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弥合差距:教育如何改善中国农村的健康结果并影响健康不平等

Bridging the gap: how education transforms health outcomes and influences health inequality in rural China.

机构信息

School of Management, Zhejiang University, Hangzhou, China.

Department of Agricultural Economics and Management, School of Public Affairs, Zhejiang University, Hangzhou, China.

出版信息

Front Public Health. 2024 Oct 30;12:1437630. doi: 10.3389/fpubh.2024.1437630. eCollection 2024.

Abstract

This study focuses on the impact of education on health and health inequalities in rural areas of China. Education significantly enhances economic status and health, driving economic growth and improving public health standards. Integral to the "Healthy China Strategy," it provides essential guidance for public policy and underscores the need for strategic human capital investments to achieve these goals. The study utilizes data from the China Family Panel Studies (CFPS) spanning 2010-2020 and employs the average educational level within counties as an instrumental variable. The causal impact of education on health and health inequalities is estimated using the two-stage least squares (2SLS) method. The findings reveal a significant positive correlation between enhancing education levels and health improvements. Specifically, after controlling for endogeneity, the duration of individual education significantly improves both subjective and objective health outcomes. It reduces health inequalities, with these effects being more pronounced among women and low-income groups. Mechanistically, education positively impacts health primarily by altering health behaviors and social network levels and reducing health inequalities through socio-economic factors. This paper provides important implications for public policy, suggesting that enhancing educational investments can drive economic development and improve population health standards.

摘要

本研究聚焦于教育对中国农村地区健康和健康不平等的影响。教育显著提升经济地位和健康水平,推动经济增长并改善公共卫生标准。作为“健康中国战略”的重要组成部分,它为公共政策提供了必要的指导,并强调需要战略性的人力资本投资来实现这些目标。本研究利用了中国家庭追踪调查(CFPS)2010-2020 年的数据,并使用县级平均受教育水平作为工具变量。采用两阶段最小二乘法(2SLS)方法估计教育对健康和健康不平等的因果影响。研究结果表明,提高教育水平与健康改善之间存在显著的正相关关系。具体来说,在控制内生性后,个体受教育年限的增加显著改善了主观和客观的健康结果。它减少了健康不平等,这种影响在女性和低收入群体中更为明显。从机制上讲,教育主要通过改变健康行为和社会网络水平,以及通过社会经济因素来减少健康不平等,从而对健康产生积极影响。本文为公共政策提供了重要启示,表明增加教育投资可以推动经济发展和改善人口健康水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b452/11557493/9edf369bd992/fpubh-12-1437630-g001.jpg

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