健康素养促进对低收入家庭儿童健康的影响  

The Impact of Health Literacy Promotion on the Health of Children from Low-IncomeFamilies

作　　者：陈钰晓 赵绍阳[2] 田益豪 何水[1] Chen Yuxiao;Zhao Shaoyang;Tian Yihao;He Shui

机构地区：[1]郑州大学政治与公共管理学院 [2]四川大学经济学院 [3]四川大学公共管理学院

出　　处：《中国人口科学》2023年第2期36-51,共16页Chinese Journal of Population Science

基　　金：国家自然科学基金面上项目“临终前医疗支出水平及其经济效率的实证评价”(编号:72273094);国家社科基金西部项目“流动人口健康素养的形成机制与提升策略研究”(编号:22XRK003);郑州大学青年人才创新团队支持计划项目“乡村振兴对县级政府治理能力的影响及对策研究”的阶段性成果。

摘　　要：低收入家庭儿童健康促进是政府、社会以及学界普遍关注的问题。文章使用中国家庭追踪调查2010~2020年共6期追踪数据,借助多时点DID模型考察健康素养促进示范县建设对低收入家庭儿童健康发展的影响,并进一步探讨了其具体作用机制。结果表明,健康素养促进示范县建设可以有效促进低收入家庭儿童生长发育、显著减少重度低体重问题;其作用途径主要包括改变健康态度、增加预防性医疗服务利用和促进健康行为。健康素养干预不仅有利于提高健康投资效益,还有利于促进健康公平。通过提升健康素养,促进低收入家庭儿童早期健康发育,能够以较低的成本实现长期可持续的健康改善效果,实现“健康中国”发展目标。Health promotion for children from low-income families is a common concern of the government,society and academia.This paper examines the effect of health literacy promotion demonstration county construction on the health status of children in low-income families using a Time-varying Difference-in-Differences model based on data from six waves of the CFPS Survey from 2010 to 2020.Also,the impact mechanisms are examined.The results showed that the construction of health literacy promotion demonstration counties can effectively promote the growth and development of children from low-income families and significantly reduce the problem of severe low weight.Health literacy promotion demonstration counties work through three main channels:changing health attitude,increasing preventive health service utilization,and promoting health behaviors.Interventions from the health literacy dimension are not only beneficial to improve health benefits,but also to promote health equity.Promoting the early health development of children from low-income families by improving health literacy can achieve long-term sustainable improvement at a low cost and realize the development goal of"Healthy China".

关 键 词：健康素养 低收入家庭 儿童健康 健康素养促进示范县 健康不平等 

分 类 号：R179[医药卫生—妇幼卫生保健]