| 引用本文：张乐毅, 孙立娟.2000—2020年中国省级地区之间预期寿命差距及其社会经济影响因素研究[J].中国卫生政策研究,2024,17(4):-45 |
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| 2000—2020年中国省级地区之间预期寿命差距及其社会经济影响因素研究 |
| 投稿时间：2024-01-29 修订日期：2024-03-17 PDF全文浏览 HTML全文浏览 |
| 张乐毅1,2, 孙立娟1 |
1. 对外经济贸易大学保险学院 北京 100029;
2. 包头师范学院数学科学学院 内蒙古包头 014030 |
| 摘要:目的：估计2000—2020年中国省级地区预期寿命差距及趋势，分析这一差距的主要社会经济影响因素。方法：基于log-quadratic模型估计预期寿命，采用主成分分析法和回归分析法解释其影响因素。结果：2000—2020年省级地区间出生预期寿命差距明显减小，但老年人口呈扩大趋势。社会经济地位、危险因素和卫生服务因素对预期寿命差距的解释度分别为71%、60%和43%，三者共同的解释度为74%。结论和建议：当前省级地区间预期寿命差距明显，差距可以通过以上三个因素解释。但健康生活方式的中介效应没有预期显著，地区之间健康差距在一定程度上还受到文化等因素影响。建议：一是对健康生活方式等进行有效干预，二是重点关注文化和卫生服务因素等的影响。 |
| 关键词:预期寿命 社会经济因素 健康干预 省级地区 |
| 基金项目:国家自然科学基金项目(71663049) |
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| Life expectancy gap in provincial level district in China and its socio-economic determinants between 2000 and 2020 |
| ZHANG Le-yi1,2, SUN Li-juan1 |
1. School of Insurance, University of International Business and Economics, Beijing 100029, China;
2. School of Mathematics, Baotou Teachers' College, Baotou Neimenggu 014030, China |
| Abstract:Objective: To estimate the life expectancy gap and trends in China’s provincial regions from 2000 to 2020, and to examine the socioeconomic factors contributing to the life expectancy gaps. Methods: The log-quadratic model was used to estimate life expectancy, and influencing factors were analyzed based on principal components analysis and regression analysis. Results: The findings of the study indicate a significant reduction in the gap of life expectancy at birth among China’s provincial regions from 2000 to 2020. However, the gap in life expectancy for the elderly population is widening. Socioeconomic status factors, risk factors, and health service factors account for 71%, 60%, and 43% of the gap in life expectancy among provinces, respectively, collectively explaining 74%. Conclusions and Suggestions: The current life expectancy gap between provincial regions in China remains substantial, determined by socioeconomic status factors, risk factors, and health service factors. However, it is worth noting that the impact of a healthy lifestyle as a mediating factor is not as significant as anticipated, suggesting that cultural and environmental factors also play a role in the regional health gap. It is recommended that, effective interventions such as healthy lifestyles should be implemented, and secondly, focus on the impact of cultural and health service factors. |
| Key words:Life expectancy Socioeconomic factors Health intervention Provincial level districts |
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