| 引用本文：和红, 谈甜.家庭健康生产视角下儿童健康的影响因素及其相对贡献度研究[J].中国卫生政策研究,2021,14(9):25-34 |
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| 家庭健康生产视角下儿童健康的影响因素及其相对贡献度研究 |
| 投稿时间：2021-07-09 修订日期：2021-09-20 PDF全文浏览 HTML全文浏览 |
| 和红, 谈甜 |
| 中国人民大学人口与发展研究中心 北京社会建设研究院 健康科学研究所 北京 100872 |
| 摘要:目的：基于家庭健康生产视角，探究家庭客观因素及监护人的主观能动性对儿童健康的影响以及各维度因素的相对贡献度，为促进儿童健康提供依据。方法：基于2015年中国健康与营养调查数据，使用线性回归模型、Logistic模型分别探究家庭健康生产相关因素对0~18岁儿童年龄别身高Z评分、超重/肥胖以及自评健康的影响，并使用Shapley分解法计算各因素对儿童健康影响的相对贡献度。结果：家庭系统客观因素、母亲健康遗传、对儿童的健康管理均影响子代HAZ、超重/肥胖以及自评健康；Shapley分解显示，除去亲代对儿童的健康遗传，家庭居住区域、家庭健康生产客观因素以及监护人的健康管理对儿童健康的影响贡献度较高。结论：建议关注家庭健康生产客观因素与监护人的主观能动性对儿童健康的影响，尤其加强对母亲的健康教育，提升其健康管理能力。 |
| 关键词:HAZ 超重/肥胖 自评健康 家庭健康生产 Shapley分解 |
| 基金项目: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（2021PDPC）；北京市社会科学基金项目研究基地重点项目（17JDSRA004）；国家留学基金委公派研究生项目（201906360108） |
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| A study on the influencing factors and relative contribution of family on children's health: From the perspective of household production of health |
| HE Hong, TAN Tian |
| Population Development Studies Center, Institute of Social Construction Studies, Institute of Health Science Research, Renmin University of China, Beijing 100872, China |
| Abstract:This article is to explore the impact of objective factors of a family as well as subjective initiative of guardians on children's health and the relative contribution of different dimensions from the perspective of Household Production of Health (HHPH). It investigates how the related factors of HHPH influence HAZ of children between 0~18 years old as well as overweight/obesity, and self-rated health with linear regression model and logistic regression model based on the 2015 China Health and Nutrition Survey, whose contributions are calculated by the Shapley Value Decomposition. The conclusion is that objective factors of household, inheritance of maternal health, and the health management of mothers significantly influence children's HAZ, overweight/obesity status and Self-rated Health. Meanwhile, Shapley Value Decomposition shows that besides maternal inheritance of health, regional characteristics, objective factors of HHPH, and mother's health management competence are essential factors on children's health. Therefore, it is suggested that influences of household objective factors and subjective initiative of guardians on children's health should be emphasized, especially strengthening the health education of mothers to promote maternal health management competence. |
| Key words:HAZ Overweight/obesity Self-rated health Household production of health Shapley Value Decomposition |
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