摘要
饮酒作为一种影响范围广、影响程度深的健康风险行为,导致了极大的健康成本。本文通过匹配中国居民死因监测数据和城乡家户调查数据,采用计量模型研究中国居民饮酒消费导致的致病风险和健康成本。本文选取县区层面交通事故数量作为饮酒消费的工具变量,使用两阶段回归分析发现,居民饮酒量越大,心脑血管疾病和癌症导致的死亡人数越高。异质性分析表明,男性和中老年人饮酒致病死亡的可能性更高;北方和农村地区人群受饮酒行为的危害相对更大。健康成本测算显示,饮酒对中国造成的生命健康成本和劳动力损失每年超过2200亿元。健康的生活方式和预防为主的卫生政策是保障公共健康的有效方式,中国应该从控制饮酒行为开始,建设"健康中国"。
As a risky behaviour with a wide range of influences and a profound impact on health,drinking has long been causing great harm to people.Based on a matching between the mortality monitoring data set and survey data of urban and rural households,this paper uses an econometric model to discuss the risk of induced diseases and the cost to health caused by drinking behaviour in China.Taking the number of traffic accidents at the county level as an instrumental variable of alcohol consumption,it performs a two-stage least squares(2 SLS)regression analysis and finds that the higher the amount of alcohol consumed by residents,the greater the number of deaths caused by cardiovascular,cerebrovascular and oncological diseases.Heterogeneity analysis shows that men,middle-aged people and the elderly are more likely to die from drinking,and that people in the north and rural areas are more likely to suffer from drink.Accounting for health costs derived from drinking behaviour shows that the cost to health and annual loss of labour caused by alcohol consumption exceeds 220 billion yuan.From this it can be observed that a healthy lifestyle and prevention-oriented health policy provide effective ways to protect public health.
作者
行伟波
田坤
石光
Xing Weibo;Tian Kun;Shi Guang
出处
《世界经济》
CSSCI
北大核心
2021年第5期178-202,共25页
The Journal of World Economy
基金
国家自然科学基金面上项目(71673044)
国家自然科学基金重点项目(71733003)
国家自然科学基金青年项目(71704034)的资助。
关键词
饮酒消费
公共健康
健康成本核算
drinking behaviour
public health
accounting for health cost
