Inspecting the "health poverty trap" mechanism: self-reinforcing effect and endogenous force.

INTRODUCTION: The term "health poverty trap" describes a vicious cycle in which developing countries or regions become trapped in low levels of health and poverty during the process of modernization. Although significant progress has been made in alleviating poverty in China, there is still a need to further enhance the living conditions of its impoverished population. METHODS: This research utilizes the data of the three national representative panel surveys from 2014 to 2020. The primary objective is to gain a better understanding of the intricate relationship between health and poverty. To examine the self-reinforcing effects of the cumulative cycle between health and poverty, we employ unconditional quantile regression analysis. RESULT: The low-income group exhibits lower overall health status compared to the average level. Economic constraints partially hinder the ability of low-income individuals to access healthcare resources, thereby reinforcing the cyclical relationship between health and poverty. Additionally, the unique psychological and behavioral preferences of individuals in health poverty act as indirect factors that further strengthen this cycle. Health poverty individuals can generate endogenous force to escape the "health poverty trap" by enhancing their confidence levels and digital literacy. CONCLUSIONS: The research examines the coexistence of health gradients and economic inequality among Chinese residents. Additionally, the study explores the endogenous force mechanism of escaping the health poverty trap from psychological and behavioral perspectives. This research also offers insights into optimizing government poverty alleviation programs to effectively address this issue.

Environmental, economic, and social impacts of sugar cane bagasse and eggshell wastes for soil stabilization.

Sustainability is a core topic for all sectors including geotechnical engineering (e.g., design of foundations, earthworks structures, and pavements for major infrastructure and building projects). Despite being comprised of environmental, economic, and social pillars, most sustainability studies in this area have focused on the first. Furthermore, social impacts and the three pillars integration are little explored. As a result, there is a lack of systemic and holistic assessments of innovative geotechnical alternatives. This research advances in this area by performing a complete sustainability assessment and integration of the environmental, economic, and social pillars of two expansive soil stabilization alternatives: (i) sugar cane bagasse ash combined with hydrated eggshell lime alkali-activated by sodium hydroxide (NaOH) and (ii) Portland cement. Individual analyses were carried out to determine the environmental, economic, and social impacts, and the single sustainability index. Alkali-activated binder dosages showed higher impacts in 4 out of 10 environmental categories. For both binders, high-density/low-binder dosages contributed to environmental and economic sustainability as they require lower quantities of raw materials and diesel for materials transportation. The total costs of alkali-activated binder dosages ($189.79 and $154.45) were higher than that of Portland cement ($72.49 and $54.04), mainly due to the high cost of NaOH acquisition. However, the alkali-activated binder dosages implied lower carbon dioxide (CO2) emissions and thus lower social cost of CO2. The alternative binder presented a higher positive social impact. The alkali-activated high-density/low binder dosage is the most sustainable soil stabilization strategy.

Exploring the relationship between regional tourism development and land use efficiency: A case study of Guangxi Zhuang Autonomous Region, China.

The utilization efficiency of land resources is an essential embodiment of economic development, social development, and ecological development and is a critical core to measure how to maximize the efficiency of land resources under limited conditions. The land is an important content and essential carrier of the research of tourism development level. This paper selects Panel Data from 2010 to 2019 to research the Guangxi regional tourism development. The entropy weight method and stochastic frontier production function (SFA) model were used to evaluate the development level of urban-rural tourism and the utilization efficiency of land resources in Guangxi. This paper uses the Panel Vector Autoregression (PVAR) model to analyze the internal relationship between urban-rural tourism development. The results show that: (1) Guangxi has a good level of tourism development and a high land use efficiency. (2) There is a reciprocal causation relationship between the regional tourism development level and land use efficiency in Guangxi, with significant levels of 0.005 and 0.034 respectively, indicating high credibility. This indicates that there is a mutual promotion and interaction between the two, which rely on and drive each other, promoting the joint sustainability of tourism development and land use efficiency. (3) . The tourism development level is greatly influenced by itself, with impact values all above 0.99. At the same time, land use also has a significant self-impact, with impact values all above 0.87. Their internal optimization system is solid and endogenous impetus is robust, which can drive their development. Establishing an effective strategy for developing and protecting land use is beneficial to promote the long-term effectiveness of sustainable tourism development, enhancing high-quality development of the tourism economy and improving people's living standards and quality.

