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公众感知下重大传染病疫情冲击对社区韧性驱动因子独立、耦合作用及区域异质性分析

Analysis of the Independence and Coupling Efect of Public Perception on Community Resilience Drivers and Regional Heterogeneity under the Impact of Major Infectious Diseases
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摘要 目的:探究公众感知下重大传染病疫情冲击对社区韧性驱动因子独立、耦合作用及区域特征,为后续精准施策提供理论依据。方法:采用网络调查法在我国东、中、西部各选一个省会城市展开调查,运用地理探测器和ESDA对社区韧性驱动因子进行探测并比较区域异质性特征。结果:政府公信力(0.322)、应急物品准备情况(0.297)是社区韧性的主导因子;任意两因子耦合对社区韧性的解释力均显著增强;各驱动因子对社区韧性的影响在空间上存在差异性,且“风险意识”“政府公信力”“家庭应急计划”是造成区域异质性的关键因子。结论:重大传染病疫情冲击下的社区韧性是多因子耦合作用的结果,多因子耦合对社区韧性的复杂影响需要多部门、多阶段、多机制因地制宜采取差异化的举措,全方位提升社区韧性。 Objective To explore the independence,coupling effect and regional characteristics of public perception on the drivers of community resilience under the impact of major infectious diseases,and provide a theoretical basis for the subsequent precise policies.Methods Each one provincial capital was selected from the eastern,central and western China and studied with network survey method.And the geographic detector and ESDA were used to detect the community resilience drivers and compare the regional heterogeneity characteristics.Results Government credibility and emergency goods preparation are the dominant factors of community resilience.The explanatory power of any two factor coupling on community resilience is significantly enhanced.The influence of drivers on community resilience is different in space,and"risk awareness","government credibility"and"family emergency plan"are the key factors of regional heterogeneity.Conclusion Community resilience under the impact of major infectious diseases is the result of multi-factor coupling.The complex impact of multi-factor coupling on community resilience requires multi-sectoral,multi-stage and multi-mechanism differentiated measures to improve all-round community resilience.
作者 张宁 宁宁 王冰洁 刘莹 Zhang Ning(Harbin Medical University,Harbin,P.R.China)
出处 《中国卫生事业管理》 北大核心 2024年第5期497-499,505,共4页 Chinese Health Service Management
基金 国家自然科学基金“灾难性医疗需求激增情境下卫生系统“韧性”的理论与评价研究”(71874044) 黑龙江省自然科学基金“后疫情时代医疗挤兑风险动态演化机制及韧性治理策略”(LH2021G016)。
关键词 公众感知 重大传染病疫情 社区韧性 驱动因子 耦合 区域异质性 public perception major infectious disease epidemic community resilience driving factors coupling regional heterogeneity
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