Health is influenced by physical, psychological and social factors synthetically. Since the world' s aging is increasingly severe, it' s important and meaningful to study the Chinese elderly's health and hazard rate and their factors. It is especially important in China because the number of Chinese elderly is the largest. Using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) 2002-2011 and applying Cox proportional hazards model, the research analyses the relationship between physical functions, mortality hazard rate and factors. The results show that Chinese elderly's physical functions have significant impacts on their mortality hazard rate, and the mortality hazard rate of the elderly with good ADL, IADL and LOA/LOM are lower than those of the elderly with poor ones significantly, respectively 25%, 18%, 5%. In addition, chronic illness, gender, age, ethnicity, rural/urban and region, occupational status and main source of income, activities participation, and caregivers for the sick have significant effects on the Chinese elderly's mortality hazard rate.
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[1] 曾毅, 张震, 顾大男, 等. 人口分析方法与应用[M]. 北京:北京大学出版社, 2011:367.
[2] 曾毅, 柳玉芝, 萧振禹, 等. 中国高龄老人的社会经济与健康状况[J]. 中国人口科学, 2004 (S1):6-15.
[3] 王德文, 叶文振, 朱建平, 等. 高龄老人日常生活自理能力及其影响因素[J]. 中国人口科学, 2004 (S1):91-95.
[4] 尹德挺. 中国高龄老人生活自理能力纵向动态研究[J]. 人口学刊, 2007 (6):27-32.
[5] 尹德挺, 陆杰华. 中国高龄老人日常生活自理能力的个体因素和区域因素分析—HLM 模型在老年健康领域中的应用[J]. 人口研究, 2007 (2):60-70.
[6] 宋新明, 陈功. 高龄老人慢性躯体疾病和认知能力对日常生活自理能力的影响[J]. 中国人口科学, 2001 (S1):42-47.
[7] 韩广勤. 经济社会地位对老年人健康状况的影响研究—以上海为例[D]. 华东师范大学, 2010:46.
[8] 尹德挺. 国内外老年人日常生活自理能力研究进展[J]. 中国老年学杂志, 2008, 28 (10):1032-1035.
[9] RAUTIO N, HEIKKINEN E, HEIKKINEN R L. The association of socio-economic factors with physical and mental capacity in elderly men and women [J]. Archives of Gerontology and Geriatrics, 2001, 33 (2):163-178.
[10] KNESEBECK O, Lüschen G, COCKERHAM W C, et al. Socioeconomic status and health among the aged in the United States and Germany:a comparative cross-sectional study [J]. Social Science & Medicine, 2003, 57 (9):1643-1652.
[11] SCOTT W K, MACERA C A, CORNMAN C B, et al. Functional heatlh status as a predictor of mortality in men and women over 65 [J].Joural of Clinical Epidemioiogy, 1997, 50 (3):291-296.
[12] RUIGOMEZ A, ALONSO J, ANTO J M. Functional capacity and five-year mortality in a sample of urban community elderly [J]. The European Journal of Public Health, 1993, 3 (3):165-171.
[13] MANTON K G. A longitudinal study of functional change and mortality in the United States [J]. Journal of Gerontology, 1988, 43 (5):153-161.
[14] LAMARCA R, FERRER M, ANDERSEN P K, et al. A changing relationship between disability and survival in the elderly population:differences by age [J]. Journal of Clinical Epidemiology, 2003, 56 (12):1192-1201.
[15] 张明园, 朱紫青, 陈佩俊, 等. 老年人日常生活能力与某些疾病关系的社区调查[J]. 中华医学杂志, 1998 (2):124-127.
[16] 张明园, 朱紫青. 老年人日常生活能力与某些疾病关系的社区调查[J]. 中华医学杂志, 1998 (2):124-127.
[17] 焦开山. 中国老人生活自理能力与死亡风险的关系研究[J]. 医学社会学(医学与哲学:人文社会医学版), 2009 (7):33-35.
[18] BEYDOUN M A, POPKIN B M. The impact of socio-economic factors on functional status decline among community-dwelling older adults in China [J]. Social Science & Medicine, 2005, 60 (9):2045-2057.
[19] ZHU H, XIE Y. Socioeconomic differentials in mortality among the oldest old in China [J]. Research on Aging, 2007, 29 (2):125-143.
[20] ZIMMER Z, KWONG J. Socioeconomic status and health among older adults in rural and urban China [J]. Journal of Aging and Health, 2004, 16 (1):44-70.
[21] 宋新明, 齐铱. 新城区老年人慢性病伤对日常生活功能的影响研究[J]. 人口研究, 2000, 24 (5):45-50.
[22] 项曼君, 刘纫兰. 北京人口老龄化多维纵向研究的基线调查[J]. 中华老年医学杂志, 1996, 15 (6):328-331.
[23] 李强. 中国高龄老人自评幸福度与健康长寿的关系研究[D]. 北京大学, 2004:110.
[24] SMITH J P, KINGTON R. Demographic and economic correlates of health in old age [J]. Demography, 1997, 34 (1):159-170.
[25] GOLDMAN N. Social inequalities in health [J]. Annals of the New York Academy of Sciences, 2001, 954 (1):118-139.
[26] 宋新明, 陈育德. 老年人群健康功能的多维评价方法[J]. 国外医学(社会医学分册), 1993, 10 (1):1-4.
[27] HENDRIKX J. The impact of weights on standard errors [R/OL]. Presented at the annual meeting of the Association for Survey Computing, April 17, Imperial College, London, UK. [2006-08-08]. http://www. asc. org. uk/Events/Apr02/Full/Hendrickx. doc.
[28] WINSHIP C, RADBILL L. Sampling weights and regression analysis [J]. Sociological Methods Research, 1994, 23:230-257.
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