School of Humanities and Social Sciences, Beijing Institute of Technology, No. 5, Zhongguancun Street, China, Beijing 100081, China.
School of Public Policy & Management, Tsinghua University, No. 30, Shuangqing Road, Beijing 100084, China.
Health Educ Res. 2022 Sep 23;37(5):292-313. doi: 10.1093/her/cyac020.
This study investigates the effect of public health education (PHE) on migrant workers' health status in China, using the data collected from the China Migrants Dynamic Survey project. The analysis employs a probit model, whose results suggest that, in general, PHE has a statistically significant and positive impact on migrant workers' self-rated health status and exerts a negative impact on their incidence rate of daily diseases. We also utilize the conditional mixed process method to address the potential endogenous issue. Further analyses reveal that there are significant differences in the impacts of different modes of PHE on migrant workers' health status, among which the mode of health knowledge lectures plays the most prominent role. Nonetheless, an additional analysis indicates that in addition to PHE, other public health services, such as the establishment of health records, also have a significant effect on the promotion of migrant workers' health status. A disaggregated analysis reveals that this impact is heterogeneous among different generations, genders as well as those with different income levels. The findings shed light on the importance of promoting equal access to public health services.
本研究利用中国流动人口动态监测项目的数据,考察了公共卫生教育(PHE)对中国农民工健康状况的影响。分析采用概率单位模型,结果表明,一般来说,PHE 对农民工的自评健康状况有统计学上显著的积极影响,并对他们的日常疾病发病率产生负面影响。我们还利用条件混合过程方法来解决潜在的内生性问题。进一步的分析表明,不同模式的 PHE 对农民工健康状况的影响存在显著差异,其中健康知识讲座模式的作用最为突出。然而,进一步的分析表明,除了 PHE 之外,其他公共卫生服务,如建立健康记录,也对促进农民工的健康状况有显著影响。细分分析表明,这种影响在不同代际、性别以及不同收入水平的人群中存在异质性。这些发现强调了促进平等获得公共卫生服务的重要性。