Connotation, status, and governance of land ecological security in China's new urbanization: recent advances and future prospects.

The rapid development of China's new urbanization has created favorable conditions for economic growth and social development. Urbanization includes population urbanization and land urbanization, among which land urbanization leads to land ecological security problems. At present, there is a lack of comprehensive understanding of land ecological security in China's new urbanization construction. This paper aims to fill the gap by systematically combing relevant literature on the connotation, status, and governance of land ecological security in China's new urbanization. Literature review shows that China's land ecological security is still at a low level, and the new urbanization construction has significant impacts on land ecological security. Land contamination is the most critical factor threatening land ecological security, and there are differences in the levels of land contamination and types of pollutants in different new urbanization construction forms. According to an example of land ecological security governance with enterprises as the main body and multiple subjects cooperating, the governance of land ecological security needs to integrate a variety of different subjects to coordinate governance. Future research directions should focus on the construction of land ecological security assessment index system, development of land contamination multi-level control technology, and construction of multi-subject collaborative governance model with "government-enterprise-social organization-residents."

Avoiding an unjust transition to sustainability: An equity metric for spatial conservation planning.

The need for rapid and ambitious conservation and restoration is widely acknowledged, yet concern exists that the widespread reallocation of land to nature would disproportionately affect the world's poor. Conservation and restoration may limit nutrition and livelihood options and thus negatively affect social development objectives. Although much research looks into global-scale scenarios and planning of conservation and restoration, spatial evaluations of these trade-offs in terms of equity remain limited. We fill this gap by identifying areas where conservation or restoration under different future scenarios and prioritization maps expand nature into landscapes that likely support land-dependent communities in their local food security. By contrasting the expansion of nature into areas supporting land-dependent communities vs. places where the food system is supported by regional to global markets, we highlight the need for disaggregated indicators that reflect the diversity of human land-use needs in order to identify more equitable pathways. Conservation prioritizations were found to result in more equitable land-use outcomes than the land-use outcomes of widely used socioeconomic scenarios. Accounting for differentiated social impacts in model-based conservation and restoration planning and global scale scenario assessment can help achieve a more inclusive transition to sustainability as well as reduce barriers to meaningful change.

A country-wide health policy in Chile for deaf adults using cochlear implants: Analysis of health determinants and social impacts.

BACKGROUND: Post-lingual deafness represents a critical challenge for adults' well-being with substantial public health burdens. One treatment of choice has been cochlear implants (CI) for people with severe to profound hearing loss (HL). Since 2018, Chile has implemented a high-cost policy to cover CI treatment, the "Ley Ricarte Soto" (LRS) health policy. However, wide variability exists in the use of this device. To date, no related study has been published on policy evaluation in Chile or other Latin American countries. OBJECTIVES: This study aimed to evaluate the impact of the LRS policy on the treatment success and labour market inclusion among deaf or hard of hearing (DHH) adults using CI. We examined and characterised outcomes based on self-reports about treatment success and occupation status between 2018 and 2020. DESIGN: We performed a prospective study using hospital clinical records and an online questionnaire with 76 DHH adults aged >15 who had received CIs since the introduction of the LRS policy in 2018. Using univariate and multivariate regression models, we investigated the relationship between demographic, audiological, and social determinants of health and outcomes, including treatment success for social inclusion (International Outcome inventory for Hearing Aids and CIs assessment: IOI-HA) and occupation status for labour market inclusion. RESULTS: Our study showed elevated levels of treatment success in most of the seven sub-scores of the IOI-HA assessment. Similarly, around 70% of participants maintained or improved their occupations after receiving their CI. We found a significant positive association between treatment success and market inclusion. Participants diagnosed at younger ages had better results than older participants in both outcomes. Regarding social determinants of health, findings suggested participants with high social health insurance and a shorter commute time to the clinic had better results in treatment success. For labour market inclusion, participants with high education levels and better pre- CI occupation had better post-CI occupation status. CONCLUSIONS: In evaluating the LRS policy for providing CIs for DHH adults in Chile, we found positive effects relating to treatment success and occupation status. Our study supports the importance of age at diagnosis and social determinants of health, which should be assessed by integrating public services and bringing them geographically closer to each beneficiary. Although evidence-based guidelines for candidate selection given by the LRS policy might contribute to good results, these guidelines could limit the policy access to people who do not meet the requirements of the guidelines due to social inequalities.

