Health Inequality Between Urban And Rural Residents In China

This study has used the 2012 and 2016 Chinese Family Panel Studies(CFPS)data to compare health inequalities among residents in different years.First,the income-related health concentration index is used as an indicator of inequality.From the four perspectives of social demographic factors,socio-economic factors,Lifestyle and family environment,the health status within and within the city is regressed and decomposed.Explore the contribution of these four different dimensions to the health inequalities within and within the city.Secondly,to explore the unreasonable differences between urban and rural residents caused by household registration discrimination,and use rural Blinder-Oaxaca decomposition method to decompose the differences in health status between urban and rural groups,and explore the unreasonable interpretation of urban and rural groups,and explore the unreasonable interpretation of urban and rural discrimination on health differences,and A reasonable interpretation of the difference in personal endowment for health differences.Reasonable and feasible suggestions for differences health influencing factors are provided to provide a reference for further narrowing the health differences between urban and rural residents and improving residents' health and fairness.There are my key research findings.Firstly,the total health average in2012 was 0.638,the rural health average was 0.633,the urban health average was 0.645.The total health average in 2016 was 0.664,the rural health average was 0.649,the urban health average was 0.680.Logistics regression analysis showed that the married and age factors were significantly negatively correlated with the health.There was a significant positive correlation between junior and high school education,employment,income,public medical care and health in the central region.In 2016,the negative impact of the Urban Emploees' basic Medical Insurance and the Urban Resident Basic Medical Insurance on the health of urban residents is no longer significant.Exercise,drinking,and clean water have a significant positive correlation with the health of rural residents.Secondly,health concentration index and its decomposition.In 2012,the self-assessment health concentration index was 0.032,the urban concentration index was 0.026,and the rural concentration index was 0.039(P<0.000).In 2016,the self-rated health concentration index was 0.044,the urban concentration index was 0.035,and the rural concentration index was 0.051(P<0.000).Income and age contribute the most to urban health inequalities,and the contribution rate of using electricity gas and clean water to urban health inequalities is decreasing year by year.Income contributes the most to rural health inequalities,and the contribution of exercise and the use of clean water to rural residents' health inequalities has increased year by year.Thirdly,the total health disparity in 2012 between urban and rural residents was-0.0175,which accounted for 182.24%of the total,and the unexplained part accounted for-82.24%;the total health difference between urban and rural residents in 2016 was-0.0357,which accounted for 120.34%of the total,and the unexplained part accounted for-20.34%.The income difference caused by household registration has the greatest contribution to the health differences between urban and rural residents.The health differences caused by income,age,eastern region and new rural cooperative medical care all come from unexplained parts.The contribution of education level to health differences mainly comes from the explained.section.The contribution of clean drinking water and point gas to health differences in 2012 comes from the explained part.In 2016,the use of clean drinking water accounted for 30.81%of the unexplained part of the difference in health,and the proportion of unexplained parts of the difference in health using electricity gas-3.05%.The main conclusions of this study.First of all,the health of urban residents is higher than that of rural residents,and the health difference between the highest income and the lowest income group of urban and rural residents has expanded year by year.Among the socio-economical and demographical factors,education,income and employment have positively promoted the health of urban residents and rural residents.The Urban Emploees' Basic Medical Insurance and the Urban Resident Basic Medical Insurance and new rural cooperative medical care are negatively correlated with the health of urban and rural residents.Counter-selection is widespread,and people with poor health tend to have health insurance.Among the lifestyle and family environment factors,exercise and use of clean water have played a positive role in the health of urban and rural residents.Then,the health concentration index with income stratification is positive,indicating that there are health inequalities among the rich people in China,that is,the higher the income status,the better the health status,the lower the income status,the worse the health status,and the towns and Health inequalities between villages continue to deepen as the year changes.As the age depreciates the health stock,the health gap between the highest and lowest income groups is getting smaller and smaller,which alleviates health inequalities to some extent.Income and employment reinforce the health inequalities of the wealthy,and this strengthening has increased over the years.The improvement of urban residents'lifestyles and family environment is conducive to improving the health of the poor.Last but not the least,the difference in health between urban and rural residents is mainly caused by differences in individual endowments,but household registration discrimination still accounts for a large proportion.Household registration discrimination exists in income,age,eastern areas,and health differences caused by new rural cooperative medical care.The gap between the education level and the urban and rural health is mainly attributed to personal endowment,and the education level of rural residents is much lower than that of urban residents.In 2016.employment became the third major contributor to the health differences between urban and rural residents.Employment has improved the health of rural residents and narrowed the gap between urban and rural health.In 2012,the impact of using clean drinking water and electric gas on the urban-rural health gap did not exist in household registration discrimination.In 2016,the use of clean drinking water improved the health status of rural residents and alleviated urban and rural health inequalities,but the use of electric gas to strengthen urban and rural health inequalities.This research has innovated on the basis of inheriting the previous scholars'research,using the two-year data of CFPS to study,retaining the social demographic factors such as age and gender commonly used in previous studies,as well as the factors affecting social and economic factors such as income,education and employment.In addition,the medical insurance,exercise,smoking and drinking factors are added.The health is analyzed from the four perspectives of social demographic factors,socio-economic factors,lifestyle and family environment.On this basis,the contribution of these four different dimensions to the health inequalities within and within the city is explored.Secondly,to explore the impact of urban and rural household registration on China's health inequality,use the Blinder-Oaxaca decomposition method to decompose the health differences between urban residents and rural residents,explore the unreasonable interpretation of urban and rural discrimination on health differences,and personal endowment.The rational interpretation of differences in health differences.There are also some shortcomings in this paper.First,the use of self-assessment health as a health indicator has certain subjectivity.For example,the health regression results in this paper show that people who smoke and drink are more self-evaluated,which is partly subjective.Secondly,the timeline of 2012 and 2016 is too short to find out the long-term changes between the urban and rural residents.The Blinder-Oaxaca decomposition is used to decompose the health differences between urban and rural residents.The chronological decomposition of 2012 and 2016 is not discussed.In the future,it is necessary to continue to explore the decomposition of the differences in the year.