Horizontal and vertical equity and public subsidies for private health insurance in the U.S.

The United States offers two markedly different subsidy structures for private health insurance. When covered through employer-based plans, employees and their dependents benefit from the exclusion from taxable income of the premiums. Individuals without access to employer coverage may obtain subsidies for Marketplace coverage. This paper seeks to understand how the public subsidies embedded in the privately financed portion of the U.S. healthcare system impact the payments families are required to make under both ESI and Marketplace coverage, and the implications for finance equity. Using the Household Component of the Medical Expenditure Panel Survey (MEPS-HC) and Marketplace premium data, we assess horizontal and vertical equity by calculating public subsidies for and expected family spending under each coverage source and using Lorenz curves and Gini and concentration coefficients. Our study pooled the 2018 and 2019 MEPS-HC to achieve a sample size of 10,593 observations. Our simulations showed a marked horizontal inequity for lower-income families with access to employer coverage who cannot obtain Marketplace subsidies. Relative to both the financing of employer coverage and earlier Marketplace tax credits, the more generous Marketplace premium subsidies, first made available in 2021 under the American Rescue Plan Act, substantially increased the vertical equity of Marketplace financing. While Marketplace subsidies have clearly improved equity within the United States, we conclude with a comparison to other OECD countries highlighting the persistence of inequities in the U.S. stemming from its noteworthy reliance on employer-based private health insurance.

The Impact of Income Inequality on Health Levels: Empirical Evidence from China:2002-2016.

Income inequality had been one of the important manifestations of social inequality, which can affect the health level by affecting savings, health care and living standards. Existing researches about the relationship between income inequality and health ignored the comprehensive characteristic of health concept, and did not consider the intrinsic relationship between health and income inequality. This paper attempts to re-shed light on the relationship. Firstly, this paper constructs a new health level evaluation system from three aspects: health basis, health environment and behavior, and health security. By means of the combination evaluation method, the health levels can be obtained. Then, considering the interaction between health and income inequality, a simultaneous equation group model is constructed to empirically test the relationship between income inequality and health levels in China. The results reveal that health level is negatively correlated with income inequality. Reducing income inequality plays an important role in improving health levels in China.

Short-term Gini coefficient estimation using nonlinear autoregressive multilayer perceptron model.

Poverty, an intricate global challenge influenced by economic, political, and social elements, is characterized by a deficiency in crucial resources, necessitating collective efforts towards its mitigation as embodied in the United Nations' Sustainable Development Goals. The Gini coefficient is a statistical instrument used by nations to measure income inequality, economic status, and social disparity, as escalated income inequality often parallels high poverty rates. Despite its standard annual computation, impeded by logistical hurdles and the gradual transformation of income inequality, we suggest that short-term forecasting of the Gini coefficient could offer instantaneous comprehension of shifts in income inequality during swift transitions, such as variances due to seasonal employment patterns in the expanding gig economy. System Identification (SI), a methodology utilized in domains like engineering and mathematical modeling to construct or refine dynamic system models from captured data, relies significantly on the Nonlinear Auto-Regressive (NAR) model due to its reliability and capability of integrating nonlinear functions, complemented by contemporary machine learning strategies and computational algorithms to approximate complex system dynamics to address these limitations. In this study, we introduce a NAR Multi-Layer Perceptron (MLP) approach for brief term estimation of the Gini coefficient. Several parameters were tested to discover the optimal model for Malaysia's Gini coefficient within 1987-2015, namely the output lag space, hidden units, and initial random seeds. The One-Step-Ahead (OSA), residual correlation, and residual histograms were used to test the validity of the model. The results demonstrate the model's efficacy over a 28-year period with superior model fit (MSE: 1.14 × 10-7) and uncorrelated residuals, thereby substantiating the model's validity and usefulness for predicting short-term variations in much smaller time steps compared to traditional manual approaches.

Spatial disparities and internal subsystems'coupling coordination analysis of green development in Chinese animal husbandry.

