摘要
目的:探究城镇化背景下我国居民的健康代际传递情况,为促进健康的良性代际传递提供参考。方法:选取2015年中国健康与营养调查(CHNS)的父子样本1122对,母子样本1327对,运用二分类Logistic回归分析亲代和子代的健康代际传递效果及不同城镇化水平地区健康代际传递的差异。结果:子代的BMI z分为(0.519±2.778),父亲的BMI z分为(-0.031±0.966),母亲的BMI z分为(0.0421±0.016);母亲健康状况不同的子代健康状况存在显著性差异(χ^(2)=6.909,P=0.009),而父亲健康状况不同的子代健康状况差异无统计学意义(χ^(2)=0.250,P=0.617);在低城镇地区,母亲的健康状况与子代的健康状况之间存在着较强的正向相关性,母亲的健康状况越好,则子代健康状况越好(OR=1.485,P<0.05),而在高城镇化地区,母亲与子代间的健康代际传递无显著性(OR=1.374,P>0.05)。结论:我国居民的健康代际传递主要路径为“母亲-子代”,不同城镇化水平的地区之间代际传递作用存在差异,城镇化发展主要通过提升社会经济地位来削弱健康代际传递。
Objective To explore the intergenerational transmission of health among Chinese residents under the background of urbanization, and provide reference for promoting healthy intergenerational transmission. Methods 1122 pairs of father-son samples and 1327 pairs of mother-child samples were selected from the 2015 China Health and Nutrition Survey(CHNS). Binary logistic regression method was used to analyze the effect of health intergenerational transmission and the differences in different urbanization levels. Results The child’s BMI z-score was(0.519±2.778), father’s BMI z-score was(-0.031±0.966), and mother’s BMI z-score was(0.0421±0.016). There was a significant difference in health status of the child with different maternal health status, but there was no significant difference among the children with different paternal health status. In low-urbanization areas, there was a strong positive correlation of health status between mothers and their offspring. The better the health status of the mother, the better health status of child. While in high-urbanization areas, there was no significantly intergenerational transmission of health between mother and child. Conclusion The main path of Chinese residents’ health intergenerational transmission is “mother-child”. There are differences in intergenerational transmission between regions with different levels of urbanization. Urbanization development mainly weakens the intergenerational transmission of health by improving socioeconomic status.
作者
杨婷
熊康
吴奇飞
Yang Ting(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,P.R.China)
出处
《中国卫生事业管理》
北大核心
2023年第2期153-156,共4页
Chinese Health Service Management
基金
国家自然科学基金青年科学基金项目“医疗意见领袖在社区慢性病管理中的介入模式和效果评估”(71303084)。
关键词
健康状况
代际传递
BMI
z分
城镇化水平
health
intergenerational transmission
BMI z-score
urbanization level
作者简介
通讯作者:吴奇飞,stoicwu@aliyun.com。
