Social Network, Cognition and Participation in Rural Health Governance.

Jiayi Tang,Xuan Dong,Chao Wang,Haibo Ruan,Changgui Li,Wendong Xu

doi:10.3390/ijerph19052862

Abstract

Rural health governance is an important part of low-carbon green life, which is also related to the sustainable development and population health project in rural areas. Based on the survey data of 2343 rural residents in China, this study adopted a binary logistic regression model to explore the effects of rural residents’ social network and cognition on their participation in rural health governance. The research results show that only less than 30% of the respondents participated in rural health governance, and the proportion of rural resident participating is not high. Both their social network and cognition have a significant impact on their participation in rural health governance. Introverted communication helps strengthen the connection between rural residents, form the network and structure of rural social communication, build emotional links and common interests, and form a common cultural understanding paradigm and action framework. The extraverted communication means that rural residents gradually break away from the social network of acquaintances, which is not conducive to building a rural community. Rural residents’ understanding of behavior begins to deviate from rural culture, customs and emotional values, and the binding force of traditional culture is reduced, making it difficult to motivate them to participate in rural public life. Policy cognition can improve rural residents’ recognition of the value and significance of health governance. Responsibility awareness is the internal driving force for rural residents to participate in health governance, which can also reduce the governance cost of rural managers. Based on this, increasing rural residents’ introverted communication and cultivating their sense of responsibility are key to promoting their participation in rural health governance.

Highlights

Introduction iationsEntering the 21st century, the expectations from the international community for a higherquality living environment have been increasing day by day, and the concept of sustainable development has been advocated worldwide
In the acquaintance society and the semi-acquaintance society, rural residents are involved in both introverted communication and extroverted communication
It is easy to form emotional links and common interests among rural residents, while extroverted communication means that rural residents build more through industry-based interactions

Summary

Introduction

Entering the 21st century, the expectations from the international community for a higherquality living environment have been increasing day by day, and the concept of sustainable development has been advocated worldwide. China attaches great importance to environmental protection and vigorously promotes the construction of an ecological civilization. In the vast rural areas of China, there is still a problem of sacrificing the environment in exchange for economic development. The implementation of reform and opening policies has brought unprecedented opportunities to rural areas where the market has mobilized all human and material resources, effectively boosting the rural economy in China. According to the National Bureau of Statistics of China, the per capita income of rural residents increased from CNY 133 in 1978 to CNY 17,131 in 2020. The development of the rural economy and the increase in rural residents’ income levels have

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