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早年不幸对健康不平等的长远影响:生命历程与双重累积劣势

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英文标题:

The Long Term Consequences of Early Life Misfortune on Health Inequality

摘要: 本研究在生命历程分析的基础上,提出用双重累积劣势理论来解释早年不幸经历对健康不平等的影响机制,并利用中国健康与养老追踪调查数据(2011-2014年)对该理论进行实证阐释。多种回归模型的分析结果显示,早年不幸经历使得人们成年后的健康状况明显差于没有不幸经历的群体。即使经历向上的社会流动,也难以抵消早年不幸经历给健康带来的不利影响。双重劣势累积过程具体表现为:早年不幸经历种类数越多或者持续时间越长,对健康的负向影响力也就越大;早年不幸经历在生命历程中带来的教育、就业机会和经济地位的下降,以及健康风险和消极情绪的上升,间接给成年后的健康状况带来不利影响。
英文摘要: Scholars in sociology of health have increasingly adopted a longitudinal and historical approach to explore the mechanisms of health inequality. This study has proposed a life-course theory of dual cumulative disadvantage. The author argues that not only early life misfortune has durable effects on individual health throughout the lifespan,the cumulative disadvantage over the lifespan due to the early life misfortune also increases individual health inequality. It is this dual interaction between the early life misfortune and its effects over the lifespan that explains the persistent health inequality in our society. To illustrate this theoretical model,the study use data from the CHARLS (2011-2014) to analyze health inequality among Chinese adults age 40 to 80 to show that early life misfortune indeed has a significant and negative impact on individual health. The study also has demonstrated that the increase in both number of cases and time of exposure of early life misfortune will result in significant and negative impact on individual health. Specifically,the early life misfortune leads to a significant decrease in life opportunities such as education,employment,and social-economic status,which further erodes individual health. Consequently, the early life misfortune creates an exponential effect on individual health. The paper concludes with a discussion on how our results may shed light on the public policies in health promotion in contemporary China.
作者:

石智雷、吴志明

作者单位: 中南财经政法大学公共管理学院、人口与健康研究中心(石智雷);加拿大英属哥伦比亚大学社会学系(吴志明)
期刊: 社会学研究
年.期:页码 2018.3:166-192
中图分类号:
文章编号:
关键词: 早年不幸;生命历程;累积劣势;健康不平等;时间效应
英文关键词:
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