Evidence map›Paper›PMID 35879697›Full record

ArticleBMC public health2022

The superposition effects of air pollution on government health expenditure in China- spatial evidence from GeoDetector.

Qi Xia, Xiyu Zhang, Yanmin Hu, Wanxin Tian, Wenqing Miao, Bing Wu, Yongqiang Lai, Jia Meng, Zhixin Fan, Chenxi Zhang and 8 more

Abstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  5. The application of artificial intelligence in health financing: a scoping review.Cost effectiveness and resource allocation : C/E · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Qi Xia *Health Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Xiyu Zhang *Health Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Yanmin Hu *Heilongjiang Provincial Hospital, Harbin, 150086, Heilongjiang, China.
Wanxin TianHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Wenqing Miao *Health Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Bing WuHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Yongqiang LaiHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Jia MengThe 2nd Affiliated Hospital of Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Zhixin FanHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Chenxi ZhangHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Ling XinHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Jingying MiaoHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Qunhong WuSchool of Public Health, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Mingli JiaoHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Linghan ShanSchool of Public Health, Harbin Medical University, Harbin, 150086, Heilongjiang, China.
Nianshi WangThe Department of Hospital Offices, the affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Liangxi District, Wuxi, 214002, Jiangsu, China.
Baoguo ShiDepartment of Economics, School of Economics, Minzu University of China, No.27 Zhongguancun South Avenue, Beijing, 100081, China. bgshi2008@hotmail.com.
Ye LiHealth Policy and Hospital Management Research Center, School of Health Management, Harbin Medical University, Harbin, 150086, Heilongjiang, China. liye8459@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the fifth-largest global mortality risk factor, air pollution has caused nearly one-tenth of the world's deaths, with a death toll of 5 million. 21% of China's disease burden was related to environmental pollution, which is 8% higher than the US. Air pollution will increase the demand and utilisation of Chinese residents' health services, thereby placing a greater economic burden on the government. This study reveals the spatial impact of socioeconomic, health, policy and population factors combined with environmental factors on government health expenditure.

methodsSpearman's correlation coefficient and GeoDetector were used to identify the determinants of government health expenditure. The GeoDetector consist of four detectors: factor detection, interaction detection, risk detection, and ecological detection. One hundred sixty-nine prefecture-level cities in China are studied. The data sources are the 2017 data from China's Economic and Social Big Data Research Platform and WorldPOP gridded population datasets.

resultsIt is found that industrial sulfur dioxide attributed to government health expenditure, whose q value (explanatory power of X to Y) is 0.5283. The interaction between air pollution factors and other factors will increase the impact on government health expenditure, the interaction value (explanatory power of × 1∩× 2 to Y) of GDP and industrial sulfur dioxide the largest, whose values is 0.9593. There are 96 simple high-risk areas in these 169 areas, but there are still high-risk areas affected by multiple factors.

conclusionFirst, multiple factors influence the spatial heterogeneity of government health expenditure. Second, health and socio-economic factors are still the dominant factors leading to increased government health expenditure. Third, air pollution does have an important impact on government health expenditure. As a catalytic factor, combining with other factors, it will strengthen their impact on government health expenditure. Finally, an integrated approach should be adopted to synergisticly governance the high-risk areas with multi-risk factors.

Indexed as

Air PollutantsAir PollutionChinaCitiesGovernmentHealth ExpendituresHumansParticulate MatterSulfur DioxideAir PollutantsParticulate MatterSulfur DioxideAir pollutionGeoDetectorGovernment health expenditure

Identifiers

PMID35879697
PMCPMC9310420

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.