Business School, Yangzhou University, Yangzhou, China.
School of Economics, Hainan Open Economy Research Institute, Hainan University, Haikou, China.
Int J Public Health. 2022 Sep 14;67:1605117. doi: 10.3389/ijph.2022.1605117. eCollection 2022.
To assess the health inequality caused by foreign trade in China using individual self-rated health data from China Family Panel Studies (CFPS). The GMM model was used to explore the direct and indirect effects of foreign trade on health level, and the concentration index method was then used to decompose the contribution of foreign trade to health inequality. The direct effect of foreign trade does not contribute to the current health inequality, although the indirect effects of trade contribute to health inequality through inequalities in income and healthcare utilization. The indirect pollution effect of trade does not cause health inequality. Subsequently, the direct effect of trade aggravates the dynamic expansion trend of health inequality, whereas the indirect effects of trade alleviate the increasing trend of health inequality. Although foreign trade improves the overall health level in China, it contributes to health inequality. Optimizing product structure of trade, adjusting income distribution, and enhancing medical securities for low-income groups are necessary to alleviate the health inequality caused by foreign trade.
利用中国家庭追踪调查（CFPS）中的个体自评健康数据，评估中国对外贸易导致的健康不平等。使用 GMM 模型来探索对外贸易对健康水平的直接和间接影响，然后使用集中指数方法分解对外贸易对健康不平等的贡献。对外贸易的直接效应并没有导致当前的健康不平等，尽管贸易的间接效应通过收入和医疗保健利用的不平等导致了健康不平等。贸易的间接污染效应不会导致健康不平等。随后，贸易的直接效应加剧了健康不平等的动态扩张趋势，而贸易的间接效应缓解了健康不平等的增长趋势。尽管对外贸易提高了中国的整体健康水平，但它也导致了健康不平等。优化贸易产品结构、调整收入分配以及加强低收入群体的医疗保障是缓解对外贸易导致的健康不平等的必要措施。
