GIS-based assessment of spatial and temporal disparities of urban health index in Shenzhen, China.

Duan Yongheng, Xie Shan, Liu Fei, Tang Jinglin, Gong Liyue, Liu Xiaoying, Wen Tingxiao, Wang Hongrui
Author Information
  1. Duan Yongheng: Shenzhen Health Development Research and Data Management Center, Shenzhen, Guangdong, China.
  2. Xie Shan: Shenzhen Health Development Research and Data Management Center, Shenzhen, Guangdong, China.
  3. Liu Fei: Shenzhen Health Development Research and Data Management Center, Shenzhen, Guangdong, China.
  4. Tang Jinglin: National Defense Technology Strategic Research Think Tank of National University of Defense Technology, Changsha, Hunan, China.
  5. Gong Liyue: School of Life Sciences, Central South University, Changsha, China.
  6. Liu Xiaoying: Library of Central South University, Changsha, China.
  7. Wen Tingxiao: School of Life Sciences, Central South University, Changsha, China.
  8. Wang Hongrui: School of Life Sciences, Central South University, Changsha, China.

Abstract

Purpose: To explore the inter-regional health index at the city level to contribute to the reduction of health inequalities.
Methods: Employed the health determinant model to select indicators for the urban health index of Shenzhen City. Utilized principal component analysis, the weights of these indicators are determined to construct the said health index. Subsequently, the global Moran's index and local Moran's index are utilized to investigate the geographical spatial distribution of the urban health index across various administrative districts within Shenzhen.
Results: The level of urban health index in Shenzhen exhibits spatial clustering and demonstrates a positive spatial correlation (2017, Moran's ���=���0.237; 2019, Moran's ���=���0.226; 2021, Moran's ���=���0.217). However, it is noted that this clustering displays a relatively low probability (90% confidence interval). Over the period from 2017 to 2019, this spatial clustering gradually diminishes, suggesting a narrowing of health inequality within economically developed urban areas.
Conclusion: Our study reveals the urban health index in a relatively high-income (Shenzhen) in a developing country. Certain spatially correlated areas in Shenzhen present opportunities for the government to address health disparities through regional connectivity.

Keywords

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MeSH Term

China
Humans
Health Status Disparities
Geographic Information Systems
Urban Health
Spatio-Temporal Analysis
Socioeconomic Factors
Cities