1
|
Ma X, Hu Q, He J, Li C, Song M, Wang Y, Qiao H. A study on the factors influencing the vulnerability of women of childbearing age to health poverty in rural western China. Sci Rep 2024; 14:13219. [PMID: 38851773 PMCID: PMC11162415 DOI: 10.1038/s41598-024-64070-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 06/05/2024] [Indexed: 06/10/2024] Open
Abstract
The health of women of childbearing age in rural areas is crucial for the development of individuals, families, and society. Research on the identification and influencing factors of health vulnerability in impoverished and disadvantaged groups is important for adjusting and implementing health poverty alleviation policies. However, there is limited research on the health vulnerability of women of childbearing age in rural Western China. Based on panel data from the Rural Residents' Family Health Status Survey in 2019 and 2022, the vulnerability to health poverty of women of childbearing age in rural areas was constructed using the three-stage feasible generalized least squares method. Variables from four dimensions-physical capital, financial capital, social capital, and human capital-were included in the sustainable livelihood analysis framework for analysis. The Tobit model was used to analyze the influencing factors of vulnerability to health poverty among women of childbearing age in rural Western China, and the contribution rates of various factors were studied using the Shapley value decomposition method. In 2019 and 2022, under the poverty line standards of $1.90 and $2.15, respectively, the vulnerability to health poverty among rural women of childbearing age exceeded 20%. Tobit regression analysis revealed that the type of drinking water being well water significantly increased the vulnerability to health poverty of rural women of childbearing age (P < 0.05), whereas the separation of housing and kitchen, registered poor households, household loans, annual per capita household income, expenditures on social interactions, educational level, self-assessed health status, respondent age, and the utilization of hospital services significantly reduced the vulnerability to health poverty of rural women of childbearing age (P < 0.05). Shapley's decomposition shows that annual per capita household income, expenditures on social interactions, respondent age, and household loans are the factors contributing most to the vulnerability to health poverty of rural women of childbearing age, while other variables have a smaller contribution rate. The health poverty situation of women of childbearing age in rural Western China is not optimistic. Preintervention for health poverty should be strengthened among rural women of childbearing age, early warning mechanisms for the risk of falling back into poverty due to illness should be established, the precise identification of highly vulnerable rural women of childbearing age should be improved, and the medical insurance system for rural women of childbearing age should be enhanced to help improve their current health poverty situation.
Collapse
Affiliation(s)
- Ximin Ma
- School of Public Health, Ningxia Medical University, No. 1160 Shengli Street, Xingqing District, Yinchuan, 750004, Ningxia, China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan, 750004, China
| | - Qi Hu
- Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan, 750004, China
- School of Humanities and Management, Ningxia Medical University, Yinchuan, 750004, China
| | - Jiahui He
- School of Public Health, Ningxia Medical University, No. 1160 Shengli Street, Xingqing District, Yinchuan, 750004, Ningxia, China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan, 750004, China
| | - Chunsheng Li
- School of Public Health, Ningxia Medical University, No. 1160 Shengli Street, Xingqing District, Yinchuan, 750004, Ningxia, China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan, 750004, China
| | - Mingsha Song
- School of Public Health, Ningxia Medical University, No. 1160 Shengli Street, Xingqing District, Yinchuan, 750004, Ningxia, China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan, 750004, China
| | - Youyun Wang
- School of Public Health, Ningxia Medical University, No. 1160 Shengli Street, Xingqing District, Yinchuan, 750004, Ningxia, China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan, 750004, China
| | - Hui Qiao
- School of Public Health, Ningxia Medical University, No. 1160 Shengli Street, Xingqing District, Yinchuan, 750004, Ningxia, China.
- Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan, 750004, China.
| |
Collapse
|
2
|
Zhou X, Yang X. Medical insurance, vulnerability to poverty, and wealth inequality. Front Public Health 2024; 12:1286549. [PMID: 38476487 PMCID: PMC10927954 DOI: 10.3389/fpubh.2024.1286549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 01/31/2024] [Indexed: 03/14/2024] Open
Abstract
Background China has made remarkable achievements in alleviating poverty under its current poverty standards. Despite these immense successes, the challenge of consolidating these achievements remains. In reality, health risks are among the significant factors causing rural households to fall into poverty, and medical insurance is the significant factor mitigating household vulnerability to poverty. Therefore, alleviating or guarding against households falling into poverty is essential. Methods This paper establishes a multi-equilibrium model that incorporates heterogeneous health risks and medical insurance. Through parameter calibration and value function iteration, numerical solutions are derived. Results Heterogeneous health risks significantly increase poverty vulnerability and wealth inequality in rural households. Medical insurance, through its investment incentives and loss compensation effects, efficiently mitigates these issues, especially benefiting those in poorer health. Furthermore, the dual-slanted compensation policy efficiently mitigates the adverse effects of "reverse redistribution." Conclusion Medical insurance effectively mitigates household vulnerability to poverty and wealth inequality. Government departments must establish health records for residents. By recognizing variations in health conditions, these departments can provide households with poorer health conditions with a higher medical expense compensation ratio. In addition, the government should further focus medical expense reimbursements toward households on the cusp of escaping poverty to ensure that they are not plunged back (or further) into poverty due to medical expenses.
