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Healthy cities and self-reported health: evidence from Israel

机译:健康城市和自我报告健康:证据从以色列

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The World Health Organization’s Healthy Cities Network (HCN) enlists community stakeholders (residents, businesses, non-governmental organizations and municipal governments) to promote health, quality of life and sustainable development in urban settings. The project, now three decades old, involves thousands of municipalities globally, including 52 in Israel. However, there is very little evidence regarding the effects of joining the HCN. This study examines whether HCN membership affects residents’ self-reported health (SRH). Social survey data for Israel’s 13 largest cities in 2005–2017 were analyzed using difference-in-differences and event study research designs. We use the gradual entry of cities to the HCN to compare SRH before and after network entry. Examined variables include municipal spending on health and duration of the city’s participation in the network. Data were analyzed through multivariate linear regression with fixed effects at the city and year levels. Joining the HCN does not have an immediate effect on SRH. SRH increases with the duration of the city’s participation in the network, but this result is only marginally statistically significant. Municipal health spending mildly increases with membership duration. A weak negative association was found between municipal health spending and SRH. Duration of a city’s membership in the HCN is positively associated with residents’ SRH; this association is not explained by an increase in municipal health spending. Identifying a mechanism for this improvement is beyond the scope of this study and is left for future research.
机译:世界卫生组织健康城市网络(HCN)描述社区利益相关者(居民、企业、非政府组织和地方政府)促进健康,生活质量和可持续发展在城市环境中发展。三十年的历史,涉及成千上万在以色列城市在全球范围内,包括52。然而,很少有证据有关加入HCN的影响。检查是否HCN成员的影响居民的自我报告健康(SRH)。对以色列最大的13个城市调查数据2005 - 2017进行了分析使用法和事件研究研究设计。城市HCN比较SRH之前和之后网络入口。城市的卫生开支和持续时间城市的参与网络。通过多元线性回归分析固定效应在城市和一年的水平。加入HCN没有立竿见影的效果SRH。城市的参与网络,但这一点只统计结果有很重要的意义。增加会员持续时间。之间存在负相关市政卫生支出和SRH。加入HCN呈正相关与居民的SRH;解释为增加市政卫生支出。改进是超出了这个研究的范围是留给未来的研究。

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