背景: 台灣從一九九三年步入高齡化社會後，在十五年間老年人口 已從占全人口的7.1％上升至10.2％，相較於歐、美等先進國家約50-100年的老化速度，台灣社會因應人口老化的反應時間相對有限。由於世界老年人口的快速增長，與老年相關的各式研究也不斷增加。在很多的研究中發現，老年人的健康不平等差異是存在的，很重要的影響因子為社經的狀況。在台灣，老年的各種生活期望與未來擔憂問題中，健康與經濟是老人最關心的兩大項目。
方法: 本研究將使用行政院衛生署國民健康局自2003年所進行的大規模「臺灣地區中老年身心社會與生活狀況長期追蹤調查」(以下簡稱TLSA)資料，選取65歲以上老年樣本共3778人，以量化分析去檢視老年人的經濟狀況和健康的關係，本研究將以主觀經濟地位、客觀經濟地位和主客觀經濟地位不一致性三個角度來加以探討。
主觀經濟地位代表的是個人對自己目前的經濟狀況的認知，客觀經濟地位則是個人的實際所的情況，在地位不一致性方面則利用主觀經濟地位以及客觀經濟地位兩者間的落差來做衡量。在健康的測量上本研究使用自評健康狀況和身體活動功能分數兩個項目作為指標。在自評健康的部份將採行邏輯式回歸分析，身體活動功能分數則利用線性迴歸來進行。
結果: 主觀經濟地位以及客觀經濟地位與自評健康狀況是呈現正相關的。在身體活動功能方面，無論是主觀經濟地位或是客觀經濟地位則呈現負相關的結果。經濟地位的不一致性和健康的關連上，可以發現當個人對主觀經濟地位評價優於自己的客觀經濟地位時，有較佳的身體健康狀況，其次才為主觀客觀為一致無落差者。在人口變項上，則以男性、沒有慢性病者、年齡小者、教育程度高者、有偶和居住在都市者之健康狀況較佳
結論: 對於老人家來說，經濟和健康間的相關性是不容懷疑的，並且在自身亦存在主觀和客觀的落差。在本研究發現當老年人的實際所得越高或是自認為較滿足自己的經濟情況則健康狀況較佳。由於本研究發現個人經濟地位不一致性對健康產生了不同的結果。也就是說ㄧ個人如果能樂天知命、知足常樂，對於自己的經濟狀況給予較實際所得更高的評價，則將有較好的健康情況。所以說，在考量到給予老年人經濟支援時，也應關懷其因社會變遷，傳統觀念式微或比較心理對其內心造成的衝擊和落差。同時兼顧老年人身、心、靈的平衡及安適狀態，方為對健康最好的註解。

Background: Since Taiwan has become an aging population society in 1993, its old population in the percentage of nationwide population has risen from 7.1% to 10.2% within 15 years. Compared to western developed countries, which took 50 to 100 years to become aging society, Taiwan society has comparatively limited time to react to the population aging process. As it is a worldwide phenomenon, research about aging population has been increasing.
Several findings suggest that there actually exists unfair bias among the health inequality of aging people, and the most influential factor is the social economic status. Nowadays, health and economy are the two key aspects which aging people care most in Taiwan.
Methods: The finding uses the survey data, TLSA, from Bureau of Health Promotion, Department of Health, R.O.C in 2003, to quantitatively analyze the relations between economic status and health of aging people. The study sample consists of 3778 elders age 65 and above.In addition, from three different perspectives, which are subjective economic status ,objective economic status and inconsistence of economic status.
The subjective economic status represents is a person to oneself present financial circumstance cognition, the objective economic status is individual reality situation, and economic status inconsistency aspect uses the gap between subjective economic status and the objective economic status .
This research use from comments the state of health and the bodily activity function score two projects in the health survey takes the target. Logistic regression is used for
Self-rated health and linear regression is used for the bodily activity function score
Results: From the perspectives of subjective economic status, objective economic status or the consistence of economy, there are sufficient correlation between the health and economy. Being male, younger ,higher education, does not have the chronic disease, married and live in the urban are associated with better self-rated health and less the bodily activity function score.
Conclusions: For the old people, there are no doubt about the correlation between economy and health; furthermore, there are some gaps between subjective and objective perspectives. However, considered giving old people financial support, we ought to care about the cultural gap and conflict between modern and original beliefs, which because of the change of society and pass-off of traditional values. At the same time, the best healthy solution for aging people should be the balance among body, mind and spirit.

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