与收入相关的健康不平等研究

发布时间：2018-02-23 22:00

本文关键词： 健康不平等集中度指数动态分解　出处：《厦门大学》2014年硕士论文　论文类型：学位论文

【摘要】：健康及其公平性,对人们的工作、生活意义重大。健康早已经超出了医疗、卫生的范畴,与社会经济的发展、社会及其制度的变化等有较大的联系,越来越受到人们的重视。国际上对健康及其不平等的研究较早,其结论也表明世界各国普遍存在着健康的不平等现象,而我国对健康不平等的研究主要出现在近十年来。而收入作为人们重要的经济物质基础,必然对卫生健康等资源的公平分配产生极其重大的影响。因此,本文从收入的角度出发,利用微观的追踪调查数据,研究在我国居民收入的增加的情况下,在政策制定者对待不平等性的不同态度下,我国居民的健康状况及不平等的程度是否有所变化,并且研究其变动情况是如何受到收入水平变化与健康水平变动的影响。本文所做的具有一定新意的工作如下：首先,对健康以及健康不平等的定义与相关内涵进行了理论综述,介绍了国内外多种测度居民健康水平及健康不平等程度的常用方法,进行了相关实证的梳理。并且详细介绍了本文所采用的研究与收入相关的健康不平等的各种指标及方法。其次,利用最新的中国健康和营养调查(CHNS)2009年的数据,对城市、农村居民的追踪调查数据进行实证分析,构造QWB指数测度居民健康水平,并与2006年的数据进行比较。分析结果表明：我国城乡总体居民的平均健康水平并没有随着绝对收入的增加而上升,反而有所下降,但城乡间的差异在减小。第三,充分考虑不同的对待不平等的厌恶参数,采用修正过的拓展集中度指数测度我国的健康不平等程度,同时测度健康绩效。结果表明,我国存在亲富人的健康不平等。第四,仔细剔除CHNS2006年、2009年数据中的不连续数据,利用追踪的调查数据,对2006年、2009年的集中度指数进行动态分解。就收入分布与健康水平而言,分析不平等变动的原因,发现收入差距的扩大恶化了健康的不平等。
[Abstract]:Health and its equity are of great significance to people's work and life. Health has long gone beyond the scope of medical and health care and has a greater connection with social and economic development, social and institutional changes, etc. The international study of health and its inequality is earlier, and its conclusions also indicate that health inequalities are widespread in all countries of the world, However, the research on health inequality in our country mainly appeared in the past ten years, and income, as the important economic material basis of people, must have an extremely important influence on the equitable distribution of health and other resources. From the perspective of income, this paper makes use of micro-tracing survey data to study the different attitudes of policy makers towards inequality under the increasing income of Chinese residents. Whether the health status and the degree of inequality of Chinese residents have changed or not, and how the change of income level and health level influence the change of health level. The new work of this paper is as follows:. First of all, the definition and related connotation of health and health inequality are reviewed theoretically, and various common methods to measure the health level and health inequality are introduced at home and abroad. It also introduces the indicators and methods of income-related health inequality. Secondly, using the data from the latest China Health and Nutrition Survey (CHN) in 2009, the paper makes an empirical analysis of the tracking data of urban and rural residents, and constructs a QWB index to measure the health level of residents. The results show that the average health level of urban and rural residents in China does not increase with the increase of absolute income, but decreases, but the difference between urban and rural areas is decreasing. Thirdly, considering the different aversion parameters to treat inequality, we use the modified expansion concentration index to measure the degree of health inequality and health performance in China. The results show that there is health inequality of pro-rich people in China. In 4th, the discontinuous data from the data of CHNS2006, 2009 were carefully excluded, and the concentration index of 2006 and 2009 was dynamically decomposed using the tracking data. In terms of income distribution and health level, the reasons for the change of inequality were analyzed. The widening income gap has been found to exacerbate health inequalities.
【学位授予单位】：厦门大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F124.7

【参考文献】