Collapse
Affiliation(s)
- Xianhua Zhou
- China Institute for Actuarial Science, School of Insurance, Central University of Finance and Economics, Beijing, China
| | - Xujin Yang
- School of Insurance, Central University of Finance and Economics, Beijing, China
| |
Collapse
|
3
|
Xu Q, Khan S, Zhang X, Usman M. Urbanization, rural energy-poverty, and carbon emission: unveiling the pollution halo effect in 48 BRI countries. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:105912-105926. [PMID: 37718367 DOI: 10.1007/s11356-023-29861-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 09/09/2023] [Indexed: 09/19/2023]
Abstract
The Belt and Road Initiative (BRI) is a significant economic development strategy directed by China. Its primary objective is to establish connectivity across a vast region encompassing over 70 countries in Asia, Europe, and Africa. This endeavor significantly impacts worldwide development, economic advancement, and environmental sustainability. Nevertheless, insufficient pertinent evidence exists when exploring the correlation between urbanization, rural energy poverty (Rural_EP), and carbon emissions (CO2_Em) in the BRI region. The present study examines panel data encompassing 48 countries participating in BRI from 2001 to 2020. This research addresses existing gaps by employing the System-GMM and Driscoll and Kraay Standard Error (DKSE) models to investigate factors influencing CO2_Em. The findings indicate that the presence of energy poverty in rural areas is associated with higher levels of CO2_Em, while urbanization has a mitigating effect on such emissions. Furthermore, adopting production methods and environmentally sustainable technologies by foreign corporations leads to a decrease in CO2_Em, thereby providing evidence of a pollution halo effect in BRI. Moreover, economic growth and industrialization have detrimental environmental consequences, primarily through the amplification of CO2_Em. Based on the empirical evidence, the study proposes policy measures that advocate for promoting renewable energy sources, adopting sustainable urban development practices, implementing energy conservation strategies, and establishing carbon pricing mechanisms.
Collapse
Affiliation(s)
- Qi Xu
- Business School, Zhengzhou University, Zhengzhou, 450001, Henan, China
| | - Salim Khan
- Business School, Zhengzhou University, Zhengzhou, 450001, Henan, China
- School of Management, Guangzhou University, Guangzhou, 510182, Guangdong, China
| | - Xiaojuan Zhang
- Business School, Zhengzhou University, Zhengzhou, 450001, Henan, China.
| | - Muhammad Usman
- School of Economics and Management, and Center for Industrial Economics, Wuhan University, Wuhan, 430072, China
| |
Collapse
|
4
|
Xu Q, Khan S. How Do R&D and Renewable Energy Consumption Lead to Carbon Neutrality? Evidence from G-7 Economies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4604. [PMID: 36901613 PMCID: PMC10002110 DOI: 10.3390/ijerph20054604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 02/28/2023] [Accepted: 03/03/2023] [Indexed: 06/18/2023]
Abstract
The discussion about whether research and development and advanced energy structure can efficiently control pollution has gained the consideration of researchers across the globe. However, there is a lack of enough empirical and theoretical evidence to support this phenomenon. To offer support of empirical evidence along with theoretical mechanism, we examine the net Impact of research and development (R&D) and renewable energy consumption (RENG) on CO2E utilizing panel data from G-7 economies for 1990-2020. Moreover, this study investigates the controlling role of economic growth and nonrenewable energy consumption (NRENG) in the R&D-CO2E models. The results obtained from the CS-ARDL panel approach verified a long-run and short-run relationship between R&D, RENG, economic growth, NRENG, and CO2E. Short- and long-run empirical results suggest that R&D and RENG improve environmental stability by decreasing CO2E, while economic growth and NRENG increase CO2E. Particularly, long-run R&D and RENG reduce CO2E with the effect of -0.091 and -0.101, respectively, while in the short run, they reduce CO2E with the effect of -0.084 and -0.094, respectively. Likewise, the 0.650% (long run) and 0.700% (short-run) increase in CO2E is due to economic growth, while the 0.138% (long run) and 0.136% (short run) upsurge in CO2E is due to an increase in NRENG. The findings obtained from the CS-ARDL model were also verified by the AMG model, while D-H non-causality approach was applied to check the pair-wise relationship among variables. The D-H causal relationship revealed that policies to focus on R&D, economic growth, and NRENG explain variation in CO2E but not vice versa. Furthermore, policies considering RENG and human capital can also affect CO2E and vice versa, meaning there is a round effect between the variables. All this indication may guide the concerned authorities to devise comprehensive policies that are helpful to environmental stability and in line with CO2E reduction.