The Health Economic-Industrial Complex (HEIC): a strategic area for both the modernization of the Unified Health System (SUS) and the creation of future jobs. / O Complexo Econômico-Industrial da Saúde (CEIS) como espaço estratégico para a modernização do SUS e para a geração dos empregos do futuro.

This article presents the initial results of the ongoing research on the new world of healthcare work in the context of the 4th Technological Revolution. In addition to identifying the profile and volume of employment generated by health activities in Brazil, this investigation also analyzes the main transformations in the world of work and employment caused by new technologies and their potential impacts upon the field of the Health Economic-Industrial Complex (HEIC). The methodology seeks to contribute to a new vision of health professionals, which includes not only the employment profile with its technological content, but also the professionals directly and indirectly assigned to HEIC. Applying this methodology to the databases of RAIS and Continuous PNAD from 2012 to 2019, reveals HEIC's high capacity to generate good jobs, even in a context of economic crisis. The health labor market, both for its scale, complexity, and diversity, and for its dynamism and potential in terms of the incidence of 4.0 technologies, indicates that the development of HEIC can become the engine of the country's development, associating innovation and production with the modernization of the Unified Health System (SUS) and the generation of good jobs.

Esse artigo apresenta os primeiros resultados da pesquisa sobre o novo mundo do trabalho da saúde no contexto da revolução 4.0 que buscou, além de identificar o perfil e o volume de emprego gerado pelas atividades de saúde no Brasil, analisar as principais transformações no mundo do trabalho e do emprego provocadas pelas novas tecnologias e seus potenciais efeitos no âmbito do Complexo Econômico-Industrial da Saúde (CEIS). A metodologia busca contribuir para uma nova visão dos profissionais de saúde, pois além de caracterizar o perfil ocupacional, incluindo seu conteúdo tecnológico, incorpora profissionais alocados, direta e indiretamente, no CEIS. Os resultados apresentados, fruto da aplicação da metodologia nas bases de dados da RAIS e da PNAD Contínua, para os anos entre 2012 e 2019, revelam a elevada capacidade de geração de bons empregos no CEIS, mesmo em contexto de crise econômica. O mercado de trabalho em saúde, tanto por sua escala, complexidade e diversidade, quanto por seu dinamismo e potencial em termos de incidência das tecnologias 4.0, indica que o desenvolvimento do CEIS pode se constituir em motor do desenvolvimento do país, associando inovação e produção à modernização do Sistema Único de Saúde (SUS) e à geração de bons empregos.

The impact of household wealth gap on individual's mental health.

