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美国代际健康流动的童年起源

Childhood Origins Of Intergenerational Health Mobility In The United States.

作者信息

Fletcher Jason, Jajtner Katie

机构信息

Jason Fletcher (

Katie Jajtner is a postdoctoral associate in the Center for Demography of Health and Aging, University of Wisconsin-Madison.

出版信息

Health Aff (Millwood). 2020 Oct;39(10):1710-1718. doi: 10.1377/hlthaff.2020.00737.

Abstract

Policy makers and parents should share a goal that all children have opportunities to thrive, regardless of their circumstances at birth. Studies that focus on socioeconomic measures of opportunities for thriving measure intergenerational mobility, or the extent to which children's outcomes can diverge from those of their parents. We bring this focus to the study of children's health by estimating intergenerational health mobility during early childhood in a national sample. We find that children in families characterized as minorities, those without health insurance, or those with low socioeconomic status experience less upward health mobility and greater downward health mobility. We also show that community characteristics may shape health mobility. For example, children growing up in places with high proportions of uninsured residents are less likely to experience upward health mobility and more likely to experience downward health mobility. These descriptive findings may allow new insights into ways in which children's health can be decoupled from their circumstances at birth.

摘要

政策制定者和家长应共同秉持一个目标,即所有儿童都有茁壮成长的机会,无论其出生时的状况如何。关注儿童茁壮成长机会的社会经济衡量标准的研究,衡量的是代际流动性,即儿童的成长结果与其父母的成长结果可能出现差异的程度。我们通过在全国样本中估计幼儿期的代际健康流动性,将这一关注点引入儿童健康研究。我们发现,来自少数族裔家庭、没有医疗保险的家庭或社会经济地位较低家庭的儿童,向上的健康流动性较低,向下的健康流动性较高。我们还表明,社区特征可能会影响健康流动性。例如,在未参保居民比例较高地区长大的儿童,向上的健康流动性较低,向下的健康流动性较高。这些描述性研究结果可能会为如何使儿童健康与其出生时的状况脱钩提供新的见解。

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