基于“健康中国2020”目标的二维人口健康不公平指数研究

目的：本研究基于“健康中国2020战略”,旨在开发一种可综合评价人口健康公平性的二维指数。这里将公平性定位于“人口健康产出的平等”。方法：应用生态学研究、因子分析等方法对中国31个省、自治区和直辖市的人口健康不公平指数进行测算。之后。对健康不公平指数的信度和效度进行检验。资料主要来源于2003年国家卫生服务调查数据。结果：由8个变量合成的中国人口健康不公平指数（IHI）的中住数为0．27838π（范围：0π～0．39002π）。该指数具有较高的内部一致性（Cronbach α系数＝0．8304）和信度（Spearman相关系数〉0．8．P〈0．05）。IHI与社会剥夺指数（Spearman相关系数＝0．731,P〈0．05）、期望寿命（Spearman相关系数＝-0．569,P〈0．05）和基尼系数（Spearman相关系数=0．805。P〈0．05）间具有较好的相关性。结论：IHI是一种二维、具有较好信度和效度的监测“健康中国2020”战略的指数．它与基尼系数相比在对人口健康公平性的综合评估方面更具优势。该指数还可应用于政策干预效果评价、弱势群体的确定及卫生资源分配等领域。     

Choice set,relative income,and inequity aversion: An experimental investigation

Inequity aversion preference has been widely applied in interpretations of various economic behaviors. A rapidly growing literature has been attempting to measure the strength of inequity aversion preferences as accurately as possible. We vary two factors that might affect the accuracy of the measurement of inequity aversion preference, i.e., choice sets with different underlying inequity aversion strength ranges and with different relative income inequities while absolute income inequities remain fixed. We find that unidirectional changes in the choice sets for disadvantageous and advantageous inequity aversion preferences significantly bias the measured strength of both preferences in the same directions of the changes and that the variance in inequity aversion increases with the range of choice sets. Moreover, a decrease in relative income inequity raises the measured strength of advantageous inequity aversion but does not affect disadvantageous inequity aversion preference. Our results suggest controlling for choice sets and relative income inequity between players to improve the measurement accuracy of inequity aversion preference.     

Inequity at work: Its measurement and association with worker health

Abstract

This paper considers the extent to which stress-induced illness can be regarded as a personal injury that could give rise to civil action for damages against employers in the UK. It outlines the results of a brief survey of personal injury solicitors, which indicates that claims are already being initiated by employees who allege they have suffered a stress-induced illness. The potential for claims within industrial tribunal cases that have already been decided is also examined. Consideration is given to the hurdles that litigants will have to surmount, such as proving that their condition was in fact caused by some feature of their working conditions, showing that it was foreseeable that they would suffer a stress-based injury, and demonstrating that their employer was in some way at fault. This leads to a questioning of what employers can do to protect themselves from such claims, or at least defend them successfully. The paper points out that success is likely to depend heavily upon the quality of expert medical opinion, and also upon policy conditions that may influence those adjudicating on such cases. It is concluded that the cost of losing claims may be significant, and that employees who ignore the warning signs do so at their peril.     

Inequity aversion revisited

Using a laboratory experiment, we study the predictive power of the Fehr–Schmidt (1999) model of inequity aversion and its robustness to reciprocity and stakes. We find stronger evidence for the model’s predictive power at the individual level than what the existing literature suggests. This finding is robust to stakes. However, the model’s predictive power is highly reduced if subjects can reciprocate others’ actions. This suggests that parameter estimates obtained in an environment that allows for reciprocal responses yield a bias in the parameter estimates. In particular, previous estimates (especially of the disutility of disadvantageous inequity aversion) may overestimate the importance of inequity aversion.     

Altruism and information

Experimental literature has accumulated evidence on the association of social identity to a higher or lower level of prosocial behavior. There is also evidence that donations are affected by the mere provision of information about the recipients, whatever its nature or content. In this paper, we present a unified experimental framework (within-subjects) to analyze the impact of different information sets (that concern social class, political orientation or gender) on the level of giving; our experimental design allows us to reveal the effect of three information sets, with respect to the baseline treatment of no information, and separately from the effect of the informational content. A between-subjects replication in M-Turk provides results in the same direction, although the treatment effects are much weaker. These results could be relevant to any design intended to measure the impact on altruism of different dimensions of social identity.     

