Cai Jiaoli, Laporte Audrey, Zhang Li, Zhao Yulin, Tang Di, Fan Hongli, Deng Liqian, Coyte Peter C
School of Economics and Management, Beijing Jiaotong University, Beijing, China.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Int J Health Serv. 2022 Jan;52(1):129-140. doi: 10.1177/0020731420922689. Epub 2020 May 3.
This study aims to assess the impacts of absolute and relative income on self-rated health (SRH) of residents in rural and urban China. Data were derived from the China Health and Nutrition Survey. Three distinct measures of relative income were considered (Gini coefficient, Yitzhaki index, and Deaton index) and computed for 3 geographic units (nation, province, and community). Nonlinear dynamic models for panel data were employed to test the absolute and relative income hypotheses. Absolute income was significantly associated with SRH among urban and rural populations. Relative income, as measured by the Gini coefficient, the Yitzhaki index, and the Deaton index, had statistically significant and negative impacts on SRH among the rural population, regardless of the reference group. For the urban population, the Gini coefficient was associated with SRH regardless of the reference group. In contrast, only the Yitzhaki index and the Deaton index at the provincial level were associated with SRH among the urban population. Our findings may provide a reference for policymakers to implement health policies designed to improve population health.
本研究旨在评估绝对收入和相对收入对中国城乡居民自评健康(SRH)的影响。数据来源于中国健康与营养调查。研究考虑了三种不同的相对收入衡量指标(基尼系数、伊茨哈基指数和迪顿指数),并针对三个地理单位(全国、省份和社区)进行了计算。采用面板数据的非线性动态模型来检验绝对收入和相对收入假设。绝对收入与城乡人口的自评健康显著相关。无论参照组如何,以基尼系数、伊茨哈基指数和迪顿指数衡量的相对收入对农村人口的自评健康具有统计学上显著的负面影响。对于城市人口,无论参照组如何,基尼系数都与自评健康相关。相比之下,仅省级层面的伊茨哈基指数和迪顿指数与城市人口的自评健康相关。我们的研究结果可为政策制定者实施旨在改善人口健康的卫生政策提供参考。