Chinese Center for Disease Control and Prevention, Beijing 102206, China.
National Center for Rural Water Supply Technical Guidance, Chinese Center for Disease Control and Prevention, Beijing 102200, China.
Int J Environ Res Public Health. 2018 Nov 9;15(11):2510. doi: 10.3390/ijerph15112510.
Ensuring an adequate and safe access to sanitation is essential to prevent diseases. Using provincial spatial panel data reported in the China Health Statistical Yearbook and the China Statistical Yearbook, this paper analyzed the spatio-temporal characteristics of improved rural sanitation in 30 Chinese provinces during the period 2006⁻2015, and analyzed factors that may affect improved sanitation rates in rural China. Spatial autocorrelations of improved sanitation rates were computed via Global and Local Moran's I firstly, and then, inter-provincial disparities of improved sanitation were assessed by using the Theil index estimator; finally, the spatial panel model was employed to examine the potential socio-economic factors. Spatial autocorrelations results suggested that the provincial improved sanitation rates changes affect both the provinces themselves and the adjacent regions; Analysis of the spatial panel model revealed that factors such as GDP per capita, investment proportion ratio, centralized water supply, rural residents' expenditure were positively associated with improved sanitation rates, and illiteracy rate of people older than 15 was negatively related with improved sanitation rates. Socio-economic factors had affected the improved sanitation rates in 30 provinces in rural China. Thus, a series of policies, socio-economic measures and personal latrine literacy education should be given to improve the status of improved sanitation rates in rural China.
确保充足和安全的卫生设施的获取对于预防疾病至关重要。本文利用中国卫生统计年鉴和中国统计年鉴中报告的省级空间面板数据,分析了 2006-2015 年中国 30 个省份农村卫生改善的时空特征,并分析了可能影响中国农村卫生改善的因素。首先通过全局和局部 Moran's I 计算了卫生改善率的空间自相关,然后利用 Theil 指数估计器评估了卫生改善的省际差异;最后,采用空间面板模型来检验潜在的社会经济因素。空间自相关结果表明,省级卫生改善率的变化既影响本省,也影响相邻地区;空间面板模型分析表明,人均 GDP、投资比例、集中供水、农村居民支出等因素与卫生改善率呈正相关,而 15 岁以上人口的文盲率与卫生改善率呈负相关。社会经济因素影响了中国农村 30 个省份的卫生改善率。因此,应该采取一系列政策、社会经济措施和个人厕所文化教育,以提高中国农村卫生改善率的现状。