困境家庭环境与儿童健康机会不平等研究——来自全国7省调查分析

儿童健康是健康中国建设的基础,是我国社会可持续发展的重要保障.家庭是儿童健康成长的重要环境.文章基于相互作用的家庭环境系统框架,依据2018年在我国7省份进行的"困境家庭儿童健康状况"专项调查数据,使用基于有序多分类回归的夏普里值(Shapley)分解,详细考察了家庭环境因素导致困境家庭儿童健康机会不平等及其相对贡献....

Study on difficult family environment and children's unequal healthcare opportunities: Based on the survey in seven provinces in China

The health of children is the foundation of building a healthy China and an important guarantee for the sustainable development of the society.Family is an important environment for children to grow up in healthy conditions.Based on the interactive family environment system framework and the special survey data of“health status of children from difficult families”conducted in seven provinces of China in 2018,this paper uses Shapley value(Shapley)decomposition based on ordinal multi classification regression to examine in detail the inequality of health opportunities and its relative contribution among children from difficult families caused by family environment factors.The results showed that family environment is the main factor leading to the inequality of mental health opportunities for children from difficult families.From the relative contribution of various family environmental factors,family relationship is the main reason that affects the unequal self-rated health and cognitive opportunities of children from difficult families,while the family economic status is the main factor affecting the inequality of mental health opportunities of children from difficult families.For ordinary family children,the impact of family environmental factors on their access to health is relatively balanced.Finally,this paper discusses the opportunities to improve the health status of children from struggling families in different dimensions.