This study establishes an indicator system encompassing economic, social, and environmental dimensions to assess the level of green development in animal husbandry from 2010 to 2020. It further examines the coupling coordination degree within each dimension. The Dagum Gini coefficient is employed to scrutinize the regional disparities in coupling coordination degree of the economic benefit, social benefit, and environmental benefit of the green development in Chinese animal husbandry. Additionally, Moran's I is utilized to identify the degree of spatial autocorrelation and aggregation types. The results demonstrate the following: (1) From 2010 to 2020, the level of green development in the animal husbandry in China has steadily improved. Among the three dimensions, economic benefits exhibit the highest performance, followed by environmental benefits and social benefits. There are obvious regional disparities in the green development of animal husbandry, which are "strong in north and weak in south" and "strong in west and weak in east." The Gini coefficient for green development in the animal husbandry in China experienced a fluctuating upward trend. (2) From 2010 to 2020, the overall coupling coordination degree of the economic benefit, social benefit, and environmental benefit of green development in the animal husbandry in China remains at a rudimentary level and demonstrates a steady upward trend. Spatially, it manifests an agglomeration pattern primarily centered around Beijing, with the northeastern region being the main focus. (3) The Gini coefficient for the coupling coordination degree experienced a slight fluctuating upward trend. In terms of inter-regional disparities, significant differences are observed between the northeastern region and the central region, as well as between the northeastern region and the eastern region. In terms of contribution to disparities, inter-regional contributions were the most substantial, followed by super-variable density, with intra-regional contributions being the smallest. (4) The coupling coordination degree displayed spatial autocorrelation, with "high-high" aggregation areas predominantly concentrated in the northeastern region.

Dynamic evolution and spatial difference of public health service supply in economically developed provinces of China: typical evidence from Guangdong Province.

OBJECTIVE: The outbreak of the COVID-19 pandemic has drawn attention from all sectors of society to the level of public health services. This study aims to investigate the level of public health service supply in the four major regions of Guangdong Province, providing a basis for optimizing health resource allocation. METHODS: This article uses the entropy method and panel data of 21 prefecture-level cities in Guangdong Province from 2005 to 2021 to construct the evaluation index system of public health service supply and calculate its supply index. On this basis, the standard deviation ellipse method, kernel density estimation, and Markov chain are used to analyze the spatiotemporal evolution trend of the public health service supply level in Guangdong Province. The Dagum Gini coefficient and panel regression model are further used to analyze the relative differences and the key influencing factors of difference formation. Finally, the threshold effect model is used to explore the action mechanism of the key factors. RESULTS: Overall, the level of public health service supply in Guangdong Province is on an upward trend. Among them, polarization and gradient effects are observed in the Pearl River Delta and Eastern Guangdong regions; the balance of public health service supply in Western Guangdong and Northern Mountainous areas has improved. During the observation period, the level of public health services in Guangdong Province shifted towards a higher level with a smaller probability of leapfrogging transition, and regions with a high level of supply demonstrated a positive spillover effect. The overall difference, intra-regional difference and inter-regional difference in the level of public health service supply in Guangdong Province during the observation period showed different evolutionary trends, and spatial differences still exist. These differences are more significantly positively affected by factors such as the level of regional economic development, the degree of fiscal decentralization, and the urbanization rate. Under different economic development threshold values, the degree of fiscal decentralization and urbanization rate both have a double threshold effect on the role of public health service supply level. CONCLUSION: The overall level of public health service supply in Guangdong Province has improved, but spatial differences still exist. Key factors influencing these differences include the level of regional economic development, the degree of fiscal decentralization, and the urbanization rate, all of which exhibit threshold effects. It is suggested that, in view of the actual situation of each region, efforts should be made to build and maintain their own advantages, enhance the spatial linkage of public health service supply, and consider the threshold effects of key factors in order to optimize the allocation of health resources.

Inequality in the distribution of resources in the health sector before and after the Health Transformation Plan in Qazvin, Iran.

