社会经济及环境因子对不同收入群体自评健康的影响

发布时间：2018-10-05 14:08

【摘要】：对健康影响因素的干预是将"健康中国"战略落实到实处的重点,而深入探究健康的影响因子是实施有效干预的前提。结合中国当前工业化、环境退化及收入差距扩大化的背景,基于中国综合社会调查2013年数据,采用多层次Logistic回归分析模型,从个体、社区及省级三个层次,深入解析社会经济及环境因子对较低、中等及较高收入群体自评健康状况的影响。结果表明:(1)个体与地方特征对自评健康有不同程度的影响。个体特征的解释力最强,省级因子解释力最弱。(2)社会经济因子对健康的作用在不同收入群体间差异很大。通常被认为是有益于健康的因子如收入、教育水平、政府服务等仅对中低等收入群体有显著作用。(3)环境因子与健康呈正相关性,且此相关性对较高收入群体最强。(4)环境污染可以抵消一部分社会经济发展的健康促进作用。(5)除了不平等的社会经济条件,环境不公正是导致健康不公平的另一重要原因。
[Abstract]:The intervention of health influencing factors is the key point of carrying out the strategy of "healthy China", and it is the premise of effective intervention to deeply explore the influencing factors of health. According to the background of China's current industrialization, environmental degradation and the widening of income gap, and based on the 2013 data of China Comprehensive Social Survey, a multi-level Logistic regression analysis model is adopted, which is divided into three levels: individual, community and provincial level. To analyze the effect of social economic and environmental factors on self-rated health status of lower, middle and higher income groups. The results showed that: (1) individual and local characteristics had different effects on self-assessment health. The explanatory power of individual characteristics is the strongest, and that of provincial factors is the weakest. (2) the effect of social and economic factors on health is very different among different income groups. Generally considered to be healthy factors such as income, educational level, government services and so on, only have a significant effect on the middle and low income groups. (3) Environmental factors and health positive correlation, The correlation is strongest for higher income groups. (4) Environmental pollution can counteract the health promotion effect of some social and economic development. (5) in addition to the unequal social and economic conditions, environmental injustice is another important cause of health inequality.
【作者单位】：华中师范大学地理过程分析与模拟湖北省重点实验室;女王大学地理与规划系;湖北省发展和改革委员会;华中师范大学武汉城市圈研究院;
【基金】：国家建设高水平大学公派研究生项目加拿大研究会主席第一梯队基金国家自然科学基金项目(41371183,41501145) 教育部人文社会科学青年基金项目(13YJCZH284)
【分类号】：F126.2;R195.1

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