Impact of national health city campaign on public health in China

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Abstract

Introduction

Establishing a national health city is an important national policy aimed at optimizing urban environment and improving residents’ health. A rigorous evaluation of the policy’s impact on China’s public health is imperative. Such an evaluation would provide a scientific foundation for the continuous improvement of the policy and enhance the overall health of the population.

Methods

Based on the panel data of 84 prefecture-level cities in China from 2011 to 2023, this study takes healthy cities as a quasi-natural experiment, and employs a DID model to deeply explore the impact of the National Health City Campaign (NHCC) on public health in China.

Results

The research indicates that the policy has led to a decline in mortality rates and has contributed to the enhancement of public health in China to a certain extent. The impact of the NHCC varies across different regions, economic development levels, and population sizes. In addition, this study determined that the NHCC is capable of achieving substantial enhancements in public health levels by promoting the optimization and upgrading of industrial structure. The impact of the sewage treatment rate on public health levels is found to be regulatory in nature.

Discussion

This study is instrumental in enhancing public health policy, providing a theoretical foundation for the development of a healthy city, and plays a pivotal role in the promotion of the Healthy China Initiative.

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All references

Author and article information

Contributors

Wenjing Wang: Role:

Songjiang Liu: Role: Role:

Bingnan Guo: URI : https://loop.frontiersin.org/people/1931967/overviewRole:

Journal

Journal ID (nlm-ta): Front Public Health

Journal ID (iso-abbrev): Front Public Health

Journal ID (publisher-id): Front. Public Health

Title: Frontiers in Public Health

Publisher: Frontiers Media S.A.

ISSN (Electronic): 2296-2565

Publication date (Electronic): 01 May 2025

Publication date Collection: 2025

Volume: 13

Electronic Location Identifier: 1594104

Affiliations

[1] ¹School of Humanities and Social Sciences, Jiangsu University of Science and Technology , Zhenjiang, China

[2] ²School of Economics and Management, Gannan University of Science and Technology , Ganzhou, China

Author notes

Edited by: Chao Ma, Southeast University, China

Reviewed by: Zhenhua Zhang, Lanzhou University, China

Jiang He, Hunan Agricultural University, China

Shengqing Xu, Jiangsu Ocean University, China

*Correspondence: Songjiang Liu, boxxp2010@ 123456126.com ; Bingnan Guo, 200600002509@ 123456just.edu.cn

Article

DOI: 10.3389/fpubh.2025.1594104

PMC ID: 12078279

PubMed ID: 40376053

SO-VID: 1c977883-76fa-43d5-8a62-2da2d40c44a4

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

History

Date received : 15 March 2025

Date accepted : 21 April 2025

Page count

Figures: 6, Tables: 10, Equations: 1, References: 40, Pages: 15, Words: 10772

Funding

The author(s) declare that no financial support was received for the research and/or publication of this article.

Custom metadata

section-at-acceptance Health Economics

Keywords: national health city,public health level,did model,psm-did model,urban environmental governance

Data availability:

Keywords: national health city, public health level, did model, psm-did model, urban environmental governance