Business School, Nanjing Xiaozhuang University, Nanjing 211171, China.
Department of Information Management, Chang Gung University, Taoyuan 33302, Taiwan.
Int J Environ Res Public Health. 2021 Oct 13;18(20):10738. doi: 10.3390/ijerph182010738.
Previous research has confirmed a positive association between income and health, but there are still a lot of inconsistencies on how income affects health. Indeed, this impact is caused by overlaying of absolute income and relative income effects, and only by decomposing and comparing their relative importance within an integrated framework can suggestions be made for health inequalities and health intervention. To deal with this issue, using the panel data from the 2011, 2014, and 2017 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a well-designed research model is established to decompose and explore the impact. Our results indicate that relative income, rather than absolute income, has a significant negative impact on health performance, and that these associations may be causal in nature. The health inequity persists throughout the life cycle, but it remains relatively stable, without significant expansion or convergence. To some extent, the research-proposed models enrich the related literature on associations between income and health, and the empirical results suggest that as China moves to the stage of higher incomes and accelerated aging, the Chinese government should pay more attention to income inequality and be alert to the risks of "income-healthy poverty" traps.
先前的研究已经证实了收入与健康之间存在积极的关联,但收入对健康的影响仍然存在很多不一致之处。事实上,这种影响是由绝对收入和相对收入效应的叠加造成的,只有通过在一个综合框架内分解和比较它们的相对重要性,才能为健康不平等和健康干预提出建议。为了解决这个问题,我们使用了中国健康长寿纵向研究(CLHLS)2011 年、2014 年和 2017 年三个波次的数据,建立了一个设计良好的研究模型来进行分解和探索。我们的研究结果表明,相对收入而非绝对收入对健康表现有显著的负面影响,而且这些关联可能具有因果关系。健康不平等在整个生命周期中持续存在,但相对稳定,没有显著的扩大或趋同。在一定程度上,研究提出的模型丰富了收入与健康之间关联的相关文献,实证结果表明,随着中国进入更高收入和加速老龄化的阶段,中国政府应更加关注收入不平等问题,并警惕“收入-健康贫困”陷阱的风险。