基于CFPS2010、2012、2014、2016四期面板数据，研究健康冲击对中国农村居民家庭消费的影响与机制，结果表明：健康冲击显著推高了家庭总消费和多个分项消费，其中以医疗保健消费的增加幅度为最高，健康冲击也显著推高了家庭医疗保健消费占比，降低了衣着、文教娱乐等消费占比，破坏了家庭消费结构；随着家庭总消费分位点的上升，健康冲击的影响系数也逐步递增；健康冲击对家庭总消费的影响系数存在地区、收入阶层差异；健康冲击通过对家庭工资性收入、生产经营收入、储蓄率、亲戚借款金额、非正式转移性收入、正式转移性收入产生影响，进而影响家庭总消费。

Based on the four panel data of the China Family Panel Studies(CFPS) in 2010, 2012, 2014 and 2016, the paper explores the impact and mechanism of health shocks on Chinese rural households’ consumption. Results show that health shocks can remarkably upraise a family’s total consumption and its multiple sub-consumption, among which the increase in health care consumption is the largest; and health shocks significantly augment the proportion of consumption in household health care, reduce the proportion of consumption in clothing, culture, education and entertainment, and destroy the household consumption structure. With the rise in a family’s total consumption quantile, the coefficients of health shocks on a family’s total consumption is on the gradual increase, displaying differences in regions and income classes. Health shocks can affect a family’s total consumption through its wage income, production and operation income, household savings rate, relative borrowing amount, informal transfer income, and formal transfer income.

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