Am J Epidemiol. 2021 Jul 1;190(7):1306-1315. doi: 10.1093/aje/kwab035.
The 1950s-1970s Chinese send-down movement can be treated as a natural experiment to study the impact of adolescent exposure on subsequent health. This paper used data from the China Family Panel Studies 2010 to evaluate the long-term impact of the Chinese send-down movement on individual health later in life. Drawing from the life-course perspective, results from difference-in-differences models suggested that the send-down experience had a significant impact on worse self-rated health; the pathways from structural equation models showed that subsequent achievements-age of marriage and educational attainment-had mediating effects linking the send-down experience to worse self-rated health and better mental health, respectively. Taken together, our results highlight the roles of the send-down experience and post-send-down characteristics in shaping health outcomes later in life.
20 世纪 50 年代至 70 年代的中国知识青年上山下乡运动可以被视为一项自然实验，用以研究青少年时期的经历对后续健康的影响。本文使用了中国家庭追踪调查 2010 年的数据，评估了中国知识青年上山下乡运动对个人晚年健康的长期影响。基于生命历程的视角，差分模型的结果表明，上山下乡经历对自评健康状况较差有显著影响；结构方程模型的结果表明，后续成就——结婚年龄和受教育程度——在后知青经历与较差的自评健康和较好的心理健康之间具有中介作用。总之，我们的研究结果强调了知青经历和知青后期特征在塑造晚年健康结果方面的作用。
