“金钱能买到健康吗?”印度老年人财务状况、健康和性别关系研究

IF 1.5 4区 社会学 Q3 GERONTOLOGY
Journal of Women & Aging Pub Date : 2025-09-01 Epub Date: 2025-09-12 DOI:10.1080/08952841.2025.2553387
Neha Narula
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引用次数: 0

摘要

印度人口正在迅速老龄化,给老年人的经济安全和健康带来了紧迫的挑战。这些挑战对老年妇女来说尤其严重,她们往往终身面临经济劣势,获得正式社会保护的机会有限。虽然经济状况良好与健康之间的联系在全球范围内已得到充分确认,但印度缺乏使用具有全国代表性的数据提供的强有力的、按性别分列的证据。本研究通过考察包括收入来源、养老金状况、保险覆盖范围和代际财务交流在内的财务因素如何影响印度老年人自我评估的健康状况,解决了这一差距。利用印度纵向老龄化研究第一波(2017-18)的数据,我们应用了双变量分析、有序逻辑回归和广义有序逻辑回归。我们的研究结果突出了显著的性别差异:男性报告更大的财务自主权和更好的健康状况,而女性更有可能缺乏养老金和保险。在经济上作出贡献和参与家庭决策与更好的健康结果有关,而接受经济支持与较差的自我评价健康有关,这可能反映了自主权的丧失。这些研究结果强调,需要制定对性别问题有敏感认识的财务保护战略,以支持印度和其他正在经历人口转型的中低收入国家的健康老龄化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Can money buy health?" A study on the relationship between financial well-being, health, and gender among older Indians.

India's population is aging rapidly, creating urgent challenges related to the financial security and health of older adults. These challenges are particularly acute for older women, who often face lifelong economic disadvantages and limited access to formal social protection. While the link between financial well-being and health is well established globally, there is a lack of robust, gender-disaggregated evidence from India using nationally representative data. This study addresses that gap by examining how financial factors, including income sources, pension status, insurance coverage, and intergenerational financial exchanges, shape self-rated health among older adults in India. Using data from Wave 1 of the Longitudinal Ageing Study in India (2017-18), we apply bivariate analysis, ordered logistic regression, and generalized ordered logistic regression. Our results highlight significant gender disparities: men report greater financial autonomy and better health, while women are more likely to lack pensions and insurance. Contributing financially and participating in household decisions are associated with better health outcomes, whereas receiving financial support is linked to poorer self-rated health, possibly reflecting loss of autonomy. These findings emphasize the need for gender-sensitive financial protection strategies to support healthy aging in India and other low- and middle-income countries undergoing demographic transitions.

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来源期刊
CiteScore
3.40
自引率
6.70%
发文量
29
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