BACKGROUND: Improving the individual's mental health is important for sustainable economic and social development. Although some studies found that household wealth gap may affect individuals' mental health, few studies have clarified the causal relationship between household wealth gap between mental health in China. This study examines the impact of the household wealth gap on individuals' mental health using data from the 2012-2018 China Family Panel Survey. METHODS: This study first used the two-way fixed effects model to investigate the impact of household wealth gap on individuals' mental health. Considering the endogeneity, the two-stage least square and propensity score matching were employed to examine the impact of household wealth inequality on individuals' mental health. RESULTS: The results show that the household wealth gap has negative impact on individuals' mental health. A series of robustness tests support this conclusion. The results of heterogeneity analysis show that the impact of household wealth gap on mental health is more pronounced among middle-aged and elderly individuals, residents with lower education levels, and rural residents. The results of the mechanism analysis suggest that the household wealth gap may affect individuals' mental health by influencing the individual's health insurance investment and neighborhood relations. In addition, the household wealth gap not only significantly negatively affects individuals' mental health in the short term but also in the medium- to long-term. CONCLUSION: These findings suggest that the government should take various measures to narrow the wealth inequality between families, which may effectively improve the mental health of residents.

An Analysis of the Social Impacts of a Health System Strengthening Program Based on Purchasing Health Services.

Access to universal health coverage is a fundamental right that ensures that even the most disadvantaged receive health services without financial hardship. The Democratic Republic of Congo is among the poorest countries in the world, yet healthcare is primarily made by direct payment which renders care inaccessible for most Congolese. Between 2017 and 2021 a purchasing of health services initiative (Le Programme de Renforcement de l'Offre et Développement de l'accès aux Soins de Santé or PRO DS), was implemented in Kongo Central and Ituri with the assistance of the non-governmental organization Memisa Belgium. The program provided funding for health system strengthening that included health service delivery, workforce development, improved infrastructure, access to medicines and support for leadership and governance. This study assessed the social and health impacts of the PRO DS Memisa program using a health impact assessment focus. A documentary review was performed to ascertain relevant indicators of program effect. Supervision and management of health zones and health centers, use of health and nutritional services, the population's nutritional health, immunization levels, reproductive and maternal health, and newborn and child health were measured using a controlled longitudinal model. Positive results were found in almost all indicators across both provinces, with a mean proportion of positive effect of 60.8% for Kongo Central, and 70.8% in Ituri. Barriers to the program's success included the arrival of COVID-19, internal displacement of the population and resistance to change from the community. The measurable positive impacts from the PRO DS Memisa program reveal that an adequately funded multi-faceted health system strengthening program can improve access to healthcare in a low-income country such as the Democratic Republic of Congo.

How does government environmental investment promote green development: Evidence from China.

The 14th Five-Year Plan stated that China should accelerate green development and promote a comprehensive green transition in economic and social development. As China's economic growth slows, green development becomes greatly significant for the high-quality development of the economy. Based on China's provincial panel data from 2005 to 2021, this study applies fixed effects model and mediating effect model to explore the influence of the government environmental investment on green development. The results indicate that (1) the government environmental investment was conducive to green development, but such effect weakened with time. (2) The government environmental investment indirectly promoted green development through the application of green patents and economic agglomeration. (3) The promotional effect of the government environmental investment varied according to region and time. Specifically, investment exerted the most significant effect on the green development of eastern China, which became more evident after 2015. The government should promote green development by implementing long-term assessment and accountability mechanisms, expanding the scale of economic agglomeration, improving the efficiency of the application of green patents, and improving the accuracy of environmental investment.

Industrial structure upgrading, population aging and migration: An empirical study based on Chinese provincial panel data.

Population aging and migration are two important phenomena in the process of social development in China, which have a significant impact on industrial structure upgrading. This study explores the moderating effect of the population migration on the population aging impacting the industrial structure upgrading based on Chinese provincial panel data from 2000 to 2021. The results demonstrate that the population aging has become a development trend of China's population, and it has a significantly hinder industrial structure upgrading. Furthermore, the population migration resulting diffusion and convergence of economic factors has a meaningful moderating effects on the population aging impacting the industrial structure upgrading. Our study suggests that a reasonable and orderly population migration is critical in achieving stable and sustainable industrial structure upgrading, especially in the context of the China's population aging.

