卫生基础设施与健康人力资本

Sanitation Infrastructure and Health Human Capital

农村厕所革命工程是健康中国行动和乡村振兴战略的重要内容。本文基于该工程在行政村层面上的政策冲击,利用2017年中国乡村治理调查与中国家庭金融调查数据,研究卫生基础设施建设对个体健康水平的影响及其作用机制。研究发现,行政村实施卫生改厕显著提高了个人自评健康水平,在考虑选择性偏误导致的内生性问题后该结论依然稳健。机制分析表明,降低疾病传播是农村卫生改厕提升健康水平的重要渠道。同时,这一健康效应在医疗可得性差、国家级贫困县以及年龄较大的组别中更为显著。本文为厕所革命促进健康中国建设提供了有力的经验证据支撑。

The rural"toilet revolution"project is an important initiative to implement the Healthy China Initiative and an important element of the rural revitalization strategy.Exploiting the launch of the"toilet revolution"project at the admin-istrative village,and using the data from the 2017 China Rural Governance Survey and the China Household Finance Sur-vey,this paper examines the impact of sanitation infrastructure on individual health.We find that the implementation of sanitation in administrative villages significantly improved individual self-reported health.Addressing the selection problem in"toilet revolution"placement does not change our results.The mechanism analysis shows that reducing the infectious dis-ease problems caused by natural environmental factors might be the possible channel through which sanitation infrastructure affects individual health.Moreover,the health effects of the"toilet revolution"project only exist if the village is hard to ac-cess health care,in national poverty county,and in older age groups.This paper provides strong empirical evidence to sup-port the toilet revolution for a healthy China.