摘要
目的:为有效识别城市发展过程中的健康风险,提高居民健康福祉,制定相关公共卫生政策提供实证依据。方法:通过熵权法和聚类分析,对中国54个城市的健康发展水平进行比较研究。结果:(1)健康城市总体发展水平及态势良好,但健康发展不平衡问题比较突出,区域、城市及领域之间存在较大差距;(2)在健康城市六个子系统中,健康经济得分较高、发展较好,而健康社会、健康人群、健康环境、健康文化、健康服务得分较低,发展相对薄弱;(3)健康城市子系统指数与城市人口规模关系强弱不同,其中健康经济及健康人群关联较强;(4)健康城市综合指数得分与其子系统指数得分并不统一,有的城市综合得分较高但其子系统中某一单项得分靠后,有的城市综合指数得分不高但其某个单项得分靠前。结论:健康城市发展是一个动态过程,针对不同城市发展中存在的问题,“补短板、强弱项”,从而推动健康城市发展和健康中国战略实施。
Objective:To provide a theoretical basis for effectively identifying health risks in the process of urban development,improving the health and well-being of residents,and promoting the formulation of relevant public health policies.Methods:Based on the 54 cities database,through entropy weight and cluster analysis,this paper compares and studies the healthy development level of 54 cities in China.Results:(1)The overall development level and trend of healthy cities are good,but the problem of unbalanced healthy development is more prominent,and there are large gaps between regions and cities.(2)Among the six subsystems of healthy cities,the health economy scores higher and develops better,while the healthy society,healthy population,healthy environment,healthy culture and healthy service score low and the development is relatively weak.(3)The six subsystems of a healthy city have different intensities of correlation with urban population size and the correlation between healthy economy,healthy population,and urban population size is strong.(4)The scores of healthy cities composite index are not consistent with the scores of its subsystem index.Some cities have higher comprehensive health scores but lower scores in a single item,while some have lower comprehensive index scores but a higher single item score.Conclusions:Healthy urban development is a dynamic process,it is necessary that the problems existing in the development of different cities are aimed at,shortcomings are complemented and weaknesses are strengthened,to promote the development of healthy cities and the implementation of Healthy China s strategy.
作者
和红
张娇
闫辰聿
HE Hong;ZHANG Jiao;YAN Chen-yu(Population Development Studies Center,Renmin University of China,Beijing 100872,China;Institute of Health Science Research,Renmin University of China,Beijing 100872,China;School of Sociology and Population Studies,Renmin University of China,Beijing 100872,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2023年第8期8-15,共8页
Chinese Journal of Health Policy
基金
中国人民大学公共健康与疾病预防控制跨学科交叉重大创新平台成果(2023PDPC)。
关键词
健康城市
健康社会决定因素
实证分析
Healthy City
Social Determinants of Health
Empirical Analysis