Abstract: It is important to understand the influence of early family circumstances on health in old age and to reduce or eliminate health differences in order to achieve healthy ageing. In this study, Shapley and Fairlied value composition methods are used to analyze the degree of contribution of various early family environmental factors to the health of older people. The heterogeneity of the early family circumstances is examined. Early family circumstances not only have the highest contribution to the health in old age, but are also important for different regions. The study suggests that the early family circumstances should be included in the Healthy China Strategy, and the early childhood development policies should be included in the countrys rural revitalization plan, so as to provide fair family circumstances and good starting point for all children, and promote the construction of healthy China and healthy ageing from the early life and family perspective.

Keywords: Family Circumstances in Early Life, Whole Life Cycle Health, Spatial Heterogeneity of Health in Old Age, Healthy Ageing

摘要： 生命历程早期是家庭环境对个人影响最为关键的时期，因个人不能改变的早期家庭环境造成的健康差异所导致的健康不平等，需要政府关注和干预。厘清早期家庭环境对老年健康的影响，减少或消除不平等的健康差异，对于实现健康老龄化至关重要。使用中国健康与养老追踪调查（CHARLS）数据，采用Shapley和Fairlie值分解方法，分析早期不同家庭环境因素对老年健康的贡献程度，并比较各类因素对不同区域老年健康影响的异质性。研究发现，早期家庭环境不仅对老年健康的相对贡献最高，而且是导致老年健康区域差异的重要因素。建议在健康中国战略中纳入“早期家庭环境”维度，并将儿童早期发展纳入国家的乡村振兴规划，提供公平和良好的起点，从生命早期和家庭层面推进健康中国建设和健康老龄化。

关键词: 生命早期家庭环境, 全生命周期健康, 老年健康区域异质性, 健康老龄化