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公共卫生投资如何影响主观幸福感?来自中国的实证证据。

How Does Public Health Investment Affect Subjective Well-Being? Empirical Evidence from China.

机构信息

Department of Economics, School of Economics, Peking University, Beijing 100871, China.

China Investment Corporation Postdoctoral Center, Beijing 100010, China.

出版信息

Int J Environ Res Public Health. 2022 Apr 21;19(9):5035. doi: 10.3390/ijerph19095035.

Abstract

Maximizing or improving residents' subjective well-being is one of the basic purposes of public expenditure. As an important component of public expenditure, the impact of public health investment on residents' subjective well-being receives considerable attention. Regarding the empirical evidence, this paper measures residents' subjective well-being from the perspectives of overall cognitive happiness, life satisfaction, positive emotions and negative emotions, on the basis of a multi-level structural model of subjective well-being. Factor analysis is used to estimate the subjective well-being of residents at the province level in China, based on the China Family Panel Studies of 2018. In addition, structural equation modeling is employed to explore the impact of public health investment and its regional disparity on the subjective well-being of residents. The empirical results show that public health investment has a significant positive effect on residents' subjective well-being. Moreover, there is an inverted U-shaped relationship between the regional disparity of public health investment and residents' subjective well-being. Further study illustrates that the effects of public health investment and its regional disparity on residents' subjective well-being are heterogeneous by group. Public health investment has a greater impact on the well-being of low- and middle-income, eastern and urban residents than high-income, midwest and rural residents.

摘要

提高居民的主观幸福感是公共支出的基本目的之一。公共卫生投资作为公共支出的重要组成部分,其对居民主观幸福感的影响受到了广泛关注。本文基于主观幸福感的多层次结构模型,从总体认知幸福感、生活满意度、积极情绪和消极情绪等多个角度衡量了居民的主观幸福感。利用 2018 年中国家庭追踪调查数据,采用因子分析法对中国省级居民的主观幸福感进行了估计。在此基础上,运用结构方程模型探讨了公共卫生投资及其地区差异对居民主观幸福感的影响。实证结果表明,公共卫生投资对居民主观幸福感有显著的正向影响。此外,公共卫生投资地区差异与居民主观幸福感之间存在倒“U”型关系。进一步的研究表明,公共卫生投资及其地区差异对居民主观幸福感的影响存在群体异质性。公共卫生投资对中低收入、东部和城市居民的幸福感的影响大于对高收入、中西部和农村居民的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d4a/9100832/6c8f227408f6/ijerph-19-05035-g001.jpg

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