摘要
健康不仅是边民向往美好生活的内在要求,也是我国筑牢人民防线、固边兴边的重要基础。文章基于国内首个边疆农村地区的微观调查——2023年中国兴边富民追踪调查(VBEP)的数据,采用结构方程模型(SEM),分析了生活方式数字化、医疗卫生服务可及性对我国农村边民健康的影响。研究结果显示:生活方式数字化对农村边民的心理健康具有显著正影响,但对其生理健康无显著影响;医疗卫生服务可及性对农村边民的生理健康有显著正影响,但由于心理医疗卫生服务可及性的缺失,对其心理健康无显著影响。该结果一方面表明生活方式数字化可以在一定程度上缓解我国边疆农村地区医疗卫生服务可及性缺失对边民心理健康的不利影响;另一方面也揭示数字经济时代,保障边民健康应将优化个体生活方式数字化与改革医疗卫生服务供给方式相结合,发挥生活方式数字化对医疗卫生服务线上—线下有效供给的引导作用,以相对较低的成本为农村边民提供更为有效的健康保障。
Health is not only an intrinsic need for the border inhabitants'aaspiration for a better life,but also a practical requirement for China to consolidate and prosper its border areas.Therefore,based on the first micro-survey of rural areas in China's border areas,the China Vitalizing Border Areas and Enriching the People Longitudinal Study(VBEP)in 2023,this paper analyzes how the digitization of lifestyles and the accessibility of healthcare services affect the health of rural border inhabitants in China using structural equation modeling(SEM).The analysis results show that the digitization of lifestyles enhances the psychological health of rural border inhabitants,but has no significant impact on their physical health.Conversely,the accessibility of healthcare services has no significant impact on their psychological health due to the lack of accessibility to psychological healthcare services,but has a significant positive impact on their physical health.The above findings,on the one hand,indicate that lifestyles digitization could mitigate the negative impact arising from limited access to psychological health services on the psychological health of the inhabitants of border areas of China;on the other hand,also reveal that in the era of the digital economy,to ensure the health of border residents,it is necessary to combine the optimization of the digitalization of residents'lifestyles with the improvement of the accessibility of healthcare services,and give full play to the guiding role of the digitalization of lifestyle in the effective supply of online and offline healthcare services.By doing so,a more effective health protection for the inhabitants of border areas can be provided at a relatively low cost.
作者
李文杰
谢奋羽
张艳
LI Wenjie;XIE Fenyu;ZHANG Yan
出处
《西北民族研究》
CSSCI
北大核心
2024年第6期139-155,共17页
Journal of Northwestern Ethnic Studies
基金
中国博士后科学基金第74批面上资助项目“新发展格局下我国民族地区经济共同现代化路径研究”(编号:02023M744112)的阶段性成果。
关键词
生活方式数字化
医疗卫生服务可及性
边民
生理健康
心理健康
Digitization of Lifestyles
Accessibility of Healthcare Services
Inhabitants of Border Areas
Physical Health
Psychological Health
作者简介
李文杰,中央民族大学经济学院及中央民族大学中国兴边富民战略研究院助理研究员;谢奋羽,中央民族大学经济学院博士生;张艳,中央民族大学经济学院硕士生。
