| 引用本文：程明梅, 余倩.城镇化、社会经济地位与居民健康差距[J].中国卫生政策研究,2023,16(10):17-25 |
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| 城镇化、社会经济地位与居民健康差距 |
| 投稿时间：2023-08-29 修订日期：2023-09-28 PDF全文浏览 HTML全文浏览 |
| 程明梅1, 余倩2 |
1. 中南财经政法大学财政税务学院 湖北武汉 430073;
2. 中南财经政法大学公共管理学院 湖北武汉 430073 |
| 摘要:利用1991—2015年“中国健康与营养调查”数据，实证考察城镇化、社会经济地位与居民健康差距之间的关系。研究发现：(1)城镇化影响居民健康。城镇化会显著增加居民的四周患病率，与慢性病患病率和患病数量存在先降后增的关系。(2)城镇化扩大了不同社会经济地位居民之间的健康差距，城镇化对社会经济地位较低居民健康的负面影响更大。(3)机制分析表明，城镇化主要通过生活方式改变、心理压力增大以及肥胖等渠道影响居民的健康状况。因此，在推进新型城镇化和实施“健康中国”战略的背景下，应关注城镇化所带来的健康分配效应，警惕城镇化进程中可能出现的“健康陷阱”。 |
| 关键词:城镇化 社会经济地位 生活方式 健康差距 |
| 基金项目:教育部人文社会科学研究一般项目(20YJC630011)；中南财经政法大学中央高校基本科研业务费专项资金2022年度“三全育人”项目 |
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| Urbanization,socioeconomic status and health disparities among residents |
| CHENG Ming-mei1, YU Qian2 |
1. School of Public Finance and Taxation, Zhongnan University of Economics and Law, Wuhan Hubei 430073, China;
2. School of Public Administration, Zhongnan University of Economics and Law, Wuhan Hubei 430073, China |
| Abstract:This paper empirically investigates the relationship between urbanization, socioeconomic status and health disparities among residents, using data from the China Health and Nutrition Survey from 1991 to 2015. The findings are as follows: (1) Urbanization effects residents' health. Urbanization significantly increases the four-week prevalence rate, and first reduces and then increases the prevalence and number of chronic disease. (2) Urbanization widens the health gap between residents of different socioeconomic status. Compared to high socioeconomic status population, urbanization exerts a larger negative impact on the low socioeconomic status population. (3) Mechanism analysis shows that urbanization mainly affects residents' health through lifestyle, psychological pressure and obesity.Therefore, under the context of promoting new-type urbanization and implementing the strategy of healthy China, the government should pay attention to the health distribution effect brought by urbanization and be vigilant against the “health trap” that may occur in the process of urbanization. |
| Key words:Urbanization Socioeconomic status Lifestyle Health disparities |
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