Collapse
Affiliation(s)
- Qi Xu
- Business School, Zhengzhou University, Zhengzhou 450001, China
| | - Salim Khan
- Business School, Zhengzhou University, Zhengzhou 450001, China
| |
Collapse
|
5
|
Ali T, Khan S. Health, Education, and Economic Well-Being in China: How Do Human Capital and Social Interaction Influence Economic Returns. Behav Sci (Basel) 2023; 13:bs13030209. [PMID: 36975234 PMCID: PMC10045527 DOI: 10.3390/bs13030209] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 02/12/2023] [Accepted: 02/16/2023] [Indexed: 03/04/2023] Open
Abstract
In developing countries, it is generally believed that a good health status and education (human capital) bring economic well-being and benefits. Some researchers have found that there are overall financial returns and income premiums correlated with human capital because of its excellent and higher ability. Due to different views and a lack of consensus, the role of human capital is still ambiguous and poorly understood. This study investigates the economic returns of health status, education level, and social interaction, that is, whether and how human capital and social interaction affect employment and income premiums. Using the Chinese General Social Survey (CGSS) for specification bias, we used the instrumental variable (IV) approach to specify the endogeneity and interaction effect in order to identify the impact and economic returns of human capital and social interaction on the values of other control and observed variables. However, we show that an individual with strong and higher human capital positively affects economic returns, but the variability of these estimates differs across estimators. Being more socially interactive is regarded as a type of social interaction but as not human capital in the labor market; thus, the empirical findings of this study reflect social stability and that the economic well-being of socially active individuals is an advantaged situation. Furthermore, men with substantial human capital and social interaction are in a more advantaged position compared to women with similar abilities.
Collapse
Affiliation(s)
- Tajwar Ali
- Department of World History, School of History, Zhengzhou University, Zhengzhou 450001, China
- Correspondence: (T.A.); (S.K.)
| | - Salim Khan
- Business School, Zhengzhou University, Zhengzhou 450001, China
- Correspondence: (T.A.); (S.K.)
| |
Collapse
|
6
|
Yahong W, Cai Y, Khan S, Chandio AA. How do clean fuels and technology-based energy poverty affect carbon emissions? New evidence from eighteen developing countries. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:37396-37414. [PMID: 36567390 DOI: 10.1007/s11356-022-24798-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 12/13/2022] [Indexed: 06/17/2023]
Abstract
Clean fuels and technology-based energy is an essential source to achieve sustainable economic growth and development. Therefore, the relationship between all types of poverty and other socioeconomic indicators has been studied extensively; nevertheless, clean fuels and technology-based energy poverty, adjusted for carbon emissions, has not been studied. The current study examines the impact of clean fuels and technology-based energy poverty on carbon emissions (Co2e). Using System-Generalized Method of Movement (SGMM) estimators, this study utilized panel data from eighteen developing countries in Asia from 2006 to 2017. The empirical findings obtained from econometric model suggest the presence of clean fuels and technology-based energy poverty and its curse on environment, i.e., energy poverty positively affects Co2e growth in Asian developing countries. Furthermore, economic growth (GDP), trade, and population are also positively associated with Co2e growth and negatively affect environmental quality. Based on the empirical findings of the current study, we recommend robust policy implications that the governments of targeted countries should invest more to increase clean fuels and technologies.
Collapse
Affiliation(s)
- Wang Yahong
- School of Management, Zhengzhou University, Zhengzhou, Henan, China
| | - Yaping Cai
- School of Management, Zhengzhou University, Zhengzhou, Henan, China
| | - Salim Khan
- School of Management, Zhengzhou University, Zhengzhou, Henan, China.
- Business School, Zhengzhou University, Zhengzhou, Henan, China.
| | - Abbas Ali Chandio
- College of Economics, Sichuan Agricultural University Chengdu, Chengdu, China
| |
Collapse
|