影响中国人群心理健康的人口因素及机制——基于省级面板数据的实证研究  

Demographic factors and medianisms affecting the mental health of Chinese residents and mechanisms : Empirical study based on provincial panel data

作　　者：和红[1,2] 王鑫[2,3] 闫辰聿 焦军 HE Hong;WANG Xin;YAN Chen-yu;JIAO Jun(Public Health&Disease Control and Prevention,Fund for Building World-Class Universities(Disciplines)of Renmin University of China,Beijing 100872,China;Institute of Health Science,Renmin University of China,Beijing 100872,China;School of Population and Health,Renmin University of China,Beijing 100872,China)

机构地区：[1]中国人民大学公共健康与疾病预防控制文理交叉重大创新平台,北京100872 [2]中国人民大学健康科学研究所,北京100872 [3]中国人民大学人口与健康学院,北京100872

出　　处：《中国卫生政策研究》2024年第3期56-63,共8页Chinese Journal of Health Policy

基　　金：中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助)项目(23XNL013)。

摘　　要：目的:分析城镇化、老龄化、人口流动率对医院精神科就诊比例的影响以及独居率的调节作用。方法:基于2010—2019年省级面板数据和Hausman-Taylor模型进行实证研究。结果:城镇化和人口流动率分别与医院精神科就诊比例负相关和正相关。城镇化与老龄化的交互项、城镇化与独居率的交互项均与医院精神科就诊比例负相关,老龄化与独居率的交互项与医院精神科就诊比例正相关。结论:城镇化和人口流动分别是中国人群心理健康的保护因素和风险因素,城镇化改善了老龄化对中国人群心理健康的不利影响。独居率的上升扩大了城镇化对心理健康的保护作用,加深了老龄化带来的心理健康问题。推进新型城镇化的同时,需重视农村老年人口、流动人口以及独居人口的心理健康评估和干预。Objective:To analyze the effects of urbanization,ageing,and population mobility on the proportion of hospital psychiatric visits,and the moderation effect of living alone.Methods:Based on provincial panel data from 2010 to 2019,we applied the Hausmann-Taylor model to explore the factors and mechanisms influencing the mental health of Chinese residents.Results:Urbanization and population mobility were negatively and positively correlated with the proportion of hospital psychiatric visits.The interaction terms of urbanization and ageing,and urbanization and living alone were negatively correlated with the proportion of hospital psychiatric visits,and the interaction term of ageing and living alone was positively correlated with the proportion of hospital psychiatric visits.Conclusion:Urbanization is a protective factor for the mental health of Chinese residents,which has effectively ameliorated the negative impact of ageing.Population mobility is a risk factor for the mental health of Chinese residents.Rising rate of living alone has expanded protective effect of urbanization on mental health and deepened the mental health problems associated with aging.While promoting urbanization,attention should be paid to the mental health assessment and intervention of the rural elderly population,the migrants and the population who are living alone.

关 键 词：心理健康 城镇化 老龄化 人口流动 独居 

分 类 号：R197[医药卫生—卫生事业管理]