摘要
现阶段以人工智能为代表的数字革命加速演进,其对全面推进健康中国建设的支撑作用尚未充分挖掘。基于随机抽取的2594份居民调研数据,利用结构方程模型和Bootstrap中介效应分析法对健康自我效能如何影响健康水平的作用机制进行研究,结果显示,健康自我效能的提高可以通过数字健康参与对健康水平起到显著的促进作用。带调节的中介模型表明,居民健康素养不仅会作为中介变量在健康水平影响路径中发挥负向链式中介效应,还在数字健康参与和健康水平之间起到负向调节作用,当健康素养位于较低水平时,数字健康参与对健康水平的正向作用会更加显著。进一步的群组分析也表明,中介效应和调节效应在女性、老年人、低社会经济状况群体中更为明显。因此,应着力提升弱势群体的数字健康参与能力,以期消除人群中的健康不平等现象。
The ongoing digital revolution,represented by artificial intelligence,is rapidly evolving,yet its supportive role in advancing the Healthy China initiative remains underexplored.Based onthe randomly sampled survey data from 2,594 residents,this study employs structural equation modeling and Bootstrap mediation analysis to examine the mechanism by which health self-efficacy influences health status.The results indicate that improved health self-efficacy can significantly promote health status through digital health engagement.A moderated mediation model further reveals that residents’health literacy not only exerts a negative chain mediating effect in the pathways that influence health status but also negatively moderates the relationship between digital health engagement and health status.When health literacy is at a lower level,the positive effect of digital health engagement on health status becomes more pronounced.Further subgroup analysis shows that the mediating and moderating effects are more evident among women,older adults,and groups with lower socioeconomic status.Therefore,this study suggests that policymakers should focus on enhancing the digital health engagement capacity of vulnerable groups to mitigate health inequalities across populations.
作者
王培刚
肖奥
WANG Pei-gang;XIAO Ao
出处
《东南大学学报(哲学社会科学版)》
北大核心
2025年第6期77-87,156,共12页
Journal of Southeast University(Philosophy and Social Science)
基金
国家社会科学基金重大项目“健康中国的实施路径和主体间关系调整研究”(24&ZD165)成果之一。
