Iranian Journal of Public Health 2018. 47(8):1108-1118.

Influential Factors of Residents’ Health in Regions of China: A Comparative Study
Zhiguang ZHANG, Haiqing HU, Conghui HAO, Kaikai ZHANG



Background: With the rapid growth of China’s economy, the country’s economic, social, and environmental development has also shown significant differences in various regions. Improving the health level of residents has gradually become a hot issue. We aimed to explore the difference of the health level of the residents in different regions of China and its influential factors.

Methods: A panel regression model was established using statistical data from 31 provinces in the eastern, central, and western regions of China from the years 2000 and 2016 to examine the influence of economic, environmental, and social factors on the health level of residents in these regions and investigate the regulating role of public service factors.

Results: Environmental pollution significantly promotes human mortality in the eastern and central regions of China. The urbanization rate significantly reduces human mortality in the eastern and central regions. Per capita gross domestic product in the eastern and western regions has a significant U-shaped relationship with human mortality. The number of beds in health institutions per 10,000 persons, average years of schooling, and endowment insurance contribution service have varying degrees of influence on residents’ health level in the three regions of China. In particular, endowment insurance contribution service significantly reduces human mortality in the eastern region, whereas its impact on the western region is insignificant.

Conclusion: Differential policies in environmental pollution control, economic growth, and medical and public health should be formulated to reduce mortality in China, specifically in the eastern, central, and western regions.




Human mortality; Environmental pollution; Economic growth; Panel regression model

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National Bureau of statistics (2017). China Statistical Yearbook. National Bureau of statistics of the People's Republic of Chi-na, China. Available from:

National Bureau of statistics (2010). China Compendium of Statistics 1949-2008. China Statistics Press, China, pp.: 6-7

Chen S, Chen T (2014). Air pollution and public health: evidence from sulfur diox-ide emission of coal-fired power stations in China. Econ Res, (8):158-69.

Qin LJ, Chen B, Jiang ZY (2012). The influ-ence of the urban land expropriation in China on farmers’health. Manage World, (9):82-8.

Zhao XY, Wang WJ, Wan WY (2017). Re-gional inequalities of residents' health lev-el in China: 2003-2013. Acta Geol Sin, 72(4):685-98.

Etchie TO, Sivanesan S, Adewuyi GO et al (2017). The health burden and economic costs averted by ambient PM2.5 pollution reductions in Nagpur, India. Environ Int, 6(102):145-56.

Lima ALBD, Lima KCD (2014). Activity limitation in the elderly people and ine-qualities in Brazil. Open Access Library Jour-nal, 01(4):1-9.

Chen X, Wang X, Huang JJ, et al. (2017). Nonmalignant respiratory mortality and long-term exposure to PM10 and SO2: a 12-year cohort study in northern China. Environ Pollut, 231:761-67.

Wu WX, Xu J, Xiang Q, et al. (2016). Sub-health status of urban residents in three regions in China and influencing factors. Chin Gen Pract, 19(22):2651-655.

Cheng MM, Yang MZ (2015). Impact of urbanization on the health of Chinese residents: an empirical study based on provincial panel data. China Popul Resour Environ, 25(7):89-96.

Wu XY, Li LX (2014). The impact of urban-ization on health in China. Nankai Econ Stud, (6): 58-73.

Wang J, Chang ZZ (2007). China macro health production function: theory and positive analysis. Nankai Econ Stud, (2):20-42.

Cao Y, Yan Y (2017). Nonlinear threshold effect research of health human capital and economic growth. Chin Health Serv Manag, (3):161-64.

Sun SJ, Fu SY, Wu ZA (2016). Analysis on the relationship among economic devel-opment, primary health input and resi-dent health. Chin Health Econ, 35(1):73-6.

Regidor E, Reques L, Belza MJ et al (2016). Education and mortality in Spain: a na-tional study supports local findings. Int J Public Health, 61(1):139-45.

Gao QS (2015). Utility of longevity, retire-ment insurance system and public health policy. Econ Rev, (6): 92- 107.

Hong E, Chul AB (2011). Income-related health inequalities across regions in Ko-rea. Int J Equity Health, 10(41):1-11.

Du BF, Wang X (2013). Health inequality among the Chinese elderly: changes, re-gional disparities and determinants. Popul Res, 37(5):81-90.

Zhai SG, Qiu YL, Ma K (2014). Difference degree and improve path on health care in China: the empirical analysis of Zhen-jiang, Chengdu, Shenmu, and Yinchuan. Bus Manag J, (1):154-62.

Grosman M (1972). On the concept of health capital and the demand for health. J Pol Econ, 80(2):223-55.

Behrman J R, Deolalikar AB (1988). Health and nutrition. In: Handbook of development economics. Eds, North Holland.1st ed, Else-vier Inc. Amsterdam, pp. 631-711.

Miao YQ, Chen WJ (2010). Air pollution and health needs: application of gross-man model. J World Econ, (6):140-60.

Qu WH, Yan ZJ (2015). The influence of environmental pollution, economic growth and healthcare services to public health based on China’s provincial panel data. Chin J Manage Sci, 23(7): 166-76.

Zhao Z (2006). Health status and influenc-ing factors of rural population in China. Manage World, (3): 78-85.

Hitiris T, Posnett J (1992). The determinants and effects of health expenditure in de-veloped countries. J Health Econ, 11(2):173-81.

Berger MC, Messer J (2002). Public financ-ing of health expenditures, insurance, and health outcomes. Appl Econom, 34(17):2105-113.

Auster R, Leveson I, Sarachek D (1969). The production of health, an exploratory study. J Hum Resour, 4(4): 411-36.

Rodgers GB (2002). Income and inequality as determinants of mortality: An interna-tional cross-section analysis. Int J Epidemi-ol, 31(3):533-38.

Yang Z, Ao RJ, Wang N, Ding QY (2017). Spatio-temporal difference characteristic of pollution’s health stress of China.Sci Geogr Sin, 37(3):339-45.

Hu HW, Shi J (2009). Comprehensive pro-motion and influential factors of house-hold’s health in rural Areas based on the comprehensive relationship test of linear and "U" shape. J Shanxi Univ Financ Econ, 31(12): 23-31.

Wang W (2017). Research on coupling de-gree of health human capital investment and urbanization in China. Chin Health Econ, 36(10):62-5.


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