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Socioeconomic Inequalities in Health Under Marketization and Community Context: Evidence From China

机译：市场化和社区背景下卫生领域的社会经济不平等：来自中国的证据

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摘要

This dissertation examines China's market reforms over the last few decades, and their implications for (re)shaping socioeconomic inequalities in health. Specifically, I study the effect of marketization and related structural changes at community level on individual health outcomes. The first part of this dissertation revisits the market transition theory of Nee (1989), using individual health status as the outcome variable to assess Nee's theory. Using multiple waves of a longitudinal survey from 1991 to 2006, I compare temporal changes in the role of human capital, political capital, and state policy in determining health under marketization. In partial support of the market transition theory, the empirical results show that the significance of human capital for health increases with marketization, while the return to political capital and one's household registration status diminishes with a growing market. Additionally, I distinguish between marketization effects on community level, and different aspects of community context in shaping the SES-health link. I find that the level of urbanization and available resources within each community exert influences on self-rated health and change the relative importance of individual socioeconomic conditions in shaping health. Overall, this study provides new longitudinal evidence from China to support the notion that health is influenced by dynamic processes moderated by the structural changes as well as the social stratification system. I discuss the findings in the context of China's market reform, fundamental causes theory, and socio-ecological perspectives, highlighting that health is determined by a nexus of life experiences and social environment that impact individuals at different levels.
机译：本文研究了过去几十年中国的市场改革及其对（重新）塑造健康方面的社会经济不平等的影响。具体来说，我研究了市场化和社区一级相关结构变化对个人健康状况的影响。本文的第一部分回顾了Nee（1989）的市场转型理论，使用个人健康状况作为结果变量来评估Nee的理论。通过对1991年至2006年的多次纵波调查，我比较了人力资本，政治资本和国家政策在确定市场化条件下的健康状况方面的时间变化。在部分支持市场过渡理论的情况下，经验结果表明，人力资本对健康的重要性随着市场化而增加，而政治资本的回报和一个人的户口地位则随着市场的增长而减少。此外，我区分了市场化对社区的影响，以及在塑造SES-健康链接时社区环境的不同方面。我发现，每个社区内的城市化水平和可用资源都会对自我评价的健康产生影响，并改变个人社会经济状况对塑造健康的相对重要性。总体而言，这项研究提供了来自中国的新的纵向证据，以支持以下观点：健康受到结构变化和社会分层制度所调节的动态过程的影响。我将在中国市场改革，根本原因理论和社会生态学观点的背景下讨论这些发现，并强调健康取决于生活经验和社会环境之间的联系，而这些经验和社会环境会影响不同层次的个人。

著录项

  • 作者

    Lin, Shih-Chi.;

  • 作者单位

    University of Oregon.;

  • 授予单位 University of Oregon.;
  • 学科 Sociology.
  • 学位 Ph.D.
  • 年度 2017
  • 页码 180 p.
  • 总页数 180
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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