Abstract: This paper examines patterns and trends in health inequality of the Chinese elderly over 1998－2008 using data from Chinese Longevity Health Longitudinal Survey with techniques for spatial analysis．While health status of the Chinese elderly was improving steadily，widening inequality was observed，which
was more serious in rural than in urban areas． There are significant differences in health status of the elderly across the provinces of China． Health status of older people was the best in the eastern region，better in the central region，and worst in the western region． The rural old，female old，oldest old，and older people without spouse had significantly poorer health than their counterparts． More attention and policy support need to be given to those "multiple vulnerable" groups，in order to improve their health status and health inequality．

Keywords: Chinese Elderly, Health Inequality, Regional Disparity

摘要： 文章使用"中国老年人健康长寿影响因素调查"(CLHLS)数据,利用健康质量指标和空间分析技术分析我国老年人健康状况的时间和空间演变,并利用健康集中指数证实了我国老年人健康不平等的存在及其变化趋势。研究发现,在1998~2008年间,全国老年人的健康水平处于平稳提高状态,但老年人的健康不平等现象越发严重,农村老年人的健康不平等现象较城市更为严重;同时还发现,不同省份老年人健康状况存在显著差异,东部地区老年人健康状况较好,西部地区老年人健康状况最差,其中,农村、女性、高龄、无配偶老年人健康状况要显著差于其对应群体。因此,对于这种"多重弱势"群体,应该得到社会更多的关注和政策支持,通过不同渠道改善健康水平和健康不平等现象。

关键词: 老年人, 健康不平等, 区域差异