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中国农村居民健康贫困的测量与分解。

Measurement and Decomposition of the Health Poverty of Rural Residents in China.

机构信息

School of Public Administration and Policy, Shandong University of Finance and Economics, Jinan 250014, China.

School of Management Engineering, Shandong Jianzhu University, Jinan 250014, China.

出版信息

Int J Environ Res Public Health. 2022 Oct 8;19(19):12876. doi: 10.3390/ijerph191912876.

Abstract

Narrowing the health gap and promoting health equality is the key to effectively blocking the intergenerational transmission of rural poverty. Previous studies have mainly focused on the relationship between health and poverty, but assessments of health poverty are lacking, especially with regard to the health poverty of rural residents. Based on China's large sample household survey data, this study uses the Alkire-Foster (AF) method to measure and decompose the health poverty of rural residents. The results show that the health poverty of Chinese rural residents greatly improved from 2016 to 2018. However, significant regional differences exist with regard to the level of health poverty. The marginal contribution of economic poverty alleviation is diminishing; the equalization of health services and security has shifted to a policy focus. Community environmental management has also become an important aspect of health poverty governance, and individual health literacy and behavior have played an important role in endogenous poverty alleviation. Ultimately, this paper offers some insightful policy implications. This study extends the multidimensional poverty measurement system and reveals the relationship between health poverty and regional economic and social development. The findings also enhance the understanding of the health poverty of rural residents in developing countries.

摘要

缩小健康差距,促进健康公平,是阻断农村贫困代际传递的关键。以往研究主要聚焦健康与贫困的关系,而对健康贫困的评估相对较少,尤其是农村居民的健康贫困问题。本研究基于中国大规模的住户调查数据,运用 Alkire-Foster(AF)方法测度并分解了农村居民的健康贫困。结果表明,2016—2018 年中国农村居民的健康贫困程度得到了极大改善。但是,健康贫困的区域差异显著,经济减贫的边际贡献在递减,健康服务和保障的均等化成为政策关注重点,社区环境管理也成为健康贫困治理的重要方面,个体健康素养和行为在内源减贫中发挥了重要作用。最后,本文给出了一些有见地的政策启示。本研究拓展了多维贫困测度体系,揭示了健康贫困与区域经济社会发展的关系,也加深了对发展中国家农村居民健康贫困的认识。

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