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提高健康水平,减少健康不平等:数字化的创新?

Improving health and reducing health inequality: An innovation of digitalization?

机构信息

Business School, Central South University, 410083, Changsha, China.

Business School, Central South University, 410083, Changsha, China.

出版信息

Soc Sci Med. 2024 May;348:116847. doi: 10.1016/j.socscimed.2024.116847. Epub 2024 Mar 31.

Abstract

RATIONALE

The association between digitalization and individual health has attracted increasing attention from both scholars and policymakers. Existing research, however, has not agreed on whether digitization can improve health or reduce health inequality.

OBJECTIVE

The purpose of this study is to clarify whether and how the development of digitalization may be related to health and health disparities.

METHODS

We rely on China Family Panel Studies (CFPS) surveys from 2012 to 2018 to obtain a sample of 82,471 observations to explore the impact of digitalization on self-rated health and health inequality and its transmission mechanisms. The hypotheses are tested by Ordinary Least Squares Modeling.

RESULTS

As expected, digitalization is significantly and positively correlated with self-rated health. Furthermore, the development of digitalization has led to a notable decrease in health inequality. The influencing mechanisms of digitalization include income, healthcare consumption and health behaviors. Both dimensions of digitalization-internet development and digital finance-generate significant effects and the effects of internet development are greater.

CONCLUSIONS

This study is the first to systematically investigate the impact of digitalization development on health and health inequality. Our findings provide evidence for the health promotion theory by clarifying the benefits of digitalization in improving residents' health and reducing health inequality. Therefore, utilizing the tools of digitalization efficiently could be a focus of policymakers aiming to accomplish the SDGs' health targets.

摘要

背景

数字化与个体健康之间的关系引起了学者和政策制定者越来越多的关注。然而,现有研究尚未就数字化是否能改善健康或减少健康不平等达成一致。

目的

本研究旨在阐明数字化的发展是否以及如何与健康和健康差距相关。

方法

我们依赖于 2012 年至 2018 年的中国家庭追踪调查(CFPS)数据,获得了 82471 个观测值的样本,以探讨数字化对自评健康和健康不平等的影响及其传递机制。采用普通最小二乘法模型检验假设。

结果

正如预期的那样,数字化与自评健康显著正相关。此外,数字化的发展导致健康不平等显著下降。数字化的影响机制包括收入、医疗保健消费和健康行为。互联网发展和数字金融这两个数字化维度都产生了显著的影响,而且互联网发展的影响更大。

结论

本研究首次系统地调查了数字化发展对健康和健康不平等的影响。我们的研究结果为健康促进理论提供了证据,阐明了数字化在改善居民健康和减少健康不平等方面的益处。因此,有效利用数字化工具可能是政策制定者实现可持续发展目标健康目标的重点。

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