社会阶层、健康水平与家庭保健消费——基于CFPS2018的实证研究

Social Class,Health Level and Family Health Care Consumption:An Empirical Study Based on CFPS2018

现有关于保健消费的研究多以个人的保健消费为主,关于家庭保健消费的研究多融合在家庭医疗保健的一体范畴中。本文以家庭保健消费(包括健身锻炼以及购买与健身锻炼相关的器械、保健品等)作为单独的研究对象,以社会阶层视角切入,利用2018年中国家庭追踪调查(CFPS2018)的数据,分析收入、教育等社会阶层因素对家庭保健消费的影响机制。研究发现家庭保健消费体现了一定的社会阶层区分,家庭收入、家庭教育水平对家庭保健消费产生显著的正向影响。家庭健康水平对家庭保健消费有显著负向影响。家庭收入和教育水平一方面对家庭保健消费产生直接影响;另一方面通过健康的中介效应对家庭保健消费产生间接影响,健康水平可以削弱家庭收入和教育对家庭保健消费参与度的正向作用。我国居民家庭保健消费水平还较低,是一种基础性的健康消费,存在着城乡和区域差异。

Most of the existing researches on health care consumption are focused on individual health care consumption,and the researches on family health care consumption are integrated into the researches of family medical treatment.In this paper,family health care consumption(including fitness exercise,as well as the purchase of fitness exercise related equipment,health products,etc.)is taken as a separate research object,starting from the perspective of social class,and using the data of the 2018 China Family Panel Studies(CFPS2018),the influence mechanism of social class such as income and education on family health care consumption is analyzed.It is found that family health care consumption reflects certain social class division,and family income and family education level have significant positive effects on family health care consumption.Family health level has a significant negative influence on family care consumption.On the one hand,family income and education level have a direct impact on family health care consumption,on the other hand,they have an indirect impact on family health care consumption through health intermediary effect.Health level can weaken the positive effect of family income and education level on family health care participation.The consumption level of family health care in China is still low,which is a basic health consumption and there are differences between urban and rural areas and regions.