BACKGROUND: The equitable distribution of healthcare resources represents a paramount objective in the realm of global health systems. Thus, the present study sought to assess the fairness in the allocation of health resources at Qazvin University of Medical Sciences (QUMS), both prior to and subsequent to the implementation of the Health Transformation Plan (HTP) using the Gini coefficient and the Hirschman-Herfindahl index (HHI). METHODS: This descriptive-analytical study aimed to investigate the distribution of healthcare resources among general practitioners (GPs), specialists, and subspecialists employed at QUMS between 2011 and 2017. Demographic data pertaining to the cities were obtained from the statistical yearbooks of the Statistical Center of Iran, while information regarding the healthcare workforce was extracted from QUMS records. The analysis utilized two key measures, namely the Gini coefficient and the HHI, to assess the fairness of resource distribution. Data analysis was performed using Microsoft Excel 2016 and the Stata statistical software. RESULTS: The highest number of GPs, specialists, and subspecialists was observed in 2014, 2017, and 2017, respectively, while the lowest number was recorded in 2016, 2011, and 2015, respectively. From 2011 to 2017, the Gini coefficient for GPs ranged between 0.61 and 0.63. Among specialists, the lowest Gini coefficient value was observed in 2015 (0.57), while the highest was recorded in 2017 (0.60). The Gini coefficient for subspecialists remained constant at 0.52 from 2011 to 2017. The HHI revealed a high concentration of GPs in the cities of Qazvin province. Although the disparity gradually decreased in the specialties of eye, ear, nose, and throat, and pediatrics, the concentration still persists in Qazvin. In general surgery, the index value is low, indicating some level of inequality. In anesthesia and neurology, the index value decreased after the HTP and reached 5700; however, achieving equality (below 1000) still requires further efforts. No significant change in the index was observed after the HTP in specialties such as neurosurgery, rehabilitation, and nuclear medicine. Subspecialists also exhibited a concentration in the city of Qazvin. CONCLUSION: Based on the analysis of the Gini and HHI, it is evident that the distribution of GPs has not undergone significant changes following the implementation of the HTP. The Gini coefficient, which ranges from 0.4 to 0.6, indicates a high to complete level of inequality in the distribution of specialists and subspecialists. Moreover, the HHI exceeds 1000, reflecting a concentration of resources in specific areas. As a result, the HTP has not yet achieved its goal of ensuring a fair distribution of human resources. To address this issue, it is recommended to redesign distribution policies, including the allocation of physical health resources, such as specialized hospitals, beds, and medical equipment. Additionally, increasing student admissions in specialized and subspecialized fields and implementing tariff incentives can contribute to a more equitable distribution of resources. By aligning distribution policies with the principle of fairness, the healthcare system can better address the issue of resource distribution.

Spatial-temporal pattern and spatial convergence of carbon emission intensity of rural energy consumption in China.

Based on the panel data of 30 provinces (municipalities and autonomous regions) in China from 2005 to 2019, this paper uses Gini coefficient decomposition and kernel density estimation to investigate the regional differences and dynamic evolution trend of rural energy carbon emission intensity in China. Then, the convergence model is used to analyze the convergence characteristics and influencing factors of carbon emission intensity. The study found the following: (1) During the observation period, the carbon emissions of coal energy and oil energy were much higher than those of gas energy. The carbon emissions of rural energy consumption experienced three stages of development, and the carbon emission intensity showed a downward trend as a whole. The spatial distribution pattern of total carbon emissions present an "adder" distribution, and the spatial agglomeration phenomenon gradually strengthens with the passage of time. (2) The Gini coefficient of China's rural energy consumption carbon emission intensity shows a trend of "Inverted N-shaped." The Gini coefficient of carbon emission intensity in the eastern and northeastern regions shows an increasing trend, while the Gini coefficient of carbon emission intensity in the western and central regions shows a downward trend. The super variable density is the main source of carbon emission intensity difference. The peak value of the main peak of the nuclear density curve of the carbon emission intensity increased significantly, the bimodal form evolved into a single peak form, and the density center moved to the left. (3) The carbon emission intensity of rural energy consumption in the whole, central, and western regions of China has the characteristic of σ convergence, while the carbon emission intensity in the eastern and northeastern regions does not have the characteristic of σ convergence. There is a significant spatial positive correlation in the carbon emission intensity, there is also a significant ß convergence characteristic, the speed of conditional ß convergence is significantly higher than that of absolute ß convergence, and the spatial interaction will further improve the convergence speed. Industrial structure, industrial agglomeration, and energy efficiency will increase the convergence speed. In terms of sub-regions, the conditional convergence rate of carbon emission intensity in the four regions shows a decreasing trend in the northeast, central, eastern, and western regions.

