中国全科医学2026，Vol.29Issue(7)：929-935,7.DOI:10.12114/j.issn.1007-9572.2024.0370
后扶贫时代宁夏外出务工人群的健康贫困脆弱性及影响因素研究
The Vulnerability of Health Poverty and Its Influencing Factors of the Migrant Workers in Ningxia in the Post-poverty Era
摘要
Abstract
Background As China embarks on a new journey towards common prosperity,it is crucial to address the issue of preventing rural residents from falling back into poverty due to illness.This is a significant step towards achieving common prosperity.Objective This study aims to understand the distribution of health poverty vulnerability among rural out-migrant workers in Ningxia and identify the influencing factors,with the goal of providing policy recommendations for Ningxia to consolidate its poverty alleviation achievements and prevent poverty from returning due to illness.Methods Using field survey data collected by the research team in Haiyuan County,Yanchi County,Xiji County,and Pengyang County in Ningxia from June to July 2022,the study employed the three-stage feasible generalized least squares(FGLS)method to measure health poverty vulnerability.Logit regression analysis was used to identify the influencing factors.The study also used the marginal effect and Shapley value decomposition method to quantify the contribution of each factor.Results The proportion of health poverty vulnerable rural out-migrant workers in Ningxia is 4.5%.The logit model regression analysis results show that housing and kitchen separation,using electricity as living fuel,and participating in a health check in the past year can reduce the risk of health poverty vulnerability.Married status,borrowing money due to illness,and having a low level of education will increase the risk of health poverty vulnerability.The Shapley value decomposition results show that demographic characteristics contribute the most(55.93%),followed by family characteristics(16.46%)and health risk characteristics(15.34%).Conclusion The health poverty vulnerability among rural migrant workers in Ningxia is within a controllable range compared with the overall level in the western region.Having separate housing and kitchen areas,using electricity as a domestic fuel,participating in health check-ups within the past year,being in a married status,and borrowing money due to illness are key factors affecting the health poverty vulnerability of migrant workers from Ningxia.It is recommended that relevant departments establish an early warning system for the risk of returning to poverty due to illness,proactively adjust policies,and promote the effective implementation of health poverty prevention efforts.关键词
贫困/健康贫困脆弱性/Logit模型/影响因素分析/外出务工人群/宁夏Key words
Poverty/Health poverty vulnerability/Logit model/Root cause analysis/Migrant worker/Ningxia分类
医药卫生引用本文复制引用
刘姗,李飞,孟浩东,杨娟,乔慧..后扶贫时代宁夏外出务工人群的健康贫困脆弱性及影响因素研究[J].中国全科医学,2026,29(7):929-935,7.基金项目
国家自然科学基金资助项目(72164033,72364031) （72164033,72364031）
