关键词: 困境家庭儿童, 家庭生态环境, 家庭关系, 儿童健康, 健康不平等

Abstract: Based on the data of national sampling survey on health status of children from distressed families in China, this study explores the differences in child health caused by distressed environmental factors and its relative contribution. The article uses the Shapley value decomposition method to analyze the vulnerabilities and key areas of healthy development of distressed family children. The results suggest that the growth retardation rate and the proportion of insomnia and loneliness of children is higher in distressed families than in ordinary families; children in distressed families are more vulnerable to injury and bullying in school, and the children in incarcerated families are the most likely to be hurt. Family relationship is the most important factor affecting health of children in distressed families. The influence of guardian quality and family economic environment on the health of children in ordinary families is higher than that in distressed families, and the health status of guardians has the greatest contribution to the self-rated health of children in ordinary families.

Keywords: Children of Distressed Family, Family Ecological Environment, Family Relations, Child Health, Health Inequality