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公共健康权益可及性对少数民族流动人口定居意愿的影响

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以人口高质量发展支撑中国式现代化,提高人口整体素质是关键.而流动人口公共健康权益的可获得性和可及性程度又是增强流动人口身体素质、定居意愿、城市融入的关键因素.通过分析2018年全国流动人口动态监测数据(China Migrants Dynamic Survey,简称CMDS),聚焦少数民族流动人口在流入地公共健康权益的现状,进一步使用二分变量对数比回归模型实证分析少数民族流动家庭公共健康权益可及性对定居意愿发生比的影响,关注家庭主要劳动力(个体)和家庭其他成员(幼童、孕产妇)公共健康权益可及性对少数民族流动人口定居意愿的影响,并探讨不同特征的少数民族流动人口健康权益可及性对家庭定居意愿的异质性影响.研究发现:一是公共健康权益可获得性、可及性程度对少数民族流动人口定居意愿存在显著正向影响,且影响效应存在差异.家庭成员公共健康权益的影响效应大于个体影响效应,但孕产妇公共健康权益可获得性与家庭定居意愿没有显著相关关系.二是不同健康权益项目对单个个体健康权益可及性的影响权重不同.健康档案项目对个体公共健康权益的影响效应最大,疫苗接种项目对幼童公共健康权益的影响效应最大,孕产妇四项公共健康权益项目的作用相差不大.三是不同个体获得公共健康权益数量越多,其定居意愿发生比越高,但影响效应不同.公共健康权益可及性程度对于受教育程度低、夫妻两地分居、省内跨市流动的少数民族流动人口定居意愿的影响更大.
The Impact of Access to Public Health Rights and Interests on the Settlement Intention of Ethnic Minority Migrants
To facilitate Chinese-style modernization with high-quality population development,enhancing the overall quality of the population is the key.The availability and accessibility of the public health rights of the floating popula-tion are key factors in enhancing the physical quality,settlement intention,and urban integration of the floating popula-tion.By analyzing the 2018 China Migrants Dynamic Survey(CMDS),the study focuses on the current situation of pub-lic health rights and interests of ethnic minority migrants in the places of inflow,and further use the BLR model to em-pirically analyze the accessibility of public health rights and interests of ethnic minority migrants.The study specifical-ly scrutinizes the influence of public health rights accessibility for the family's primary labor force(individuals)and other family members(young children,pregnant women)on the settlement intentions of ethnic minority migrants.Addi-tionally,it delves into the heterogenous impact of accessibility to population health rights on households'settlement in-tentions among ethnic minorities with varying characteristics.The study found that:First,the availability and accessibil-ity of public health rights have a significant positive impact on the settlement intention of ethnic minority migrants,and there are differences in the impact.The impact of family members'public health rights is greater than the individual impact,but there is no significant correlation between the availability of maternal public health rights and family settle-ment intention.Second,different health rights projects have different impact weights on the accessibility of health rights for each group.The health record project has the greatest impact on individual public health rights and interests,the vaccination project has the greatest impact on the public health rights and interests of young children,and the effects of the four public health rights and interests projects of pregnant women are not much different.Third,for groups with dif-ferent characteristics,the more public health rights they obtain,the higher the incidence rate of their settlement inten-tion,and the impact is different.The accessibility of public health rights has a greater impact on the settlement inten-tion of ethnic minority migrants who have low education,live separated from their spouses,and move across cities with-in the province.

Accessibility of Public Health BenefitsSettlement IntentionsOdds RatioEthnic Minority Mobile Population

刘金华、王棫冰、徐典

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四川省社会科学院 社会学研究所,成都 610071

英国伦敦大学 伯贝克学院

公共健康权益可及性 定居意愿 发生比 少数民族流动人口

国家社科基金重点项目四川省社会科学院第七届研究生学术新苗重点项目

22AZD02107号

2024

西北人口
甘肃省计划生育委员会,兰州大学, 甘肃省统计局,甘肃省人口学会

西北人口

CHSSCD北大核心
影响因子:0.806
ISSN:1007-0672
年,卷(期):2024.45(1)
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