Study On The Impact Of Community Infrastructure On The Health Of Middle-aged And Elderly People In Urban And Rural Areas

With the increase of material and cultural needs of the middle-aged and elderly,the problem of aging population is becoming more and more serious,the health and care problems of them are becoming more and more prominent.And the health needs and health awareness of them are also improving,how to meet the health needs of them has turned into a popular topic.The activity range of them is small,and the most closely related to their life and health is the community and its related environment.And the community infrastructure environment will impact the middle and old aged people health imperceptibly.Therefore,it has important meaning to study the influence of community infrastructure on the health of them.So what is the current state of the community infrastructure? What is the influence of community infrastructure on the health of them? Based on this,this paper,on the basis of reviewing relevant literature,studies the impact of community infrastructure on the health of middle-aged and elderly people and puts forward countermeasures for promoting healthy aging and elderly health.In this paper,the 2011 China Health and Retirement Longitudinal Survey(CHARLS)data were used to study the influence of community infrastructure on the health of middle-aged and elderly people.By referring to existing theories and literature and combining data questionnaire,mental health,self-rated health and physical health were selected as the explained variables of this paper.community infrastructure was selected as the independent variable.And individual characteristics,family characteristics and other community environmental variables were selected as the control variables of this paper.Using statistical description,multi-categorical ordered Logistic model and binary categorical Logistic model,this paper analyzed the impact of community infrastructure on the health of middle-aged and elderly people and the difference between urban and rural areas.The study found that the distribution rate of community infrastructure was low,with the distribution rate of outdoor sports facilities,activity centers for the elderly and standardized waste treatment facilities less than 50%.The health status of the middle-aged and elderly is generally poor,70.77% of them have poor physical health,77.25% of them self-rated their health as average or poor,and35.34% of them have mild or severe depression.Logistic model regression shows that the more perfect the community infrastructure,the better the health status of the middle-aged and elderly;The standardized disposal of garbage in the community,open-air sports facilities and community elderly activity centers are a significant positively correlated with the mental health and self-rated health of them,while the standardized disposal of garbage and community health service centers/village clinics are positively correlated with the physical health of the middle-aged and elderly.In the analysis of urban-rural heterogeneity,open-air sports facilities are positively correlated with the middle-aged and elderly health in both urban and rural.The standardized waste disposal is a significant positively correlated with the health of them in rural.There is a positive correlation between the village clinic and the mental and physical health of them in rural.Community elderly activity centers are positively correlated with the health of the urban elderly.Based on the findings of the study,this paper puts forward the following countermeasures: improve the construction of community sports infrastructure;Perfecting the construction of the elderly activity center and adapting measures to local conditions and different people;Increase the investment and management of environmental sanitation facilities in rural communities;Promote the cooperative participation of multiple subjects in the construction of community infrastructure.