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中国家庭决策者中的健康差异:基于中国家庭追踪调查的有序概率分析

Health Disparities Among Family Decision-Makers in China: An Ordered Probit Analysis of the China Family Panel Studies.

作者信息

Zhang Songbiao, Huang Yuxuan, Wang Xining, Wang Huilin

机构信息

School of Business, Hunan University of Science and Technology, Xiangtan, Hunan Province, People's Republic of China.

Moray House School of Education and Sport, The University of Edinburgh, Edinburgh, Scotland, UK.

出版信息

Risk Manag Healthc Policy. 2024 Mar 19;17:635-647. doi: 10.2147/RMHP.S443930. eCollection 2024.

Abstract

PURPOSE

The family decision-makers serve as the backbone of the family, and their health status warrants consideration. This study aims to explore how the health status of this group of people, namely the family decision-making group, is affected, and to delve into the mechanisms of influence based on this. The goal is to provide reliable evidence and strategies for the health management of the family decision-makers group, contributing to the achievement of the "Healthy China 2030" Planning Outline.

PATIENTS AND METHODS

Drawing on data from the China Family Panel Studies (CFPS), this study utilizes an Ordered Probit Model to analyze and compare the health status of family decision-makers and non-decision-makers.

RESULTS

The findings indicate that decision-makers tend to experience poorer health outcomes than other family members, with increased pressure related to decision-making identified as a significant contributor to their declining health. Heterogeneity analysis reveals that the negative effect is less pronounced in households with higher net worth but more pronounced in those with more significant housing, education, and medical spending pressures. Moreover, this study analysis highlights that enhancing individual or family socioeconomic status can alleviate the adverse health effects experienced by family decision-makers.

CONCLUSION

The study reveals the presence of certain health adverse effects among family decision-makers. The implications drawn from this research hold significance for the health management of this demographic, underscoring the necessity for tailored interventions aimed at addressing the distinctive challenges confronted by this group.

摘要

目的

家庭决策者是家庭的支柱,他们的健康状况值得关注。本研究旨在探讨这一群体,即家庭决策群体的健康状况是如何受到影响的,并在此基础上深入探究其影响机制。目标是为家庭决策者群体的健康管理提供可靠的证据和策略,助力实现《“健康中国2030”规划纲要》。

患者与方法

本研究借鉴中国家庭追踪调查(CFPS)的数据,运用有序概率模型分析和比较家庭决策者与非决策者的健康状况。

结果

研究结果表明,决策者的健康状况往往比其他家庭成员更差,决策压力增加被认为是其健康状况下降的重要原因。异质性分析显示,在净资产较高的家庭中,负面影响较小,但在住房、教育和医疗支出压力较大的家庭中更为明显。此外,本研究分析强调,提高个人或家庭的社会经济地位可以减轻家庭决策者所经历的健康不利影响。

结论

该研究揭示了家庭决策者中存在一定的健康不利影响。本研究得出的结论对这一人群的健康管理具有重要意义,强调了针对该群体所面临的独特挑战进行量身定制干预措施的必要性。

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1
Safeguarding the Right to Health of the Elderly in Rural China: A Legal Analysis.保障中国农村老年人的健康权:法律分析
Risk Manag Healthc Policy. 2023 Aug 19;16:1621-1632. doi: 10.2147/RMHP.S420954. eCollection 2023.

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