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评估亚洲地区卫生支出、能源消耗和环境污染对预期寿命的影响。

Evaluating the Influences of Health Expenditure, Energy Consumption, and Environmental Pollution on Life Expectancy in Asia.

机构信息

Department of Marketing, Sumy State University, 40007 Sumy, Ukraine.

Department of Economics, Noakhali Science and Technology University, Noakhali 3814, Bangladesh.

出版信息

Int J Environ Res Public Health. 2023 Feb 23;20(5):4000. doi: 10.3390/ijerph20054000.

Abstract

This study examines the effects of health expenditure, energy consumption, CO emissions, population size, and income on health outcomes in 46 Asian nations between 1997 and 2019. Cross-sectional dependence (CSD) and slope heterogeneity (SH) tests are utilized due to the close linkages between Asian nations as a result of commerce, tourism, religion, and international agreements. The research uses unit root and cointegration tests of the second generation after validating CSD and SH issues. Due to the results of the CSD and SH tests, it is clear that conventional methods of estimation are inappropriate, so a new panel method, the inter autoregressive distributive lag (CS-ARDL) model, is used instead. In addition to CS-ARDL, the study's results were checked with a common correlated effects mean group (CCEMG) method and an augmented mean group (AMG) method. According to the CS-ARDL study, higher rates of energy use and healthcare spending lead to better health outcomes for Asian countries over the long run. CO emissions are shown to be harmful to human health, according to the study. The influence of a population's size on health outcomes is shown to be negative in the CS-ARDL and CCEMG, but favorable in the AMG. Only the AMG coefficient is significant. In most instances, the results of the AMG and CCEMG corroborate the results of the CS-ARDL. Among all the factors influencing life expectancy in Asian countries, healthcare spending is the most influential. Hence, to improve health outcomes, Asian countries need to take the required actions to boost health spending, energy consumption, and long-term economic growth. To achieve the best possible health outcomes, Asian countries should also reduce their CO emissions.

摘要

本研究考察了 1997 年至 2019 年期间,46 个亚洲国家的卫生支出、能源消耗、二氧化碳排放、人口规模和收入对健康结果的影响。由于商业、旅游、宗教和国际协议,亚洲国家之间联系紧密,因此使用横截面相关性(CSD)和斜率异质性(SH)检验。在验证 CSD 和 SH 问题之后,使用第二代单位根和协整检验研究。由于 CSD 和 SH 检验的结果,很明显传统的估计方法是不适当的,因此使用了一种新的面板方法,即交互自回归分布滞后(CS-ARDL)模型。除了 CS-ARDL,研究结果还使用共同相关效应均值组(CCEMG)方法和增广均值组(AMG)方法进行了检查。根据 CS-ARDL 研究,长期来看,较高的能源使用和医疗保健支出率会导致亚洲国家的健康结果更好。该研究表明,二氧化碳排放对人类健康有害。CS-ARDL 和 CCEMG 表明,人口规模对健康结果的影响为负,但 AMG 则为正。只有 AMG 系数是显著的。在大多数情况下,AMG 和 CCEMG 的结果与 CS-ARDL 的结果相符。在影响亚洲国家预期寿命的所有因素中,医疗保健支出的影响最大。因此,为了改善健康结果,亚洲国家需要采取必要措施来增加医疗保健支出、能源消耗和长期经济增长。为了实现最佳的健康结果,亚洲国家还应减少二氧化碳排放。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b008/10002415/c20af61a5a63/ijerph-20-04000-g001.jpg

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