Precipitation inequality exacerbates streamflow inequality, but dams moderate it.

Access to clean water is a fundamental human right, yet millions worldwide face the dire consequences of water scarcity and inadequate sanitation. Water inequality, characterized by disparities in access and availability of water resources, has emerged as a critical global challenge with far-reaching social, economic, and environmental implications. Using a globally representative observational streamflow dataset and Gini coefficients, this study investigates how streamflow inequality, which has a large impact on inequality of water availability, varies spatially and temporally, and its relationship with different underlying catchment characteristics. This study finds that watersheds in arid climates exhibit a higher degree of streamflow inequality than polar and equatorial ones. Africa experiences the highest streamflow inequality, followed by Australia, while South America experiences relatively lower streamflow inequality. Around 19.6 % of the catchments in Australia display an increasing trend in streamflow inequality, pointing to worsening conditions. Conversely, South America experiences a decreasing trend in streamflow inequality in 18.3 % of its catchments during the same period. It is also found that a more evenly distributed precipitation within the catchment and higher dam storage capacity corresponds to more evenly distributed streamflow availability throughout the year. This study enhances our understanding of streamflow inequality worldwide, which will aid policy formulation to foster sustainable development.

Evaluation of the coupling coordination degree between digital inclusive finance and green technology innovation in China.

Digital inclusive finance (DIF) has been growing fast in recent years in China, and green technology innovation (GTI) is strongly promoted by the Chinese government. The coordinated development of DIF and GTI is important for China's economic transition to high-quality development. Therefore, utilizing the panel data of 288 prefecture cities from 2011 to 2020 in China, the research evaluates the coupling coordination degree between DIF and GTI (CCD-DG), analyzes spatial-temporal characteristics of CCD-DG, explores its regional disparities and finally analyzes its spatial effects. Results demonstrate that CCD-DG at the prefecture-city level showed a rise from 2011 to 2020, but the degree was only in the stage of basic coordination till 2020, which was mainly driven by the development of DIF in recent years. The regional disparities in CCD-DG remarkably existed but gradually narrowed down during the observation period, which mainly originated from the between-subregions differences as a result of the huge difference in GTI. Additionally, there was a significant spatial spillover effect of CCD-DG and its spatial distribution was roughly consistent with the spatial effect layout. Policy implications based on these results are finally proposed, including formulating policies with local characteristics to promote CCD-DG, emphasizing the discrepancies of CCD-DG between the East and the Northwest, and that within the Northwest and the South, etc.

The impact of the Iranian health transformation plan policy on equitable access to medical imaging services in West Iran.

OBJECTIVE: Equity in the delivery of health services, including diagnostic imaging, is crucial to achieving universal health coverage. The Health Transformation Plan (HTP), launched in 2014, represents a major healthcare policy to improve the quality and accessibility of healthcare services. This study aimed to explore the impact of the HTP on equity in the access to medical imaging in Lorestan province, located in west Iran, from 2014 to 2023. Annual growth rates (AGR) of imaging devices were calculated, whilst equity assessment of medical imaging distribution was carried out by means of the Gini coefficient and the Lorenz curve per 100,000 population. The latter was generated using the cumulative distribution of imaging devices, as well as the cumulative population ratio. RESULTS: Between 2014 and 2023, the number of imaging devices has increased threefold. The AGR of installing CT and MRI scanners in Lorestan province increased between 2014 and 2023. The Gini coefficients increased from 0.12 for CT and 0.16 for MRI in 2014 to 0.33 in 2023 for both devices. This indicates a decrease in equity in access to these fundamental health technologies despite the increase in their figures. Policymakers should better allocate medical equipment based on the specific health needs of different regions throughout Iran.