Taking tolerance seriously: A proposal from a self-categorization perspective on disapproval and respect.

A dual-level disapproval-respect model of tolerance is proposed, and its social psychological foundations are explicated from a self-categorization perspective. The model specifies tolerance as the combination of disapproval of others' beliefs, practices, or ways of life, which results from self-categorization at the level of in-group-out-group differentiation (Level 1), and respect, which is grounded in shared group membership at a higher level of self-categorization and the resulting superordinate identity (Level 2) and operates as a restraining force. In short, tolerance is disapproval restrained by respect, or, put differently, respect burdened with disapproval. Drawing on pertinent empirical evidence, it is argued that such tolerance is realistic and practicable in that people are willing to practice it and, when they are the recipients, likely to appreciate it. The model throws new light on the roles of affect and cognition in tolerance, on the interrelation of tolerance, authenticity, and dignity, as well as the interrelation of tolerance, justice, and struggles for social change, and on the limits of tolerance. The examination of these issues from the perspective of the disapproval-respect model makes the social psychological, moral, and political dimensions of tolerance explicit and clarifies their interrelations. Finally, directions for future basic as well as applied research on tolerance as specified in the model are suggested, and broader sociocultural implications of taking such tolerance seriously are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Global burden and trends of transport injuries from 1990 to 2019: an observational trend study.

BACKGROUND: Transport injuries (TIs) are a major cause of global disability-adjusted life-years (DALYs) and mortality. In this study, we aimed to assess the global burden and trends of TIs from 1990 to 2019. METHODS: We assessed the annual age-standardised incidence rate (ASIR) and age-standardised DALYs rate of TIs by sex, age, Social Development Index (SDI) and geographical region from 1990 to 2019 from the Global Burden of Disease Study 2019. The changing trends were described by estimated annual percentage changes (EAPCs). RESULTS: Globally, in 2019, the ASIR and age-standardised DALYs rates of TIs were 134 6.06/100 000 (95% UI 11 42.6/100 000-157 5.57/100 000) and 97 7.91/100 000 (86 8.91/100 000-107 6.81/100 000), respectively. From 1990 to 2019, the global ASIR of TIs presented significant upwards trends with the EAPC (0.25%, 95% CI 0.19% to 0.31%), and it was significantly increased in the age groups of 15-49 (0.37%, 95% CI 0.29% to 0.45%), 50-69 (0.40%, 95% CI 0.36% to 0.44%) and 70+ (0.22%, 95% CI 0.17% to 0.28%). Prominent increases in ASIR were detected in middle-SDI areas (0.72%, 95% CI 0.57% to 0.87%), low-middle SDI areas (0.66%, 95% CI 0.59% to 0.72%) and low-SDI areas (0.21%, 95% CI 0.17% to 0.26%). The global age-standardised DALYs rate presented downwards trends with the EAPC (-1.27%, 95% CI -1.35% to -1.2%), and it was significantly decreased in all age groups and SDI areas. CONCLUSION: Globally, TIs still cause a serious burden, and the incidence has significantly increased, especially in people above the age of 14 and in middle-SDI and low-SDI areas, thus necessitating more attention and health interventions.

Research on economic and social impact of carbon emissions in the construction industry at a regional scale: a case of Shandong, China.

To identify the impact of carbon emissions in the construction industry on the society and economy at a regional scale is of great significance for the sustainable development of the construction industry. Taking Shandong, China, as an example, this study uses a process-based carbon emission assessment method to calculate the carbon emissions of the construction industry in Shandong from 2010 to 2020. Based on specific situations at different phases, ten major factors affecting the society and economy have been analyzed and identified. Then, the Seemingly Uncorrelated Regression (SUR) model was used to analyze carbon emissions and economic and social factors at each stage. The results show the following: (1) The overall carbon emissions of the construction industry in Shandong are on an increasing trend, the carbon emission intensity is on a decreasing trend, and the material production and operation stages are the main source of carbon emissions; (2) There is a significant relationship between carbon emissions in the construction phase and all influencing factors, so it should be the main phase for macro-regulation; (3) Unlike in the Ordinary Least Square (OLS) model, the error terms of the gross output value of the construction industry and the total turnover of the main building materials equations are independent; however, there is an interaction between the error terms of the remaining equations. The results provide a theoretical reference for governmental departments to set up environmental targets and make policy regulations.

