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全球社会、经济和环境指标对公众健康及健康不平等影响的综合分析:基于脆弱性视角

An Integrated Analysis of Social, Economic, and Environmental Indicators' Effects on Public Health and Health Inequality Globally: From the Perspective of Vulnerability.

作者信息

Yang Xinya, Geng Liuna

机构信息

Faculty of Humanities and Social Science, Nanjing Forestry University, Nanjing, China.

School of Social and Behavioral Science, Nanjing University, 210023 Nanjing, China.

出版信息

Soc Indic Res. 2022;162(3):1261-1279. doi: 10.1007/s11205-022-02877-x. Epub 2022 Feb 2.

Abstract

Public health and health inequality have been widely researched as they are essential for human development and social justice. Although factors influencing public health and health inequality have been explored, an integrated and comprehensive analysis of social, economic, and environmental indicators' effects on public health and health inequality globally is yet to be conducted. The current study addresses this gap by using a theoretical framework that integrates these three dimensions, examining their effects on public health and health inequality from the perspective of vulnerability. Considering the spatial heterogeneity across countries, spatial econometric models and geographically weighted regressions were conducted for the examination of these effects. Our findings reveal the social indicators of urbanisation ratio, social education level, and social governance capacity had positive effects on public health promotion and health inequality elimination globally. Besides these, environmental risk and economic capacity had relatively low impacts on health inequality. Further, the geographically weighted regression results indicate that vulnerability's effects on public health and health inequality varied significantly across countries. This integrated analysis provides national policymakers with a new perspective of vulnerability for public health promotion and health inequality reduction.

摘要

公共卫生与健康不平等已得到广泛研究,因为它们对人类发展和社会正义至关重要。尽管影响公共卫生与健康不平等的因素已被探讨,但尚未对社会、经济和环境指标在全球范围内对公共卫生与健康不平等的影响进行综合全面的分析。本研究通过使用一个整合这三个维度的理论框架来填补这一空白,从脆弱性的角度考察它们对公共卫生与健康不平等的影响。考虑到各国的空间异质性,进行了空间计量模型和地理加权回归以检验这些影响。我们的研究结果表明,城市化率、社会教育水平和社会治理能力等社会指标在全球范围内对促进公共卫生和消除健康不平等具有积极影响。除此之外,环境风险和经济能力对健康不平等的影响相对较小。此外,地理加权回归结果表明,脆弱性对公共卫生和健康不平等的影响在各国之间存在显著差异。这种综合分析为国家政策制定者提供了一个关于促进公共卫生和减少健康不平等的脆弱性的新视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d1d/8809062/3de614a7e6b1/11205_2022_2877_Fig1_HTML.jpg

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