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. 2023 Jun 23:11:1135362.
doi: 10.3389/fpubh.2023.1135362. eCollection 2023.

The spatial effects of rural toilet retrofitting investment on farmers' medical and health expenditure in China

Xin Zheng  1 , Fu-Xia Yang  1 , Dong-Shou Fan  1 , Zao-Ning Yang  2
Affiliations

The spatial effects of rural toilet retrofitting investment on farmers' medical and health expenditure in China

Xin Zheng et al. Front Public Health. .

Abstract

Background: China stretches across a vast area, and different geographical environments and economic and social development conditions, along with learning imitation and factor flow among participants can lead to two major spatial characteristics of toilet retrofitting investment: spatial heterogeneity and spatial correlation.

Methods: This study contributes to explore this topic by assessing the spatial heterogeneity and spatial correlation of toilet retrofitting investment on farmers' medical and health expenditure based on the spatial econometric model.

Results: (1) There are significant spatial agglomeration characteristics of both the toilet retrofitting investment and farmers' medical and health expenditure in China. (2) At the national level, the rural toilet retrofitting investment will influence the farmers' medical and health expenditure, and the effect on the local area is greater than on the surrounding areas. (3) After taking into account the differences in natural geographical environment and social and economic development, China is divided into four regions: east, central, west and northeast. In terms of spatial effects within different regions, the intensity of the impact of toilet retrofitting investment on local farmers' medical and health expenditure is in the order of central > eastern > western > northeast. The improvement of people's livelihood in the eastern and central regions by toilet retrofitting investment would lead to imitation by surrounding regions, thus reflecting spillover effects, while in the western region, toilet retrofitting investment would trigger fierce competition in related industries and factor markets, manifesting the competition effect. (4) As for the spatial effects across different regions, the toilet retrofitting investment produces spillover effects in all four regions, among which the intensity of the influence effect is the greatest in the central-western region, followed by the west-northeast, and the influence effect in the east-west is not significant.

Discussion: The comprehensive promotion of rural toilet retrofitting should not only focus on investment in the western and northeastern regions, but also strengthen regional communication and cooperation to improve rural residents' health and quality of life.

Keywords: farmers' medical and health expenditure; rural toilet retrofitting investment; spatial correlation; spatial effect; spatial heterogeneity.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Moran scatter plot of China's rural toilet retrofitting investment and farmers' healthcare expenditure in 2006 and 2017.
See this image and copyright information in PMC

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References

    1. Liang C, Wang SS, Sun T. The long-term effect of public health on human capital: Evidence from rural china's renovating water supply and toilets. J Finan Econom. (2022) 7:154–68. 10.16538/j.cnki.jfe.20220316.402 - DOI
    1. Qing P, Liao F, Min S, Pei MY, You LZ. Nutrition poverty alleviation: a new mode to help health poverty alleviation and promote targeted poverty alleviation-literature review based on domestic and foreign research. Agric Econ. (2020) 5:4–16. 10.13246/j.cnki.iae.2020.05.001 - DOI
    1. Zhao S, Sun H, Chen B, Xia X, Li P. China's rural human settlements: qualitative evaluation. quantitative analysis and policy implication. Ecol Indic. (2018) 105:398–405. 10.1016/j.ecolind.2018.01.006 - DOI
    1. Liu CM, Liu Y. Research on the impact of rural toilet reform on farmers' health expenditure. Agric Econ. (2020) 10:89–102. 10.13246/j.cnki.iae.2020.10.010 - DOI
    1. Miao YQ, Yang ZB, Zhou HY. Study on rural residents' willingness to pay for environmental sanitation improvement and its influencing factors: a case study of toilet renovation. J Manag World. (2012) 9:89–99. 10.19744/j.cnki.11-1235/f.2012.09.009 - DOI

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