摘要
在"健康中国2030"规划背景下,流动人口在健康层面仍存在诸多不平等。本文立足社会因果论的结构性视角,基于2016年中国流动人口动态监测调查数据,首先采用多元线性回归模型(MLR)考察社会经济地位对流动人口健康素养的影响,并以二分类概率单位回归模型(BPR)和零膨胀负二项模型(ZINB)来检验社会经济地位和健康素养对流动人口健康结果的影响。考虑社会经济地位、健康素养和健康结果之间可能存在内生性问题,本文还采用工具变量法(Ⅳ)进行进一步的回归分析以得出稳健结果。计量结果显示以教育为特征的社会经济地位对流动人口的健康素养状况产生显著影响;健康素养对其健康结果亦有显著正效应,健康素养越高者,其自评健康状况越好,慢性病发生的可能性也越小,由此在统计上验证了健康素养是理解社会结构与健康不平等之间的一个重要作用机制。在此研究发现的基础上,本文进一步探究了社会经济地位及相关政策因素对于流动人口中的两个核心群体(农民工与流动白领)的健康素养的差异化因果影响机制。研究结果发现社会经济地位中的教育与收入以及社会政策维度的本地健康档案建制对于农民工与流动白领的健康素养呈现出差异化的影响。因此,本文从理论与实证两方面验证了强化流动人口健康素养对减少其流动经历中的健康损耗以及提高其健康水平的作用;同时刻画出上述机制在流动人口的两个核心群体间的异质性。
In line with the policy background of building“Healthy China 2030”,exploring the health issues of the floating population with many inequalities at the health level has important implications for policymakers. From a structural perspective of social causation,this paper uses multiple linear regression,binary probit regression,and zero-inflated negative binomial models with the data from 2016 China Migrants Dynamic Survey(CMDS)to examine the effects of socioeconomic status on the level of health literacy,and the effects of socioeconomic status and health literacy levels on the health outcomes among China’s floating population. Considering the possible endogenous selection bias for causal inference among socioeconomic status,health literacy and health outcomes,this paper also uses the method of instrumental variables(IV)for further regression analysis. We find that better educated ones are more likely to have higher health literacy among floating population. We also find significant positive effects of health literacy on health outcomes:typically,higher health literacy is correlated with higher self-rated general health and lower occurrence of chronic disease among floating population. Based on the findings,this paper further explores the differential causal effects of socio-economic status and related policy factors on the health literacy of the two core groups of the floating population—rural migrant workers and white-collar migrant workers,which are rarely studied in previous literature. The results indicate that education and income,as well as the social policy dimension of the local health file system,have different influences on the health literacy of rural migrant workers and white-collar migrant workers. This paper clarifies the importance of health literacy as an important mechanism for understanding the relationship between socioeconomic status and health outcomes,verifies the importance of reducing the health loss in the mobile experience and improving their health level through improving the hea
作者
郭未
鲁佳莹
刘林平
GUO Wei;LU Jiaying;LIU Linping(School of Social and Behavioral Sciences,Nanjing University,Nanjing Jiangsu,210023,China;The Research Center for Television Program and Audience,Jiangsu Broadcasting Corporation(JSBC),Nanjing Jiangsu,210036,China)
出处
《人口学刊》
CSSCI
北大核心
2022年第2期1-18,共18页
Population Journal
基金
国家社科基金一般项目:中国流动人口的社会经济地位、健康素养与健康结果研究(20BRK040)。
关键词
社会经济地位
健康素养
健康不平等
农民工
流动白领
Socioeconomic Status
Health Literacy
Health Inequality
Rural Migrant Workers
White-Collar Migrant Workers