一个揭示教育不平等的社会学分析框架

被称为文化再生产理论的布迪厄教育理论在社会学与教育学领域内占据着独特的地位,它是一种揭示现代学校教育不平等的社会学分析框架。布迪厄认为学校教育不是一种铲除社会不平等的制度,相反,它以“遗传”的方式生产和再生产社会不平等,并使此类不平等正当化和永久化。此外,教育的不平等也并非仅仅取决于经济因素,而是各种因素共同作用的结果。在诸多因素中,文化起到了至关重要的作用。     

Absenteeism, turnover intention and inequity in the employment relationship

In this field study a preliminary social exchange model was proposed that related perceived inequity in the employment relationship to subsequent absenteeism and turnover intention. From an equity perspective, it was hypothesized that absenteeism and turnover intention are indirectly related to perceived inequity in the exchange relationship with the organization, mediated by feelings of resentment and poor organizational commitment. By employing covariance structure modelling, the model was tested among mental health care professionals (N = 90). The results demonstrated that the relationship between perceived inequity and turnover intention was fully mediated by poor organizational commitment, which was, in turn, partially triggered by feelings of resentment that were associated with perceived inequity. In contrast, there was a strong direct link between inequity in the employment relationship and absenteeism, not mediated by resentment and poor organizational commitment. It was concluded that absenteeism and turnover intention can both be considered to be withdrawal reactions to perceived inequity, but that the two reactions differ in their underlying dynamics. The implications of these findings were discussed.     

The Role of Dominance Hierarchy in the Evolution of Social Species

A number of animal species from different lineages live socially. One of the features of social living is the formation of dominance hierarchy. Despite its obvious benefit in the survival probability of the species, the hierarchical structureitself poses psychological and physiological burden leading to the chronic activation of stress related pathways. Considering these apparently conflicting observations, here we propose that social hierarchy can act as a selective force in the evolution of social species. We also discuss its role on social psychology.     

Rural empowerment through the arts: The role of the arts in civic and social participation in the Mid West region of Western Australia

To combat social and economic inequity in rural Australia, governments, communities, and policy makers are seeking ways to empower local residents to find local solutions to local problems. Through an exploratory review of the literature and semi-structured interviews conducted in the Mid West of Western Australia, this research examined the role of the arts as a vehicle for increased social and civic participation to build resilience to inequity. For those interviewed, the arts were observed to strengthen sense of place and community identity. The arts were utilised as a means for encouraging and enabling civic participation, as well as providing opportunities for social interaction and networking, which are essential for the health and wellbeing of rural and remote residents. While providing a context for civic and social participation, the arts were viewed by several of those interviewed as a means for facilitating understanding between divisive and disparate groups. Yet, it was noted that the execution and drive for arts activities and events was dependent on the availability of human capital, but also on support from governance and funding authorities to build capacity to sustain these activities. If, as suggested by this exploratory review, the arts are a vehicle for building resilience in rural Australia, then further research is needed to support these claims to enable continued and future support for not just the arts, but the capacity of communities to engage in the arts.     

Is ‘Candidacy’ a Useful Concept for Understanding Journeys through Public Services? A Critical Interpretive Literature Synthesis

Across the public sector there is concern that service uptake is inequitably distributed by socio‐economic circumstances and that public provision exacerbates the existence of inequalities either because services are not allocated by need or because of differential patterns of uptake between the most and least affluent groups. A concept that offers potential to understand access and utilization is ‘candidacy’ which has been used to explain access to, and utilization of, healthcare. The concept suggests that an individual's identification of his or her ‘candidacy’ for health services is structurally, culturally, organizationally and professionally constructed, and helps to explain why those in deprived circumstances make less use of services than the more affluent. In this article we assess the fit of candidacy to other public services using a Critical Interpretive Synthesis of three case studies literatures relating to: domestic abuse, higher education and environmental services. We find high levels of congruence between ‘candidacy’ and the sampled literatures on access/utilization of services. We find, however, that the concept needs to be refined. In particular, we distinguish between micro, meso and macro factors that play into the identification, sustaining and resolution of candidacy, and demonstrate the plural nature of candidacies. We argue that this refined model of candidacy should be tested empirically beyond and within health. More specifically, in the current economic context, we suggest that it becomes imperative to better understand how access to public services is influenced by multiple factors including changing discourses of deservedness and fairness, and by stringent reductions in the public purse.