Hu Yuanbo
International College, Krirk University, Bangkok, Thailand.
PLoS One. 2024 Jun 13;19(6):e0305397. doi: 10.1371/journal.pone.0305397. eCollection 2024.
The National Fitness Plan (NFP) is a vital initiative aimed at realizing Healthy China 2030. This study assessed spatial heterogeneity in the NFP development and the socioeconomic factors contributing to this inequality.
Data from 31 administrative regions in 2021 were analyzed using four NFP development metrics. Spatial autocorrelation was evaluated using global Moran's I, followed by global and local regression models for non-random spatial patterns.
National physical fitness exhibited significant clustering (z = 5.403), notably a high-high cluster in East China. The global regression model identified three socioeconomic factors in the geographically weighted regression model: per capita disposable income and the number of public buses positively affected national physical fitness, while general public budget expenditure had a negative impact.
Persistent unequal NFP development is projected due to income disparities in economically backward regions. To promote the NFP effectively, a cost-efficient strategy includes creating 15-minute fitness circles, especially by establishing public sports facilities in Western China communities. These findings inform policy priorities for advancing the NFP towards Healthy China 2030.
全民健身计划（NFP）是实现“健康中国2030”的一项重要举措。本研究评估了全民健身计划发展中的空间异质性以及导致这种不平等的社会经济因素。
使用四项全民健身计划发展指标对2021年31个行政区的数据进行分析。使用全局莫兰指数评估空间自相关，随后使用全局和局部回归模型分析非随机空间模式。
全国身体素质呈现出显著的集聚性（z = 5.403），特别是在中国东部出现了高高集聚。全局回归模型在地理加权回归模型中确定了三个社会经济因素：人均可支配收入和公共汽车数量对全国身体素质有积极影响，而一般公共预算支出则有负面影响。
由于经济落后地区的收入差距，预计全民健身计划的发展将持续不平等。为有效推进全民健身计划，一项具有成本效益的策略包括打造15分钟健身圈，特别是在中国西部社区建立公共体育设施。这些发现为推动全民健身计划迈向“健康中国2030”的政策重点提供了参考。