Spatiotemporal evolution and influencing factors of the allocation of social care resources for the older adults in China.

BACKGROUND: The reasonable allocation of social care resources for the older adults is a key measure to actively respond to population aging. This study aims to evaluate the evolutionary trend, spatial differences and influencing factors of the social elderly care resources (SECR) allocation in China. METHODS: This study constructed a comprehensive index system consisting of three dimensions: material resources, human resources and financial resources, to measure the level of SECR in mainland China. The Kernel density estimation was used to reveal the dynamic evolution trend, and Dagum Gini Coefficient and its decomposition method were used to investigate the equity of SECR allocation. Spatial panel regression models were used to analyze the influencing factors of the allocation of SECR. RESULTS: The level of SECR is rising from 0.197 in 2013 to 0.208 in 2019. The middle-high- and high-level areas of SECR were mainly distributed in the eastern and western China. The Gini coefficient of SECR decreased from 0.262 in 2013 to 0.249 in 2019. Per capita GDP, the proportion of social welfare expenditure in GDP and the proportion of the tertiary industry in GDP have significant positive effects on the allocation of SECR. Population aging and the development of service industry exhibit significant negative spatial spillover effects on the allocation of SECR. CONCLUSIONS: The fairness of the allocation of SECR in China has been improved, while the spatial distribution is imbalanced. Economic development, fiscal input and the development of service industry have significant positive effects while population aging has significant negative effects on the SECR allocation.

Spatiotemporal evolution of carbon emission intensity and the driving effect of green technology innovation: Evidence from China.

The "double carbon" goal has proposed new "green" requirements for China's low-carbon economic development, and green technology innovation (GTI) has become an important way to coordinate economic and sustainable development. The study explores the spatial-temporal evolution of carbon emission intensity (CEI) of Chinese prefecture-level cities, analyses the nonlinear impact of GTI on the CEI by constructing a panel quantile model, and draws the following conclusions. First, CEI shows a decreasing trend from 2006 to 2019 and a spatial distribution pattern of "high in the north and low in the south, high in the west and low in the east". Second, GTI significantly reduces CEI, and as the quantile point increases, the carbon reduction effect of GTI is characterized by a U-shaped change, decreasing first and then increasing. Overall, GTI has a significantly more profound inhibiting effect on high CEI regions than on low CEI regions. Third, there is spatial heterogeneity in the impact of GTI on CEI across the four major regions and diverse policy contexts. The study proposes countermeasures for low-carbon development in terms of tapping the potential of GTI, strengthening its regional synergy, and applying locally appropriate measures, to gain the great practical significance for achieving the double carbon target.

Multi-dimensional management framework on fresh groundwater lens of Kish Island in the Persian Gulf, Iran.

Groundwater in arid and semi-arid coastal aquifers is vulnerable to seawater intrusion and quality deterioration despite being one of the most reliable sources of water supply due to the increasing number of development plans and competition between water consumers. A multi-dimensional groundwater management framework is developed to trade-off between groundwater abstraction, allocation equity, groundwater quality, and energy considerations in the reverse osmosis (RO) filtration process in the fresh groundwater lens of Kish Island, Iran. An arid island confined in the Persian Gulf is modeled using 3D simulation and three well-occupied multi-objective evolutionary optimization algorithms. Four objectives include: maximizing the groundwater abstraction, minimizing the Gini coefficient (allocation inequity), minimizing the total energy required to pass saline water through the RO membrane to reach the standard total dissolved solids (TDS), and minimizing the average TDS concentration of water abstraction positions from 11 management zones have been considered over a 50-year management horizon. Solutions obtained in the simulation-based constrained multi-objective optimization framework allow managers to choose from 587 Pareto optimal solutions. They provide an abstraction scheme with a range of 1.44 to 4.53 MCM/yr, a Gini coefficient of 0 to 0.98, filtration energy of 988,562 to 1,935,760 kWh/yr, and an average TDS of 19,663 to 21,351 mg/L. The Pareto optimal solutions can help decision-makers decide on the multi-dimensional problems of sustainable coastal groundwater management and show patterns among different objectives.

