The spatiotemporal characteristics and influencing factors of health status in the Belt and Road countries
Health cooperation is an important part of the Belt and Road Initiative(BRI),and the prerequisite for cooperation is to have an in-depth understanding of the health conditions of people in countries along the routes and the factors that affect them.Existing studies on the BRI mainly focus on policy,trade,and economy,but there are few studies on the health status of countries along the routes,the temporal and spatial distribution characteristics of health status,and the natural and socio-economic influencing factors.This study first constructed a health indicator system to objectively and comprehensively quantify the health status of countries along the routes from 2013 to 2019.Then,the spatial analysis methods such as exploratory spatial analysis,and Moran's I analysis were used to analyze the spatiotemporal differentiation of health status in countries along the routes.Finally,based on the health factors such as natural environment,social development level,economic data,and personal living habits,this paper comprehensively uses spatial analysis methods such as geographic detector and spatial Durbin model to analyze the health factors of countries along the routes.The results show that:(1)In general,the health status of countries along the Belt and Road(B&R)is better than the world average,but the differences between countries are significant and have spatial correlation.Europe and its surrounding regions have higher life expectancy and lower mortality rates,while Africa and parts of Latin America have lower life expectancy and higher mortality rates.China's health status is on the medium side.(2)From 2013 to 2019,the health status of B&R countries continued to improve,which is reflected in the continuous rise of life expectancy,and the continuous decline of fertility and mortality,and the improvement rate is significantly greater than that of non-B&R countries.(3)A variety of factors affect the health status of countries along the routes at the national scale,which reflects the social and economic development status,the degree of universal health coverage,which reflects the accessibility of health services,and alcohol consumption and smoking rate,which reflect personal health habits,have the most significant impact.As the initiator of the BRI,China's health status has improved significantly in recent years compared with other countries along the routes.In the future,it is necessary to continue to deepen health cooperation with countries along the B&R,continue to improve people's health and promote economic and social development.
health statusspatial characteristicsspatial analysissocioeconomic determinantSustainable Development GoalsBelt and Road Initiative
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