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数字技术对健康不平等的影响:来自中国的证据。

The impact of digital technology on health inequality: evidence from China.

作者信息

Zhen Zhang, Tang Daisheng, Wang Xinyuan, Feng Qiushi

机构信息

School of Economics and Management, Beijing Jiaotong University, Beijing, China.

Faculty of Arts & Social Sciences, National University of Singapore, Singapore, Singapore.

出版信息

BMC Health Serv Res. 2024 Dec 3;24(1):1531. doi: 10.1186/s12913-024-12022-8.

Abstract

BACKGROUND

With the rapid development of digital technology, it is crucial to explore at the individual microlevel whether digital technology can reduce health inequality and discuss potential transmission mechanisms.

METHODS

This study uses data from the 2020 China Health and Retirement Longitudinal Study (CHARLS 2020) and the ordinary least squares (OLS) method to estimate the impact of digital technology on health inequality. This work then discusses the potential transmission mechanisms through which digital technology influences health inequality. Finally, it analyses the heterogeneity effects of digital technology on health inequality across different groups.

RESULTS

We find that digital technology has reduced both physical and mental health inequality. Strengthening family support, enhancing health investment, and improving health behaviours are the transmission paths from digital technology to health inequality. Groups with older cohorts, females, less-educated individuals, low-income individuals, and rural individuals benefit more from physical health inequality, whereas the impact of digital technology on mental health inequality does not differ across groups.

CONCLUSION

Digital technology has a significant impact on reducing both physical and mental health inequality, with particularly notable benefits for vulnerable populations. It is imperative to focus more on the targeted effects of digital technology on these marginalized groups.

摘要

背景

随着数字技术的快速发展,在个体微观层面探索数字技术能否减少健康不平等并探讨潜在的传导机制至关重要。

方法

本研究使用2020年中国健康与养老追踪调查(CHARLS 2020)的数据以及普通最小二乘法(OLS)来估计数字技术对健康不平等的影响。然后,这项工作讨论了数字技术影响健康不平等的潜在传导机制。最后,分析了数字技术对不同群体健康不平等的异质性影响。

结果

我们发现数字技术减少了身心健康不平等。加强家庭支持、增加健康投入以及改善健康行为是数字技术影响健康不平等的传导途径。年龄较大的群体、女性、受教育程度较低的个体、低收入个体和农村个体从身体健康不平等中受益更多,而数字技术对心理健康不平等的影响在各群体之间没有差异。

结论

数字技术对减少身心健康不平等有显著影响,对弱势群体的益处尤为显著。必须更加关注数字技术对这些边缘化群体的针对性影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/857a/11613537/ba15c5ee1dfa/12913_2024_12022_Fig1_HTML.jpg

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