Li Lin
Department of International Development, School of Global Affairs, Faculty of Social Science & Public Policy, King's College London, London, United Kingdom.
SSM Popul Health. 2024 Jan 4;25:101601. doi: 10.1016/j.ssmph.2024.101601. eCollection 2024 Mar.
This study examines gender differences in the relationship between income inequality and health in China. Multilevel regression models were used to analyse data from the most recent five waves (2004-2015) across 12 provinces in the China Health and Nutrition Survey (CHNS). The findings remain robust when considering alternative measures of health outcomes and income inequality. Men showed greater sensitivity to income inequality in terms of adverse health outcomes. When individuals experienced the same level of changes in income inequality, men had a higher risk of reporting poor health status, higher BMI, higher systolic blood pressure, and a higher risk of smoking cigarettes and drinking alcohol than women. Despite missing data and causal inference challenges, this study highlights gender differences in the relationship between income inequality and health in China, potentially attributed to cultural gender norms. Double standards regarding weight and health-compromising behaviours based on gender roles and stereotypes are more intensive in China, particularly in areas with higher income inequality. One policy implication of this study is that reducing income inequality could enhance individual health outcomes, with a more notable impact on men's health compared to women's.
本研究考察了中国收入不平等与健康之间关系中的性别差异。运用多层次回归模型分析了中国健康与营养调查(CHNS)中最近五轮(2004 - 2015年)来自12个省份的数据。在考虑健康结果和收入不平等的替代衡量指标时,研究结果依然稳健。在不良健康结果方面,男性对收入不平等表现出更高的敏感性。当个体经历相同程度的收入不平等变化时,与女性相比,男性报告健康状况不佳、体重指数较高、收缩压较高以及吸烟和饮酒风险较高的可能性更大。尽管存在数据缺失和因果推断方面的挑战,但本研究凸显了中国收入不平等与健康关系中的性别差异,这可能归因于文化中的性别规范。在中国,基于性别角色和刻板印象的关于体重及危害健康行为的双重标准更为强烈,尤其是在收入不平等程度较高的地区。本研究的一个政策含义是,减少收入不平等可以改善个体健康状况,与女性相比,对男性健康的影响更为显著。