School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China.
School of Management, Royal Holloway, University of London, Egham, United Kingdom.
Front Public Health. 2024 Jun 6;12:1359609. doi: 10.3389/fpubh.2024.1359609. eCollection 2024.
Social transition is one of the multi-level mechanisms that influence health disparities. However, it has received less attention as one of the non-traditional social determinants of health. A few studies have examined China's social transition and its impact on health inequality in self-rated health (SRH). Therefore, this study explores the impact of China's market-oriented reforms-social transition and socioeconomic status (SES)-on residents' SRH.
Using the cross-sectional data from the Chinese General Social Survey (CGSS) in 2017, we analyzed the effects of social transition and SES on the SRH of Chinese residents using the RIF (Recentered influence function) method. The RIF decomposition method investigated health differences among different populations and their determinants.
Social transition and SES have significant positive effects on the SRH of Chinese residents. The correlation between SES and the SRH of Chinese residents is moderated by social transition, implying that social transition can weaken the correlation between SES and the SRH of Chinese residents. The impacts of SES and social transition on SRH vary across populations.
Promoting social transition and favoring disadvantaged groups with more resources are urgently needed to promote equitable health outcomes.
社会转型是影响健康不平等的多层次机制之一。然而，作为非传统健康决定因素之一，它受到的关注较少。已有少数研究探讨了中国的社会转型及其对自评健康（SRH）方面健康不平等的影响。因此，本研究旨在探讨中国市场化改革-社会转型和社会经济地位（SES）对居民 SRH 的影响。
本研究使用 2017 年中国综合社会调查（CGSS）的横断面数据，采用最近中心化影响函数（RIF）方法，分析社会转型和 SES 对中国居民 SRH 的影响。RIF 分解方法研究了不同人群的健康差异及其决定因素。
社会转型和 SES 对中国居民的 SRH 有显著的正向影响。SES 与中国居民 SRH 的相关性受到社会转型的调节，表明社会转型可以削弱 SES 与中国居民 SRH 的相关性。SES 和社会转型对 SRH 的影响因人群而异。
需要促进社会转型，为弱势群体提供更多资源，以促进公平的健康结果。
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