| 引用本文：杜本峰, 周丽金, 王翾, 穆跃瑄.困境家庭环境与儿童健康机会不平等研究——来自全国7省调查分析[J].中国卫生政策研究,2021,14(2):64-71 |
|
| 困境家庭环境与儿童健康机会不平等研究——来自全国7省调查分析 |
| 投稿时间：2020-11-28 修订日期：2021-02-21 PDF全文浏览 HTML全文浏览 |
| 杜本峰1, 周丽金2, 王翾2, 穆跃瑄2 |
1. 中国人民大学人口与发展研究中心 北京 100872;
2. 中国人民大学社会与人口学院 北京 100872 |
| 摘要:儿童健康是健康中国建设的基础，是我国社会可持续发展的重要保障。家庭是儿童健康成长的重要环境。文章基于相互作用的家庭环境系统框架，依据2018年在我国7省份进行的“困境家庭儿童健康状况”专项调查数据，使用基于有序多分类回归的夏普里值（Shapley）分解，详细考察了家庭环境因素导致困境家庭儿童健康机会不平等及其相对贡献。结果发现：家庭环境是导致困境家庭儿童心理健康机会不平等的主要因素。从各个家庭环境因素的相对贡献来看：家庭关系是影响困境家庭儿童自评健康和儿童认知机会不平等的主要原因，而影响困境家庭儿童心理健康机会不平等的主要因素则是家庭经济状况。对于普通家庭儿童来说，各家庭环境因素对儿童获得健康的影响相对均衡。最后，文章就改善困境家庭儿童各维度健康的机会差异等问题进行了讨论。 |
| 关键词:困境家庭 儿童健康 夏普里值分解 影响因素 机会不平等 |
| 基金项目:国家自然科学基金（71974194）；中国人民大学公共健康与疾病预防控制交叉学科重大创新平台成果；教育部人文社会科学重点基地重大项目（17JJD840001） |
|
| Study on difficult family environment and children's unequal healthcare opportunities: Based on the survey in seven provinces in China |
| DU Ben-feng1, ZHOU Li-jin2, WANG Xuan2, MU Yue-xuan2 |
1. Population and Development Research Center, Renmin University of China, Beijing 100872, China;
2. School of Sociology and Population Study, Renmin University of China, Beijing 100872, China |
| Abstract:The health of children is the foundation of building a healthy China and an important guarantee for the sustainable development of the society. Family is an important environment for children to grow up in healthy conditions. Based on the interactive family environment system framework and the special survey data of “health status of children from difficult families” conducted in seven provinces of China in 2018, this paper uses Shapley value (Shapley) decomposition based on ordinal multi classification regression to examine in detail the inequality of health opportunities and its relative contribution among children from difficult families caused by family environment factors. The results showed that family environment is the main factor leading to the inequality of mental health opportunities for children from difficult families. From the relative contribution of various family environmental factors, family relationship is the main reason that affects the unequal self-rated health and cognitive opportunities of children from difficult families, while the family economic status is the main factor affecting the inequality of mental health opportunities of children from difficult families. For ordinary family children, the impact of family environmental factors on their access to health is relatively balanced. Finally, this paper discusses the opportunities to improve the health status of children from struggling families in different dimensions. |
| Key words:Difficult family environment Child health Shapley Value Decomposition Influence factors Unequal opportunity |
| 摘要点击次数: 1829 全文下载次数: 728 |
|
|