"COVID-19 and income inequality in OECD countries:" A methodological comment.

Wildman (2021), who identifies "a clear association between income inequality [measured by the Gini coefficient] and COVID-19 cases and deaths," concludes that "a goal of government should be to reduce [income] inequalities and [thereby] improve [the COVID-19 outcomes /] underlying health of their populations." In this Comment, we argue that reducing the Gini coefficient of the income distribution of a population need not weaken the population's social stress. It is this stress which is a source of adverse health outcomes of the population. Because a measure of this stress is a component of the Gini coefficient, reducing the coefficient can leave the measure as is, or even increase the measure.

A biological employment model of reproductive inequality.

Continuing the centuries-long exchange between economics and biology, our model of reproductive skew is an adaptation of the principal-agent relationship between an employer and an employee. Inspired by the case of purple martins (Progne subis) and lazuli buntings (Passerina amoena), we model a dominant male whose fitness can be advanced not only by coercing a subordinate male but, where coercion is impossible or not cost-effective, also by providing positive fitness incentives for the subordinate that induce him to behave in ways that contribute to the dominant's fitness. We model a situation in which a dominant and subordinate contest over a variable amount of joint total fitness, both the level and division of which result from the strategies adopted by both. Thus there is not some given amount of potential fitness (or 'pie') that is to be divided between the two (or wasted in costly contests). The fitness incentives that in evolutionary equilibrium are conceded to the subordinate by the dominant maximize the dominant's own fitness. The reason is that the larger pie resulting from the subordinate's increased helping more than compensates for the dominant's reduced fitness share. But the conflict over fitness shares nonetheless limits the size of the pie. This article is part of the theme issue 'Evolutionary ecology of inequality'.

Assessment of equity and efficiency of magnetic resonance imaging services in Henan Province, China.

BACKGROUND: By evaluating equity and effectiveness, this study provides evidence-based knowledge for scientific decision-making and the optimization of magnetic resonance imaging (MRI) configuration and utilization at the provincial level. METHODS: Using data from 2017, we applied a Gini coefficient to analyze the equity of MRI services in 11 sample cities in Henan province. An agglomeration degree was then applied to measure equity from the perspective of population and geography, and a data envelopment analysis was used to evaluate MRI efficiency. RESULTS: The overall Gini coefficient of MRI allocation by population in the 11 sample cities is 0.117; however, equity varies considerably among the sample cities. The sample's comprehensive efficiency is only 0.732, indicating the overall ineffectiveness of provincial MRI utilization. The pure technical and scale efficiencies of four sample cities are below 1, indicating lower MRI effectiveness than the rest. CONCLUSIONS: Although the overall equity of configuration at the provincial level is relatively good, equity varies at the municipal level. Our results demonstrate a low MRI utilization efficiency; accordingly, policymakers should dynamically adjust the policy based on equity and efficiency.

Distribution of nursing workforce in the world using Gini coefficient.

INTRODUCTION: Unequal Access to human resources for health, reduces access to healthcare services, worsens the quality of services and reduces health outcomes. This study aims to investigate the distribution of the nursing workforce around the world. METHODS: This is a descriptive-analytical study, which was conducted in 2021. The number of nurses and world populations was gathered from World Health Organization (WHO) and The United Nations (UN) databases. The UN has divided world countries based on the Human Development Index (HDI) into four categories of very high, high, medium and low HDI. To investigate the distribution of the nurses around the world, we used the nurse population ratio (per 10,000 population), Gini coefficient, Lorenz curve and Pareto curve. FINDINGS: On average, there were 38.6 nurses for every 10,000 people in the world. Nations with the very high HDI, had the highest nurse/population ratio (95/10,000), while the low HDI nations had the lowest nurse/population ratio (7/10,000). Most nurses around the world were females (76.91%) who were in the age group of 35-44 (29.1%). The Gini coefficient of nations in the each four HDI categories varied from 0.217 to 0.283. The Gini coefficient of the nations between the four HDI categories was 0.467, and the Gini coefficient of the whole world was 0.667. CONCLUSION: There were inequalities between countries all over the world. Policymakers should focus on the equitable distribution of the nursing workforce across all local, national and regional levels.

