家庭健康循环视角下的健康代际传递研究——基于CHNS 2015的实证分析

Intergenerational transmission of health from the perspective of family health cycle:An empirical analysis based on CHNS 2015

目的:基于家庭健康循环视角与家庭生态系统理论,探究健康状况、健康行为及健康认知的代际传递,为制定精准健康促进政策提供依据。方法:基于2015年CHNS数据,采用多分类Logistic、有序Logistic以及OLS模型探讨母亲主客观健康状况,健康行为及认知对子代主客观健康状况,健康行为及认知的影响。结果:母亲BMI显著影响子代BMI,母亲超重或肥胖,则子代超重、肥胖的相对风险高;母亲自评健康显著影响子代自评健康;母亲饮食得分与锻炼得分显著影响子代饮食得分与锻炼得分;母亲健康认知显著影响子代的健康认知。结论:健康状况、行为及认知均显著代际传递,建议开展亲子健康促进行动,并建设健康家庭环境。

Objective:To examine the intergenerational transmission of health status,health behavior,and health knowledge based on family health cycle theory,and to provide suggestions for precise health promotion policies.Methods:Based on CHNS 2015,multinomial logistic,ordinary logistic,and OLS models were used to examine the intergenerational transmission of health status,health behaviors and knowledge.Results:Mother's BMI was significantly associated with offspring's BMI,children with overweight or obese mother,had a higher relative risk of being overweight or obese;mother's self-reported health status was significantly associated with children's self-reported health status.Mother's diet score and physical activity score were significantly associated with children's diet score and physical activity score respectively;mother's health knowledge was significantly associated with children's health knowledge.Conclusions:Intergenerational transmissions of health status,health behaviors,and health knowledge are significant among Chinese people,precise health promotion should pay attention to parents and offspring simultaneously,and construct healthy household environment.