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2026, 02, v.45 29-38
户籍居住隔离与农村流动人口公共卫生服务获取
基金项目(Foundation): 国家社会科学基金青年项目“基本公共服务均等化促进农村流动人口消费的影响机制与对策研究”(21CJY067)
邮箱(Email):
DOI: 10.16388/j.cnki.cn42-1843/c.2026.02.003
摘要:

国家基本公共卫生服务项目免费向常住地居民提供,但农村流动人口的基本公共卫生服务利用率却显著低于本地城市居民,这可能和基于户籍的居住隔离有关。利用中国流动人口动态监测调查数据,实证检验户籍居住隔离对农村流动人口基本公共卫生服务获取的影响。研究结果表明,居住地的户籍居住隔离程度越深,农村流动人口建立健康档案的可能性更低,接受过健康教育的可能性也更低。户籍居住隔离会降低农村流动人口对基本公共卫生服务项目的知晓度,加剧居住地和基本公共卫生服务提供地之间的空间错配,延缓农村流动人口的社会融合,显著加大农村流动人口获取基本公共卫生服务项目难度。因此,要推进居民交叉融合的公共住房制度建设,在实现居住融合的过程中提高全民基本公共卫生服务参与度。

Abstract:

The national basic public health service program of China is provided free of charge to residents in their permanent residence area. However,the rural migrant population notably make less use of basic public health services than local urban residents. This may be related to the residential segregation based on household registration. Using the data from China Migrants Dynamic Survey,an empirical study is conducted to examine the impact of separation between registered household and actual dwelling on rural migrants' access to basic public health services. The research results show that the higher degree of segregation in one area,the less likely for rural migrants to establish health records and to receive health education. The segregation reduces the rural migrants' awareness of basic public health service programs,exacerbates the spatial mismatch between the dwelling place and the location that provides the basic public health services,delays the social integration of rural migrants,and significantly increases the difficulty for rural migrants to access basic public health service programs. Therefore,it is necessary to promote the construction of a urban-rural cross-integrated public housing system,and enhance the participation of the entire population in basic public health services while achieving housing integration.

参考文献

[1]冷晨昕,祝仲坤.城市公共卫生服务的户籍歧视:城乡之分抑或内外之别[J].中国农村经济,2023(13):81-99.

[2]Yuan B,Balabanova D,Gao J,et al. Strengthening Public Health Services to Achieve Universal Health Coverage in China[J]. BMJ,2019(21):1-4.

[3]尤莉莉,刘远立.国家基本公共卫生服务项目十年评价(2009—2019年):实施国家基本公共卫生服务项目的意义和经验[J].中国全科医学,2022(26):3203-3208.

[4]Chyn E,Haggag K,Stuart B. The Effects of Racial Segregation on Intergenerational Mobility:Evidence from Historical Railroad Placement[J]. NBER Working Paper,2022(1):30563.

[5]Li Z,Gou F. Residential Segregation of Rural Migrants in Post-Reform Urban China[J]. Handbook on Urban Segregation,2020(1):55-75.

[6]Zhu P. Residential Segregation and Employment Outcomes of Rural Migrant Workers in China[J]. Urban Studies,2016(8):1635-1656.

[7]Ma X,Zhou Y. Residential Segregation and Educational Attainment of Children from Regional Migrant Families in China[J]. Review of Development Economics,2019(1):348-375.

[8]Zhu P,Zhao S,Wang L,et al. Residential Segregation and Commuting Patterns of Migrant Workers in China[J]. Transportation Research Part D:Transport and Environment,2017(5):586-599.

[9]Liu C Y,Chen J,Li H. Linking Migrant Enclave Residence to Employment in Urban China:The Case of Shanghai[J]. Journal of Urban Affairs,2019(2):189-205.

[10]Cutler D M,Glaeser E L. Are Ghettos Good or Bad?[J]. The Quarterly Journal of Economics,1997(3):827-872.

