健康中国视域下我国农村儿童多维健康贫困测度研究  

Study of measurement of child multidimensional health poverty in rural areas of China from the perspective of Healthy China

作　　者：奉祁薇 易姝颖 车艺 FENG Qiwei;YI Shuying;CHE Yi(School of Humanities and Management,Hunan University of Chinese Medicine,Changsha Hunan 410208,China)

机构地区：[1]湖南中医药大学人文与管理学院,湖南长沙410208

出　　处：《卫生软科学》2024年第10期25-29,共5页Soft Science of Health

基　　金：湖南省社会科学成果评审委员会项目-共同富裕目标下低收入群体健康公平促进机制研究(XSP24YBZ134)。

摘　　要：[目的]了解儿童多维健康贫困的现状、特征,为治理农村儿童健康贫困提供参考。[方法]采取A-F法,基于CFPS 2020年数据,从收入、健康禀赋、健康环境、健康保障4个维度构建指标体系,对健康贫困进行测度及分解。[结果]当K=0.3时,全国多维健康贫困发生率(H)为18.77%;收入维度对健康贫困的贡献率为32.37%;西部地区的多维健康贫困指数(M)、健康贫困发生率(H)、多维健康贫困剥夺强度(A)分别为0.122、23.31%、52.32%;与女童相比,男童M、H、A分别高出0.016、2.04%、2.95%;健康保障及疾病风险冲击对幼儿期儿童的健康贫困贡献率最大,分别为26.77%、3.43%。[结论]我国农村儿童健康贫困较为严峻,收入不足是主要原因;西部地区、男童更容易陷入健康贫困;与其他年龄段相比,低龄儿童更可能因为缺乏医疗保险而发生健康贫困。Objective To understand the current situation and characteristics of child multidimensional health poverty,and to provide the reference for the management of child multidimensional health poverty in rural areas.Methods Based on the data of China Family Panel Studies(CFPS)2020,this study adopted the Alkire-Foster(AF)method to construct an indicator system from four dimensions:income,health endowment,health environment and health security to measure and decompose health poverty.Results When K=0.3,the incidence of multidimensional health poverty(H)was 18.77%.The contribution rate of income dimension to health poverty was 32.37%.The multidimensional health poverty index(M),the incidence rate of health poverty(H)and the deprivation intensity of multidimensional health poverty(A)in western China were 0.122,23.31%and 52.32%,respectively.Compared with girls,the M,H and A of boys were higher by 0.016,2.04%and 2.95%,respectively.Health security and the impact of disease risks contributed the most to health poverty of children in early childhood,which were 26.77%and 3.43%,respectively.Conclusions Child health poverty in rural areas of China remains severe,and the insufficient income is the primary cause.In western regions,boys are more likely to experience health poverty.Compared to other age groups,younger children are at a higher risk of falling into health poverty due to lack of medical insurance.

关 键 词：中国 农村儿童 健康贫困 相对贫困 多维测度 A-F双重临界值法 

分 类 号：R197[医药卫生—卫生事业管理]