关键词: 人口健康, 脆弱性, 健康脆弱性, 集对分析

Abstract:

Health is a person's basic rights, is also the important content of well-off society construction in our country. Regional population health system is an essential subsystem of man-land relationship territorial system. Chinese residents’ health system has become more unstable, complicated and vulnerable due to industrialization, urbanization, population aging and changes of disease spectrum, worse environment and unhealthy lifestyle. By establishing an assessment index system of population health vulnerability, this article employed the set pair analysis method to measure the health vulnerability index of 31 provinces in China. In addition, the obstacle degree model was introduced to investigate the influencing factors of the vulnerability index distribution differences and the main obstacle factors. This article used the authoritative data, both from the statistical yearbooks and statistical bulletins published by government department. The findings showed that: 1) In 2014, the health vulnerability of Chinese residents varied vastly on a provincial level. Top five provinces were Guizhou, Xinjiang, Gansu, He’nan, and Yunnan. Among them, most were located in West China except He’nan province, while the last five ones were Liaoning, Jiangsu, Tianjin, Shanghai and Beijing, all in East China. From an overall perspective, the health vulnerability of Chinese residents was strong in the west, middle in the central area and weak in the east, which coincided with the distribution of health sensitivity index. The response index, however, was different in space distribution which was strong in the east, middle in the west and weak in central China; 2) According to the mean and standard deviation of vulnerability index, 31 provinces fell into four categories of degree, which were weak, middle, middle strong and strong respectively. Figures suggest that regional difference of the health vulnerability index among the provinces was apparent. The provinces of weak vulnerability were all distributed in the eastern area while the strongly vulnerable provinces were located in the western area; the middle and middle strong vulnerability provinces had lion’s share, distributed in all three areas. The sensitivity index, response index and their relationships were different among different vulnerability level provinces; 3) To promote residents’ health and reduce health vulnerability. it is important to maintain economic growth at a middle or high speed, increase residents’ income steadily and invest more in social security, public health, health care and environmental protection to improve the coping capacity of society. According to the “Healthy China 2030” plan issued in October of 2016, the next 15 years is an important period with strategic opportunities of construction of healthy China. This paper succeeds in drawing meaning full and practical conclusions by applying pair analysis method to study the health vulnerability. Meanwhile, the findings also expand and develop the theory and methodology for the health geography.

Key words: population health, vulnerability, health vulnerability, set pair analysis