CAJ | 학술논문

随着中国城市化、工业化快速推进，城市居民的健康日益受到环境、外部压力等因素的影响，加上生活方式和健康观念方面的原因，城市居民健康状况的改善缓慢。利用2006年中国健康与营养调查（CHNS）截面数据，描述了我国城市居民的健康及其分布状况，利用Ordered Probit模型分析了影响城市居民的健康状况的各类因素。结果发现：家庭状况、生活习惯、就医决策、医疗保险等因素均影响城市居民的健康水平；尤其是在收入、工作等经济因素之外，健康观念、就医决策和保险覆盖等社会和制度因素亦对城市居民个人健康产生影响。同时，通过逐步回归控制相关变量的方法，检验了Grossman模型的适用性，同时也检验了影响因素作用机制的稳定性。在总结研究结论与不足的基础上，提出了应从经济，社会和制度三个层面全面促进城市居民健康的综合改革框架。
수착중국성시화、공업화쾌속추진，성시거민적건강일익수도배경、외부압력등인소적영향，가상생활방식화건강관념방면적원인，성시거민건강상황적개선완만。이용2006년중국건강여영양조사（CHNS）절면수거，묘술료아국성시거민적건강급기분포상황，이용Ordered Probit모형분석료영향성시거민적건강상황적각류인소。결과발현：가정상황、생활습관、취의결책、의료보험등인소균영향성시거민적건강수평；우기시재수입、공작등경제인소지외，건강관념、취의결책화보험복개등사회화제도인소역대성시거민개인건강산생영향。동시，통과축보회귀공제상관변량적방법，검험료Grossman모형적괄용성，동시야검험료영향인소작용궤제적은정성。재총결연구결론여불족적기출상，제출료응종경제，사회화제도삼개층면전면촉진성시거민건강적종합개혁광가。
In the process of China＇s urbanization and rapid industrialization, the health status of citizens is affected by the environment and external pressures. The life style and the concept of health result in slow improvement of citizens＇ health. The article depicted the health status of citizens and its distribution based on individual data of China Health and Nutrition Survey in 2006. Besides income, job and other factors, authors find that factors in aspects of society and system such as the family status, living habits, decisions of choosing medical service and medical insurance impact health status of citizens. The concept of health, habits of choosing medical service and coverage of medical insurance also impact the personal health of citizens. The article uses method of step regression controlling correlation variables to test the applicability of Grossman model and stability of mechanism of influencing factors and proposes to accelerate the comprehensive reform framework of the health of citizens from levels of society, economy and system.