Simulation-based multi-objective optimization framework for sustainable management of coastal aquifers in semi-arid regions.

Groundwater is a strategic source of water supply, especially in arid and semi-arid coastal regions. Growing demand, along with scarce water sources, may impose intense pressure on this precious resource. This pressure will degrade water quality for future use and cause social inequality, despite supplying current needs. A novel sustainable management model for water allocation is developed to address these interconnected concerns in coastal aquifers. Three aspects of sustainable development are considered: groundwater quality with total dissolved solids (TDS) indicator for the environmental part, gross value added from water for the economic efficiency, and the Gini coefficient for social inclusion and equity. The problem is solved with a simulation-based multi-objective optimization framework using a numerical variable-density simulation code and three approved evolutionary algorithms, NSGA-II, NRGA, and MOPSO. The obtained solutions are integrated to enhance the solutions' quality by using each algorithm's strengths and dominated members' elimination. In addition, the optimization algorithms are compared. The results showed that NSGA-II is the best in terms of solutions quality, with the least number of total dominated members (20.43%) and a 95% success rate of obtained Pareto front. NRGA was supreme in finding extreme solutions, the least computational time, and diversity, with an 11.6% higher diversity value than the second competitive NSGA-II. MOPSO was the best in spacing quality indicator, followed by NSGA-II, showing their great arrangement and evenness in obtained solution space. MOPSO has the propensity for premature convergence and needs more stringent stopping criteria. The method is applied to a hypothetical aquifer. Still, the obtained Pareto fronts are determined to assist decision-makers in real-world coastal sustainable management problems by illustrating existing patterns among different objectives.

Characteristics, regional differences, and influencing factors of China's water-energy-food (W-E-F) pressure: evidence from Dagum Gini coefficient decomposition and PGTWR model.

Water, energy, and food security are global concerning issues especially in China. To promote regional environmental management cooperation as well as find resource security influencing factor differences among regions, this paper calculates the water-energy-food (W-E-F) pressure, find W-E-F pressure's regional differences, and the influencing factors by Dagum Gini coefficient decomposition and geographically and temporally weighted regression model for panel data (PGTWR). First, the temporal trend of W-E-F pressure is decreasing and then increasing during 2003-2019; pressure in the eastern provinces is significantly higher than in other provinces and structurally energy pressure is the dominant resource pressure in W-E-F in most provinces. Besides, inter-regional differences are the main source of regional differences in China's W-E-F pressure, particularly for the inter-regional differences between eastern regions and other regions. In addition, there are obvious spatio-temporal heterogeneity effects of population density, per capita GDP, urbanization, energy intensity, effective irrigated area, and forest cover on W-E-F pressure. Balancing regional development gaps and developing differentiated resource pressure mitigation strategies based on the characteristics of different regional drivers are of great importance.

The buffering effect of social capital for daily mental stress in an unequal society: a lesson from Seoul.

This study attempted to illustrate whether mental health deterioration could be alleviated by high social capital in an environment with high economic inequality. Daily mental stress was employed as a mental health factor when analyzing the association with economic inequality in the Seoul Survey data. Regarding social capital, community trust and altruism were included as cognitive dimensions, and participation and cooperation were included as structural dimensions in each model. The first finding showed a significantly positive relationship between economic inequality and daily stress, meaning that, like other mental health problems, daily mental stress is also high in regions with high economic inequality. Second, the slope of the daily stress increased in respondents with high social trust and participation was alleviated in an economically unequal environment. This indicates that social trust and participation have a buffering effect by moderating the slope of daily stress in societies with high inequality. Third, the buffering effect differs depending on the social capital factor. The buffering effect of trust and participation showed in an unequal environment, while the buffering effect of cooperation showed regardless of the unequal environment. In summary, social capital factors showed the effect of relieving daily mental stress in the relationship with economic inequality. Also, the buffering effect of social capital on mental health may show different aspects for each element.