摘要
人民健康是民族昌盛和国家富强的重要标志。《健康中国行动2019—2030》指出,牢固树立“大卫生、大健康”理念,政府、社会、个人协同推进,形成有利于健康的生活方式、生态环境和社会环境。基于此,本文从地理学的角度探究健康城市基本内涵,构建融合“五维”体系的健康城市建设的综合评价体系,以341个地级单元为研究对象,探求健康城市建设的时空异质性及形成机制。结果显示:(1)健康城市建设的总体水平呈上升态势,2010年、2015年、2020年综合健康指数均值为0.367、0.402和0.438,表现为“沿海高内陆低、东部高西部低”的布局特征;各地级单元城市在医疗水平、经济基础、文化发展、社会服务、生态环境5个维度呈现出不同的区域差异,空间格局呈现多样性特征。(2)健康城市的建设水平表现出显著的全局空间自相关性,大致呈现出“东部热,西部冷;沿海热,内陆冷”的空间分布状态。健康城市建设的总体区域差异呈现先增后减的趋势,健康城市建设逐步走向区域协同发展。(3)自然环境和人为活动的本底条件、建设基础和发展能力分别为健康城市建设空间格局的基础性因素、内在动力因素和外援推动因素。地均GDP产值、平均高程、人口密度、交通通达度等因素对健康城市建设的空间格局影响力较大。本文以“人地关系”为核心,从地理学视角厘清了健康城市建设的“五维”体系,明晰了健康城市建设的路径,据此提出健康城市区域协同建设的调控策略,为全面推进健康城市建设、助力健康中国战略实施提供科学依据。
The health of the people is an important indicator of national prosperity and strength.The"Healthy China 2019-2030"initiative emphasizes the need to firmly establish the concept of"health and hygiene",with the government,the public,and individuals working together to promote a lifestyle,ecological environment,and social environment conducive to good health.Building upon this,this study explores the fundamental aspects of a healthy city from a geographical perspective and develops a comprehensive evaluation system that integrates a"five-dimensional"framework for the construction of a healthy city.The research focuses on 341 prefecture-level units in China and investigates the spatiotemporal heterogeneity and formation mechanisms of healthy city construction in the country.The findings indicate the following:(1)The overall level of healthy city construction in China is on the rise.The average comprehensive health index for the years 2010,2015,and 2020 was 0.367,0.402,and 0.438,respectively,exhibiting a layout characteristic of higher development level along the coastal regions and lower development level in the inland areas,as well as higher level in the eastern part compared to the western part.Various prefecture-level units exhibit regional disparities across five dimensions,including medical services,economic foundations,cultural development,social services,and ecological environment,resulting in diverse spatial patterns.(2)Healthy city construction in China demonstrates significant overall spatial autocorrelation,revealing a spatial distribution pattern characterized by warmer development in the eastern and coastal regions and cooler development in the western and inland regions.The overall regional disparities in healthy city construction follow a trend of initial increase followed by a decrease,indicating a gradual shift towards coordinated regional development.(3)The natural environment,human activities,construction foundations,and development capabilities serve as fundamental,intrinsic driving,and external
作者
秦伟山
赵明明
张义丰
孙海燕
张朔
綦凤训
李笑寒
杨沁儒
QINWeishan;ZHAO Mingming;ZHANG Yifeng;SUN Haiyan;ZHANG Shuo;QI Fengxun;LI Xiaohan;YANG Qinru(School of Resources and Environmental Engineering,Ludong University,Yantai 264025,Shandong,China;Institute of Geographic Sciences and Natural Resources Research,CAS,Beijing 100101,China)
出处
《地理学报》
EI
CSCD
北大核心
2023年第11期2883-2902,共20页
Acta Geographica Sinica
基金
山东省泰山学者青年专家计划(tsqn202306240)
国家社会科学基金项目(19CGL070)。
关键词
健康城市
演变机理
调控策略
健康中国
地理学
healthy city
formation mechanism
regulation strategy
Healthy China
geography