Evolution and stages of China's economic inequality from 1978 to 2018.

Regional economic inequality has long been a prominent problem in China's national economic and social development. In this study, the centre of gravity (CG) model is employed to reveal the spatiotemporal patterns and stages of China's economic inequality in 1978-2018, and the characteristics of different stages are explored. The results show that China's economy achieved rapid growth at an average annual growth rate of 9.4% in 1978-2018. Due to the spatial heterogeneity of the location and the unbalanced development strategy, there was a significant economic gradient between eastern and western China. Spatially, there was a notable increase in the agglomeration of GDP and the added value of the three industries, and their CGs moved southwestward as a whole. According to the evolution of regional differentiation characteristics, combined with key historical events, China's economic inequality from 1978 to 2018 could be divided into four stages, i.e., the stages of economic inequality led by institutional reform (1978-1991), market mechanisms (1992-2003), regional coordination (2004-2012), and socioeconomic transformation (2013-2018). The alternation of these four stages reflects how to scientifically deal with the relationship between efficiency and equity in economic development.

Estimating the economic and social impact of conditional cash transfers from the Prospera Program in Mexico.

This research analyses the Prospera program's impact on poverty and income distribution through a computable general equilibrium model. It concludes that transfers to households have a positive impact on the Mexican economy but hide the real problem-the low wage share-that, in the long term, prevents poverty from worsening but does not reduce the population in poverty or inequality. In a scenario without transfers, neither the population in poverty nor the Gini Index decreases significantly. The results obtained lead to an understanding of some of the causes of the high rates of poverty and inequality in Mexico, which in turn have been perpetuated since the economic crisis of 1995. This allows the design of public policies in line with the structural needs of the economy, which combat the problem from the root that generates it, in order to contribute to the reduction of inequality in accordance with the UN Sustainable Development Goal 10.

Medicare Modernization-The Urgent Need for Fiscal Solvency.

This Viewpoint describes how reforms to Medicare built around a transition from volume to value may be helpful for improving fiscal solvency.

Health, Economic, and Social Impacts of Substandard and Falsified Medicines in Low- and Middle-Income Countries: A Systematic Review of Methodological Approaches.

Little is known about the adverse health, economic, and social impacts of substandard and falsified medicines (SFMs). This systematic review aimed to identify the methods used in studies to measure the impact of SFMs in low- and middle-income countries (LMICs), summarize their findings, and identify gaps in the reviewed literature. A search of eight databases for published papers, and a manual search of references in the relevant literature were conducted using synonyms of SFMs and LMICs. Studies in the English language that estimated the health, social, or economic impacts of SFMs in LMICs published before June 17, 2022 were considered eligible. Search results generated 1,078 articles, and 11 studies were included after screening and quality assessment. All included studies focused on countries in sub-Saharan Africa. Six studies used the Substandard and Falsified Antimalarials Research Impact model to estimate the impact of SFMs. This model is an important contribution. However, it is technically challenging and data demanding, which poses challenges to its adoption by national academics and policymakers alike. The included studies estimate that substandard and falsified antimalarial medicines can account from 10% to ∼40% of total annual malaria costs, and SFMs affect rural and poor populations disproportionately. Evidence on the impact of SFMs is limited in general and nonexistent regarding social outcomes. Further research needs to focus on practical methods that can serve local authorities without major investments in terms of technical capacity and data collection.