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健康不平等的根源与家庭内部专业知识的价值

The Roots of Health Inequality and the Value of Intrafamily Expertise
American Economic Journal: Applied Economics · 2022 · Yiqun Chen、Petra Persson、Maria Polyakova

中文摘要

以瑞典为研究背景,我们表明,家庭中有一名医生会增加整个生命周期内的预防性健康投资,改善身体健康,并延长寿命。两种准实验研究设计——医学院录取抽签和医学学位获得时间的差异——支持对这些效应作出因果解释。假如一项政策能够为所有瑞典人带来同样的健康行为变化和健康收益,那么死亡率—收入梯度将缩小18%。我们的结果提示,接触健康相关专业知识方面的社会经济差异,可能是健康不平等的一个具有实质性作用的成因。

Abstract

In the context of Sweden, we show that having a doctor in the family raises preventive health investments throughout the life cycle, improves physical health, and prolongs life. Two quasi-experimental research designs-medical school admission lotteries and variation in the timing of medical degrees-support a causal interpretation of these effects. A hypothetical policy that would bring the same health behavior changes and benefits to all Swedes would close 18 percent of the mortality-income gradient. Our results suggest that socioeconomic differences in exposure to health-related expertise may meaningfully contribute to health inequality.
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