School of Health Policy & Management, Nanjing Medical University, Nanjing 211166, China.
Chia Tai Tianqing Pharmaceutical Group Co., Ltd., Lianyungang 222000, China.
Int J Environ Res Public Health. 2023 Feb 23;20(5):4022. doi: 10.3390/ijerph20054022.
China is committed to using digital technology to drive urban-rural integration in health care. This study aims to explore the effect of digital inclusion on health status with the mediating role of cultural capital and the digital health disparities between urban and rural residents in China. Using data from the 2017 Chinese General Social Survey (CGSS), the present study adopted an ordinary least squares (OLS) robust standard error regression model to investigate the impact of digital inclusion on health status. In addition, causal step regression (CSR) and bootstrapping methods were combined to test the mediating effect of cultural capital. The results showed that, first, digital inclusion was related to positive and significant effects on resident health status. Second, cultural capital played a mediating role in the relationship between digital inclusion and health status. Third, urban residents gained more health benefits from digital inclusion than rural residents. Additionally, common method variance (CMV) tests, endogenous tests, and a propensity score matching (PSM) analysis showed that the above conclusions remained robust. The government should therefore focus not only on promoting the population's health by utilizing digital inclusion but also on accelerating digital health equity between urban and rural areas by developing such strategies as a digital infrastructure expansion schedule and digital literacy education and training programs.
中国致力于利用数字技术推动医疗卫生城乡一体化。本研究旨在探讨数字包容对健康状况的影响,以及中国城乡居民之间的数字健康差距的中介作用。本研究使用了 2017 年中国综合社会调查(CGSS)的数据,采用普通最小二乘法(OLS)稳健标准误差回归模型来研究数字包容对健康状况的影响。此外,还结合因果逐步回归(CSR)和自举法来检验文化资本的中介效应。结果表明,首先,数字包容对居民健康状况有积极显著的影响。其次,文化资本在数字包容与健康状况之间的关系中起中介作用。第三,城市居民从数字包容中获得的健康收益比农村居民更多。此外,共同方法方差(CMV)检验、内生性检验和倾向评分匹配(PSM)分析表明,上述结论仍然稳健。因此,政府不仅要通过利用数字包容来促进人口健康,还要通过制定数字基础设施扩展计划、数字扫盲教育和培训计划等策略,加快城乡数字健康公平。