The present disclosure provides a modified polyvinyl alcohol-based polymer, which comprises a modifying monomer unit represented by Formula wherein, X is a moiety comprising an alkenyl group, and the modified polyvinyl alcohol-based polymer has a saponification degree of 67 mol % to 78 mol % and a modification rate of 0.02 mol % to 1.5 mol %. The modified polyvinyl alcohol-based polymer is suitable to be used as a dispersant for suspension polymerization, to make the obtained polyvinyl chloride-based resin have reduced particle diameter and few coarse particles.