2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundPoverty vulnerability has been defined as the likelihood of a
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family falling into poverty in the upcoming months. Inequality is a
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major cause of poverty vulnerability in developing countries. There is
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evidence that establishing effective government subsidies and public
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service mechanisms significantly reduces health poverty vulnerability.
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One of the ways to study poverty vulnerability is by using empirical
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data such as income elasticity of demand to perform the analysis. Income
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elasticity refers to the extent to which changes in consumers'' income
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affect changes in demand for commodities or public goods. In this work,
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we assess health poverty vulnerability in rural and urban China. We
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provide two levels of evidence on the marginal effects of the design and
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implementation of government subsidies and public mechanisms in reducing
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health poverty vulnerability, before and after incorporating the income
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elasticity of demand for health.MethodsMultidimensional physical and
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mental health poverty indexes, according to the Oxford Poverty \& Human
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Development Initiative and the Andersen model, were implemented to
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measure health poverty vulnerability by using the 2018 China Family
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Panel Survey database (CFPS) as the data source for empirical analysis.
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The income elasticity of demand for health care was used as the key
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mediating variable of impact. Our assessment was conducted by a
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two-level multidimensional logistic regression using STATA16
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software.ResultsThe first level regression indicates that the marginal
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utility of public mechanism (PM) in reducing urban and rural
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vulnerability as expected poverty on physical and mental health
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(VEP-PH\&MH) was insignificant. On the other hand, government subsidies
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(GS) policies had a positive suppression effect on VEP-PH\&MH to a
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relatively low degree. The second level regression found that given the
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diversity of health needs across individual households, i.e., the income
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elasticity of demand (HE) for health care products, PM and GS policies
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have a significant effect in reducing VEP-PH\&MH in rural and urban
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areas. Our analysis has verified the significant positive impact of
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enacting accurate GS and PM policies on effectively reducing VEP-PH\&MH
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in rural as well as urban areas.ConclusionsThis study shows that
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implementing government subsidies and public mechanisms has a positive
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marginal effect on reducing VEP-PH\&MH. Meanwhile, there are individual
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variations in health demands, urban-rural disparities, and regional
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disparities in the effects of GS and PM on inhibiting VEP-PH\&MH.
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Therefore, special consideration needs to be given to the differences in
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the degree of health needs of individual residents among urban and rural
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areas and regions with varying economic development. Furthermore,
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considerations of this approach in the current worldwide scenario are
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analyzed.'
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affiliation: 'Li, YL (Corresponding Author), Jiangxi Univ Sci \& Technol, Sch Business,
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Nanchang 330013, Peoples R China.
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Li, Yali, Jiangxi Univ Sci \& Technol, Sch Business, Nanchang 330013, Peoples R
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China.
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Marquez, Ronald, ESPCI Paris, Lab Physico Chim Interfaces Complexes, 10 Rue Vauquelin,
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F-75231 Paris, France.'
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article-number: '59'
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author: Li, Yali and Marquez, Ronald
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author-email: liyali\_maxspeci@outlook.com
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author_list:
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- family: Li
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given: Yali
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- family: Marquez
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given: Ronald
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da: '2023-09-28'
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doi: 10.1186/s12939-022-01805-2
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eissn: 1475-9276
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files: []
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: 'Government subsidies; Public mechanisms; Physical and mental health
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poverty vulnerability index; Andersen model; Multivariate logistic
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regression analysis'
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keywords-plus: 'SELF-RATED HEALTH; PERSISTENT POVERTY; INEQUALITY; DETERMINANTS;
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COVID-19; PANEL; TIME; CARE'
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language: English
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month: APR 1
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number: '1'
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number-of-cited-references: '80'
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orcid-numbers: 'Marquez, Ronald/0000-0001-6003-7487
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Li, Yali/0000-0001-7950-9448'
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papis_id: a7b9d433f1d9219c1a24635d34cc73ff
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ref: Li2023cangovernment
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researcherid-numbers: 'Marquez, Ronald/R-5626-2018
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'
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times-cited: '1'
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title: Can government subsidies and public mechanisms alleviate the physical and mental
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health vulnerability of China's urban and rural residents?
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000961463300001
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usage-count-last-180-days: '26'
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usage-count-since-2013: '26'
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volume: '22'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2023'
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