摘要
目的评价1991-2015年中国5~12岁儿童健康公平性变化趋势,分析其社会决定因素。方法采用"中国健康与营养调查"数据,使用Stata软件统计分析,利用集中指数衡量儿童健康不公平性,基于多因素线性回归的集中指数分解法分析各社会决定因素的影响及其对不公平性贡献。结果 1991-2015年,中国儿童健康集中指数从0.169下降为0.100。母亲身高、母亲学历、家庭人均收入和地区因素是影响我国儿童健康公平性的主要社会决定因素。结论中国儿童健康公平性整体得到明显改善,但不同收入水平家庭和地区差异仍比较明显。缩小区域间和区域内收入差距将进一步促进儿童健康公平性的提高。
Objective To evaluate the health equity in children aged 5-12 years in China from 1991 to 2015 and analyze its social determinants. Methods The data were extracted from the China Health and Nutrition Survey(CHNS) and were analyzed by using the statistic software Stata.Concentration index was used to measure the health equity and multivariate linear regression-based concentrated index decomposition method was used to analyze the contributions of the social determinants. Results The concentration index of children’s health in China had dropped from 0.169 in 1991 to 0.100 in 2015. Mother’s height, mother’s education background, household per capita income, and regional factors were the main social determinants of children’s health in China.Conclusion The equity of children’s health in China has been obviously improved, but the differences among families in different income groups and regions remain substantial. Closing the income disparity between regions and within regions would further promote equity in children’s health.
作者
伍倩云
潘杰
WU Qianyun;PAN Jie(West China School of Public Health,Sichuan University,Chengdu 610041,Sichuan Province,China)
出处
《预防医学情报杂志》
CAS
2020年第5期633-640,共8页
Journal of Preventive Medicine Information