[11]Ananat E O. The Wrong Side(s)of The Tracks:The Causal Effects of Racial Segregation on Urban Poverty and Inequality[J]. American Economic Journal:Applied Economics,2011(2):34-66.

[12]Niemesh G,Shester K. Racial Residential Segregation and Black Low Birth Weight,1970-2010[J].Regional Science and Urban Economics,2020(7):1-16.

[13]White M J,Wang R,朱格,等.居住隔离论:理论与方法的比较研究[J].山东社会科学,2016(1):96-106.

[14]左伟灿.美国居住隔离及包容性住房政策研究综述:成因、影响及启示[J].建筑师,2023(2):113-119.

[15]刘万奇,杨金侠,汪志豪,等.中国基本公共卫生服务实施经验、问题与挑战[J].中国公共卫生,2020(12):1677-1681.

[16]张慧,陈琳,张秋,等.广东省流动人口基本公共卫生服务参与及影响因素分析[J].中国健康教育,2021(6):553-557.

[17]杨晓花,党媛媛,李月,等.流动人口基本公共卫生服务参与及影响因素分析[J].中国公共卫生管理,2022(4):475-478.

[18]Jing Z,Wang Y,Ding L,et al. Effect of Social Integration on The Establishment of Health Records among Elderly Migrants in China:A Nationwide Cross-Sectional Study[J]. BMJ Open,2019(12):34255.

[19]Wang Z,Wu Q,Ming J. The Relationship between Homeownership and the Utilization of Local Public Health Services among Rural Migrants in China:A Nationwide Cross-Sectional Study[J]. Frontiers in Public Health,2020(12):1-8.

[20]贺安琦,喻妍,郑思,等.教育与基本公共卫生服务参与的关系:社会融合的中介作用[J].现代预防医学,2021(9):1609-1613.

[21]张楠,高梦媛,寇璇.卫生公平的文化壁垒:跨方言区流动降低了公共卫生服务可及性吗[J].财贸经济,2021(2):36-50.

[22]许兴龙,周绿林,何媛媛.社会资本与老年人基本公共卫生服务主动利用:基于家庭医生签约视角[J].人口与发展,2022(1):30-39.

[23]Niu D,Sun W,Zheng S. The Role of Informal Housing in Lowering China’s Urbanization Costs[J]. Regional Science and Urban Economics,2021(11):1-16.

[24]Yao J,Lu X,Qiu F. Residential Segregation and Employment Stability among China’s Migrant Population, and Related Intergenerational DifferencesAnalysis Based on Propensity Score Matching[J]. International Journal of Urban Sciences,2022(4):632-650.

[25]Liu L,Huang Y,Zhang W. Residential Segregation and Perceptions of Social Integration in Shanghai,China[J]. Urban Studies,2018(7):1484-1503.

[26]徐清华,张广胜.居住隔离与农村流动人口市民化[J].华南农业大学学报(社会科学版),2022(1):43-53.

[27]Giles J,Meng X,Xue S,et al. Can Information Influence the Social Insurance Participation Decision of China’s Rural Migrants?[J]. Journal of Development Economics,2021(150):102-156.

[28]魏万青.居住模式与“用工荒”:兼论城市住房政策的调整[J].社会学研究,2021(5):203-225.

[29]Xu M,Wu F,Moore S,et al. Migrants’Willingness to Contact Local Residents in China[J]. Cities,2023(2):1-12.

(1)周冠瑜承担部分文献搜集整理、数据处理、论文写作工作。

基本信息:

DOI:10.16388/j.cnki.cn42-1843/c.2026.02.003

中图分类号:R197.1;C924.2;D631.42

引用信息:

[1]温兴祥.户籍居住隔离与农村流动人口公共卫生服务获取[J].江汉学术,2026,45(02):29-38.DOI:10.16388/j.cnki.cn42-1843/c.2026.02.003.

基金信息:

国家社会科学基金青年项目“基本公共服务均等化促进农村流动人口消费的影响机制与对策研究”(21CJY067)

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