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审视“健康贫困陷阱”机制:自我强化效应与内生动力。

Inspecting the "health poverty trap" mechanism: self-reinforcing effect and endogenous force.

机构信息

College of Management and Economics, Tianjin University, No.92 Weijin Rd, Tianjin, China.

College of Politics and Public Administration, Qinghai Minzu University, Xining, Qinghai Province, China.

出版信息

BMC Public Health. 2024 Mar 28;24(1):917. doi: 10.1186/s12889-024-18464-3.

DOI:10.1186/s12889-024-18464-3
PMID:38549088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10979620/
Abstract

INTRODUCTION

The term "health poverty trap" describes a vicious cycle in which developing countries or regions become trapped in low levels of health and poverty during the process of modernization. Although significant progress has been made in alleviating poverty in China, there is still a need to further enhance the living conditions of its impoverished population.

METHODS

This research utilizes the data of the three national representative panel surveys from 2014 to 2020. The primary objective is to gain a better understanding of the intricate relationship between health and poverty. To examine the self-reinforcing effects of the cumulative cycle between health and poverty, we employ unconditional quantile regression analysis.

RESULT

The low-income group exhibits lower overall health status compared to the average level. Economic constraints partially hinder the ability of low-income individuals to access healthcare resources, thereby reinforcing the cyclical relationship between health and poverty. Additionally, the unique psychological and behavioral preferences of individuals in health poverty act as indirect factors that further strengthen this cycle. Health poverty individuals can generate endogenous force to escape the "health poverty trap" by enhancing their confidence levels and digital literacy.

CONCLUSIONS

The research examines the coexistence of health gradients and economic inequality among Chinese residents. Additionally, the study explores the endogenous force mechanism of escaping the health poverty trap from psychological and behavioral perspectives. This research also offers insights into optimizing government poverty alleviation programs to effectively address this issue.

摘要

简介

“健康贫困陷阱”一词描述了这样一种恶性循环:发展中国家或地区在现代化进程中陷入了健康水平和贫困程度都很低的困境。尽管中国在减贫方面取得了显著进展,但仍有必要进一步改善贫困人口的生活条件。

方法

本研究利用了 2014 年至 2020 年三次全国代表性面板调查的数据。主要目的是更好地了解健康和贫困之间的复杂关系。为了检验健康和贫困之间累积循环的自我强化效应,我们采用无条件分位数回归分析。

结果

低收入群体的整体健康状况低于平均水平。经济限制在一定程度上阻碍了低收入者获得医疗保健资源的能力,从而加剧了健康和贫困之间的循环关系。此外,健康贫困个体的独特心理和行为偏好作为间接因素进一步强化了这种循环。健康贫困个体可以通过增强自信和数字素养来产生内生动力,从而摆脱“健康贫困陷阱”。

结论

本研究考察了中国居民健康梯度和经济不平等的共存问题。此外,该研究还从心理和行为角度探讨了摆脱健康贫困陷阱的内生动力机制。本研究还为优化政府扶贫计划提供了思路,以有效解决这一问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/10979620/755a8930780d/12889_2024_18464_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/10979620/755a8930780d/12889_2024_18464_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/10979620/755a8930780d/12889_2024_18464_Fig1_HTML.jpg

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