NDLI: Urbanization, economic development and health: evidence from China’s labor-force dynamic survey

Content Provider	Springer Nature : BioMed Central
Author	Chen, Hongsheng Liu, Ye Li, Zhigang Xue, Desheng
Abstract	Background The frequent outbreak of environmental threats in China has resulted in increased criticism regarding the health effects of China’s urbanization. Urbanization is a double-edged sword with regard to health in China. Although great efforts have been made to investigate the mechanisms through which urbanization influences health, the effect of both economic development and urbanization on health in China is still unclear, and how urbanization-health (or development-health) relationships vary among different income groups remain poorly understood. To bridge these gaps, the present study investigates the impact of both urbanization and economic development on individuals’ self-rated health and its underlying mechanisms in China. Methods We use data from the national scale of the 2014 China Labor-force Dynamics Survey to analyze the impact of China’s urbanization and economic development on health. A total of 14,791 individuals were sampled from 401 neighborhoods within 124 prefecture-level cities. Multilevel ordered logistic models were applied. Results Model results showed an inverted U-shaped relationship between individuals’ self-rated health and urbanization rates (with a turning point of urbanization rate at 42.0%) and a positive linear relationship between their self-rated health and economic development. Model results also suggested that the urbanization-health relationship was inverted U-shaped for high- and middle-income people (with a turning point of urbanization rate at 0.0% and 49.2%, respectively), and the development-health relationship was inverted U-shaped for high- and low-income people (with turning points of GDP per capita at 93,462 yuan and 71,333 yuan, respectively) and linear for middle-income people. Conclusion The impact of urbanization and economic development on health in China is complicated. Careful assessments are needed to understand the health impact of China’s rapid urbanization. Social and environmental problems arising from rapid urbanization and economic growth should be addressed. Equitable provision of health services are needed to improve low-income groups’ health in highly urbanized cities.
Related Links	https://equityhealthj.biomedcentral.com/counter/pdf/10.1186/s12939-017-0705-9.pdf
Ending Page	8
Page Count	8
Starting Page	1
File Format	HTM / HTML
ISSN	14759276
DOI	10.1186/s12939-017-0705-9
Journal	International Journal for Equity in Health
Issue Number	1
Volume Number	16
Language	English
Publisher	BioMed Central
Publisher Date	2017-11-29
Access Restriction	Open
Subject Keyword	Public Health Health Promotion and Disease Prevention Health Services Research Health Policy Social Justice Equality and Human Rights Social Policy Urbanization Economic development Health Income inequality China
Content Type	Text
Resource Type	Article
Subject	Health Policy Public Health, Environmental and Occupational Health
Journal Impact Factor	4.5/2023
5-Year Journal Impact Factor	4.7/2023

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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Urbanization, economic development and health: evidence from China’s labor-force dynamic survey

Urbanization, economic development and health: evidence from China’s labor-force dynamic survey

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