Study On The Mitigating Effect Of Community Endowment On Health Vulnerability Of The Elderly

The aging crisis facing our country will continue to deepen in the next decade.The elderly are more sensitive to fluctuations in the internal and external environment,less resistant to risks such as incapacity,illness and falls,and have difficulty recovering themselves after suffering injuries and losses.As one of the important initiatives to cope with population aging,community endowment are of great significance to healthy aging.Elderly people inevitably have the characteristics of high sensitivity and insufficient resistance due to insufficient healthy manpower,lack of family care and weakening of economic capacity,and show obvious health vulnerability.On account of China’s medical and elderly service systems are not yet perfect,and there is an imbalance between resources and market supply and demand for elderly services,the problem of health vulnerability is prevalent in the elderly population,which can only be alleviated or indirectly pacified through various reasonable programs.As a widely recognized model of senior care in China,community endowment is one of the effective ways to reduce the health vulnerability of the elderly by linking "family-community","medical-pension" and "government-market",guiding medical resources into the community to improve the accessibility of medical care for the elderly,helping the elderly to get more informal social support and enhancing the anti-fragile ability of the elderly.Based on the China Elderly Health and Family Wellbeing Survey Data(CLHLS2018),the CRITIC weighting method was applied to determine the indicator weights of each variable and assign values to physical health vulnerability and mental health vulnerability.The path analysis method was used to test the effects of community endowment to alleviate the health vulnerability of the elderly.The results showed that community endowment could reduce the physical health vulnerability of older adults by improving their health status,and then reduce their mental health vulnerability;the mitigation effect of community endowment on the health vulnerability of the elderly is different between urban and rural areas.To realize the mitigating effect of community endowment on the health vulnerability of the elderly,it is also necessary to improve the intergenerational support capacity of the family based on the family,pay attention to the social integration of the elderly and guide the social participation of the elderly;take the elderly’s pension care needs as the guide,address the elderly’s pension care service needs and medical security in a targeted and professional manner,and promote the construction of the community medical and nursing care combination elderly care model;introduce diversified entities to community elderly services,enrich the content of community elderly services,improve the depth of community elderly services,and optimize the supply of community elderly system.