地理研究 ›› 2020, Vol. 39 ›› Issue (1): 115-128.doi: 10.11821/dlyj020181028

• 论文 • 上一篇    下一篇

中国南方地区卫生资源与居民健康的时空关系

龚胜生, 陈云   

  1. 华中师范大学城市与环境科学学院/可持续发展研究中心,武汉430079
  • 收稿日期:2018-09-25 修回日期:2019-02-20 出版日期:2020-01-20 发布日期:2020-03-20
  • 作者简介:龚胜生(1965-),男,湖南涟源人,博士,教授,博士生导师,主要从事历史地理学、医学地理学和可持续发展研究。E-mail: shshgong@mail.ccnu.edu.cn
  • 基金资助:
    湖北省自然科学基金创新群体项目(2016CFA026);华中师范大学中央高校基本科研业务费创新团队培育项目(CCNU18CXTD05)

Temporal-spatial relationship between health resources and residents' health in Southern China

GONG Shengsheng, CHEN Yun   

  1. College of Urban and Environmental Science / Institute of Sustainable Development, Central China Normal University, Wuhan 430079, China
  • Received:2018-09-25 Revised:2019-02-20 Online:2020-01-20 Published:2020-03-20

摘要:

卫生资源是维护居民健康的物质基础,居民健康水平与卫生资源水平密切相关。采用空间变异系数、GIS空间分析、地理加权回归等分析方法,对2000—2015年中国南方地区的卫生资源与居民健康的时空关系进行研究,结果表明:① 过去15年间,中国南方地区绝大多数地市(96.02%)的卫生资源水平都是持续提高的;卫生资源水平的空间差异逐渐减小,均等化程度不断提升,表现为最高区不断扩大,最低区不断缩小,空间变异系数下降23.29%;川西高原、长江三角洲、珠江三角洲为卫生资源水平最高区。② 过去15年间,中国南方地区所有地市的居民健康水平都是持续提高的;居民健康水平呈现出自东向西梯度降低的空间分异,最高区不断扩张,最低区不断收缩,空间差异大幅减小,空间变异系数下降了64.62%。③ 中国南方地区的居民健康水平与卫生资源水平呈中度显著正相关(r=0.49),但在不同的地市,卫生资源水平对居民健康水平的贡献是不一样的,呈现出显著的空间异质性影响。

关键词: 卫生资源, 居民健康, 时空关系, 中国南方地区

Abstract:

Health is not only the basic human right, but also the foundation of personal happiness and national prosperity. Over the past 40 years of reform and opening up, Chinese residents' health has continued to improve. Health resources are the material basis for maintaining residents' health, and residents' health level is closely related to health resources level. At present, there are significant regional differences in health resources and residents' health in China. Promoting equalization level of health resources and reducing regional differences in residents' health are an important goal of "Healthy China" construction and also a vital task of health geography research. Therefore, it is of great academic value and practical significance to study the relationship between health resources and residents' health in China. Based on the coefficient of variation, geographic mapping and GWR, this paper analyzed the temporal and spatial variations of health resources and residents' health in Southern China from 2000 to 2015, and the temporal-spatial relationship between health resources and residents' health. The results showed that:

(1) In the past 15 years, the health resources level of most of municipalities in Southern China (96.02%) has been continuously improving. Meanwhile, the spatial difference of health resources level gradually decreases, and the equalization level continues to increase, which is reflected as the continuous expansion of high-value region, the shrinking of low-value region and the decline of the coefficient of variation of municipalities by 23.29%. Furthermore, the western Sichuan Plateau, the Yangtze River Delta and the Pearl River Delta are the high value-region of health resources.

(2) In the past 15 years, the residents' health level of all municipalities in southern China has been continuously improving. The spatial difference of residents' health level from east to west is obvious, but the high-value region expands continuously, the low-value region shrinks continuously, the spatial difference decreases greatly and the coefficient of variation of municipalities decreased by 64.62%.

(3) In Southern China, residents' health level is moderately positively correlated with the health resources level (r=0.49), but in different cities, the contributions of health resources level to residents' health level are different, which shows significant spatial heterogeneity effects.

Key words: health resources, residents' health, the temporal-spatial relationship, Southern China