J］. Global Environmental Change， 2006，16(3):268-281.
[20]Robert W. In Search of Professionalism， Bureaucracy and Sustainable Livelihoods for the 21st Century［J］. Ids Bulletin， 1991，22(4):5-11.
[21]解垩. 中国老年家庭的经济脆弱性与贫困［J］. 人口与发展， 2014，20(2):67-75.
[22]阳方，顾大男. 中国老年人社会弱势程度与死亡风险关系研究［J］. 中国人口科学， 2017(5):74-85.
[23]曾毅. 中国老年健康影响因素跟踪调查(1998—2012)及相关政策研究综述(上)［J］. 老龄科学研究， 2013，1(1):65-72.
[24]刘燕华，李秀彬. 脆弱性生态环境与可持续发展［M］. 北京: 商务印书馆， 2001:51-53.
[25]Prowse M. Towards a Clearer Understanding of “Vulnerability” in Relation to Chronic Poverty［R］. New York: Chronic Poverty Research Centre， 2003.
[26]Watts M J，Bohle H G. The Space of Vulnerability: the Causal Structure of Hunger and Famine［J］. Progress in Human Geography， 1993，17(1):43-67.
[27]IPCC. Climate Change 2007: the Physical Science Basis［M］. Cambridge: Cambridge University Press， 2007:11-28.
[28]于长永，刘二鹏，乐章. 农村地区养老脆弱性的省际差异及其影响因素研究［J］. 中国人口·资源与环境， 2016，26(10):144-151.
[29]赵丽琴，崔月彤. 我国老龄人口养老脆弱性测度及影响因素分析——基于CLHLS2014数据［J］. 调研世界， 2019(3):32-36.
[30]左孝凡. 邻里效应对农民贫困脆弱性的影响［J］. 华南农业大学学报(社会科学版)， 2020，19(4):31-44.

中国慢性病老年群体脆弱性评价及特征研究

Research on Vulnerability Assessment and Characteristics of the Elderly with Chronic Diseases in China

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