地理科学 ›› 2020, Vol. 40 ›› Issue (8): 1293-1299.doi: 10.13249/j.cnki.sgs.2020.08.008
童磊1(), 郑珂1, 苏飞1,*(
), 汤青1, 曹轶蓉2, 郑艳艳1
收稿日期:
2020-02-16
出版日期:
2020-08-10
发布日期:
2020-12-07
通讯作者:
苏飞
E-mail:zjutonglei@126.com;suf910@163.com
作者简介:
童磊(1989−),男,浙江龙游人,讲师,博士,主要从事城乡规划理论与方法研究。E-mail: 基金资助:
Tong Lei1(), Zheng Ke1, Su Fei1,*(
), Tang Qing1, Cao Yirong2, Zheng Yanyan1
Received:
2020-02-16
Online:
2020-08-10
Published:
2020-12-07
Contact:
Su Fei
E-mail:zjutonglei@126.com;suf910@163.com
Supported by:
摘要:
运用集对分析法从敏感性和应对性2个方面对浙江省11个地市的人口健康脆弱性进行评估。研究表明:① 从敏感性和应对性2个维度对城市人口健康脆弱性进行评估的方法具有一定可靠性,但在突发大型流行性病毒感染疫情的情境下仍需进一步完善;② 各地市脆弱性指数排名与敏感性指数保持较高一致性,而与应对性指数则表现出异质性和随机性,认为降低敏感性是降低城市人口健康脆弱性指数的关键;③ 城市人口健康脆弱性评价还应该增加城市对大型突发公共卫生事件的敏感性和应对能力的考量,相应的评估方法和模型仍有待进一步研究。
中图分类号:
童磊, 郑珂, 苏飞, 汤青, 曹轶蓉, 郑艳艳. 浙江省人口健康脆弱性评估及影响因素分析[J]. 地理科学, 2020, 40(8): 1293-1299.
Tong Lei, Zheng Ke, Su Fei, Tang Qing, Cao Yirong, Zheng Yanyan. Analysis of Population Health Vulnerability Assessment and Influencing Factors in Zhejiang Province[J]. SCIENTIA GEOGRAPHICA SINICA, 2020, 40(8): 1293-1299.
表 1
人口健康脆弱性评价指标体系"
目标层 | 准侧层 | 代码 | 指标层 | 指标含义 | 权重 |
区域人口健康脆弱性 | 敏感性(+) | S1 | 60岁及以上人口所占比重(%) | 反映地区人口年龄结构(+) | 0.0504 |
S2 | 15岁及以上人口文盲率(%) | 反映地区人口受教育水平(+) | 0.0826 | ||
S3 | 甲乙类传染病发病率(1/10万) | 反映地区卫生防疫水平(+) | 0.0556 | ||
S4 | 孕产妇死亡率(1/10万) | 反映地区妇女保健情况(+) | 0.0634 | ||
S5 | 5岁以下儿童死亡率(‰) | 反映地区儿童保健情况(+) | 0.0360 | ||
S6 | 门、急诊诊疗人次(1/10万) | 反映地区个体健康状况(+) | 0.0927 | ||
S7 | 人均废水排放总量(t/人) | 反映地区水环境质量状况(+) | 0.0471 | ||
S8 | 人均工业废气排放量(m3/人) | 反映地区大气质量状况(+) | 0.0692 | ||
S9 | 年末城镇人口比重(%) | 反映地区城市化水平(?) | 0.0356 | ||
应对性(?) | R1 | 人均GDP(元/人) | 反映地区经济发展水平(+) | 0.0895 | |
R2 | 建成区绿化覆盖率(%) | 反映地区环境承载能力(+) | 0.0452 | ||
R3 | 城镇居民基本医疗保险参保率(%) | 反映地区个体健康投入状况(+) | 0.0542 | ||
R4 | 人均可支配收入(元/人) | 反映地区居民生活水平(+) | 0.0445 | ||
R5 | 人均财政医疗卫生支出(元/人) | 反映政府医疗卫生投入强度(+) | 0.0651 | ||
R6 | 人均财政环境保护支出(元/人) | 反映地区环境保护能力(+) | 0.0624 | ||
R7 | 人均财政社会保障和就业支出(元/人) | 反映地区社会保障水平(+) | 0.0524 | ||
R8 | 医疗机构床位数(张/103人) | 反映地区医疗服务可及性(+) | 0.0541 |
表 2
浙江省各地市人口健康脆弱性评价结果"
城市 | 敏感性指数 | 应对性指数 | 脆弱性指数 | 等级 |
绍兴市 | 0.4091 | 0.4633 | 0.4741 | 低 |
台州市 | 0.5683 | 0.5778 | 0.5329 | 低 |
杭州市 | 0.7077 | 0.5724 | 0.5624 | 中等 |
温州市 | 0.6670 | 0.6063 | 0.5909 | 中等 |
湖州市 | 0.7561 | 0.5156 | 0.6234 | 较高 |
嘉兴市 | 0.7590 | 0.5466 | 0.6344 | 较高 |
衢州市 | 0.7572 | 0.6297 | 0.6357 | 较高 |
宁波市 | 0.7995 | 0.4206 | 0.6376 | 较高 |
金华市 | 0.8144 | 0.5423 | 0.7012 | 高 |
丽水市 | 0.8290 | 0.6822 | 0.7030 | 高 |
舟山市 | 0.8584 | 0.4383 | 0.7178 | 高 |
表 3
浙江省各地市影响人口健康脆弱性的主要障碍因子"
城市 | 第一障碍因子 | 障碍度 | 第二障碍因子 | 障碍度 | 第三障碍因子 | 障碍度 | 第四障碍因子 | 障碍度 | 第五障碍因子 | 障碍度 |
杭州市 | S6 | 14.14 | R1 | 13.66 | R6 | 9.52 | R3 | 8.27 | R8 | 8.26 |
宁波市 | R1 | 16.27 | S8 | 12.99 | S6 | 11.41 | R7 | 10.14 | S7 | 9.98 |
温州市 | S2 | 28.96 | R4 | 14.00 | S5 | 13.45 | R3 | 10.33 | S4 | 9.95 |
嘉兴市 | R6 | 10.93 | S1 | 10.45 | S7 | 9.87 | R3 | 8.41 | R1 | 7.72 |
湖州市 | R2 | 12.12 | S8 | 11.09 | R6 | 11.09 | S1 | 8.31 | S2 | 7.97 |
绍兴市 | R1 | 6.56 | S7 | 6.81 | S1 | 8.31 | R4 | 5.65 | R2 | 12.12 |
金华市 | S4 | 12.47 | S3 | 11.09 | R6 | 10.53 | S1 | 7.24 | S2 | 6.26 |
衢州市 | S2 | 13.47 | S8 | 12.99 | R6 | 10.30 | R3 | 7.20 | R7 | 7.17 |
舟山市 | R1 | 13.40 | S4 | 12.56 | R5 | 11.78 | S1 | 9.99 | R7 | 8.82 |
台州市 | S2 | 26.87 | S5 | 11.71 | R3 | 11.19 | R2 | 8.33 | S9 | 7.66 |
丽水市 | R5 | 12.14 | S3 | 10.36 | S4 | 10.26 | R3 | 8.71 | R2 | 8.43 |
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