Abstract
The development of urbanization has important implications for the environment and the human health. However, it is still lacking a comprehensive analysis between urbanization, environmental pollution, and residents’ health based on a unified research system. In this study, we assessed the integrated level of urbanization by the entropy method based on the representative indicators. It has been found that there is a significant progress in the urbanization level in the provinces from 2005 to 2020. The impact of urbanization development on environmental pollution was analyzed using the system GMM (Generalized Method of Moments), and the results show an inverted U-shaped relationship between urbanization and environmental pollution. Fixed effect regression model analysis infers that urbanization has a dual impact on population health. Urbanization promotes residents’ health by improving medical conditions, but the environmental pollution caused by urbanization is harmful to residents’ health. This paper integrated urbanization, environmental pollution, and residents’ health into a research system to analyze the impact of urbanization on environmental pollution and residents’ health. Some policy recommendations have been proposed based on the research results for promoting high-quality development of urbanization, reducing environmental pollution, and improving residents’ health.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig2a_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig2b_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig3_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig4a_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig4b_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig5a_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig5b_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-023-26979-2/MediaObjects/11356_2023_26979_Fig6_HTML.png)
Similar content being viewed by others
Availability of data and materials
The data and materials that support the findings of this study are openly available on request.
References
Ahmad M, Jiang P, Majeed A, Umar M, Khan Z, Muhammad S (2020) The dynamic impact of natural resources, technological innovations and economic growth on ecological footprint: an advanced panel data estimation. Resour Policy 69:101817
Akinsola FA, Ologundudu MM, Akinsola MO, Odhiambo NM (2022) Industrial development, urbanization and pollution nexus in Africa. Heliyon 8(11):e11299
Alharthi M, Hanif I, Alamoudi H (2022) Impact of environmental pollution on human health and financial status of households in MENA countries: future of using renewable energy to eliminate the environmental pollution. Renew Energ 190:338–346
Bai YP, Deng XZ, Jiang SJ, Zhang Q, Wang Z (2018) Exploring the relationship between urbanization and urban eco-efficiency: evidence from prefecture-level cities in China. J Clean Prod 195:1487–1496
Bai LM, **u CL, Feng XH, Liu DQ (2019) Influence of urbanization on regional habitat quality: a case study of Changchun City. Habitat Int 93:102042
Belyaev I, Dean A, Eger H (2016) Europaem EMF Guideline 2016 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses. Rev Environ Health 31(3):363–397
Briggs D (2003) Environmental pollution and the global burden of disease. Brit Med Bull 68(1):1–24
Buchecker M, Frick J (2020) The implications of urbanization for inhabitants’ relationship to their residential environment. Sustainability 12(4):1624
Chen YQ, Zhao LM (2019) Exploring the relation between the industrial structure and the eco-environment based on an integrated approach: a case study of Bei**g, China. Ecol Indic 103:83–93
Chen JD, Wang B, Huang S, Song ML (2020) The influence of increased population density in China on air pollution. Sci Total Environ 735:139456
Chen WX, Gu TC, Zeng J (2022) Urbanisation and ecosystem health in the Middle Reaches of the Yangtze River urban agglomerations, China: a U-curve relationship. J Environ Manage 318:115565
Corburn J (2007) Reconnecting with our roots. Urban Aff Rev 42(5):688–713
Cui QD, Liu M (2017) A summary of research on urbanization evaluation index system. Rural Econ Sci-Technol 6:198–199
Darrouzet-Nardi AF, Masters WA (2015) Urbanization, market development and malnutrition in farm households: evidence from the Demographic and Health Surveys, 1986–2011. Food Sec 7(3):521–533
Fong TCT, Ho RTH, Yip PSF (2019) Effects of urbanization on metabolic syndrome via dietary intake and physical activity in Chinese adults: multilevel mediation analysis with latent centering. Soc Sci Med 234:112372
Gohlke JM, Thomas R, Woodward A (2014) Estimating the global public health implications of electricity and coal consumption. Environ Health Persp 119(6):821–826
He CF, Chen TM, Mao XY, Zhou Y (2016) Economic transition, urbanization and population redistribution in China. Habitat Int 51:39–47
Kampa M, Castanas E (2008) Human health effects of air pollution. Environ Pollut 151(2):362–367
Landrigan PJ, Schechter CB, Lipton JM, Fahs MC, Schwartz J (2002) Environmental pollutants and disease in American children: estimates of morbidity, mortality, and costs for lead poisoning, asthma, cancer, and developmental disabilities. Environ Health Perspect 110(7):721–728
Lhamsuren K, Choijiljav T, Budbazar E, Vanchinkhuu S, Blanc DC, Grundy J (2012) Taking action on the social determinants of health: improving health access for the urban poor in Mongolia. Inter J Equity Health 11(1):15
Li J, Rose N (2017) Urban social exclusion and mental health of China’s rural-urban migrants - a review and call for research. Health Place 48:20–30
Li H, Lu J, Li B (2020) Does pollution-intensive industrial agglomeration increase residents’ health expenditure? Sustain Cities Soc 56:102092
Liu H, Zhao Z (2014) Does health insurance matter? Evidence from China’s urban resident basic medical insurance. J Comp Econ 42(4):1007–1020
Ma MY, Tang JX (2022) Interactive coercive relationship and spatio-temporal coupling coordination degree between tourism urbanization and eco-environment: a case study in Western China. Ecol Indic 142:109149
Mehrara M, Fazaeli AA, Fazaeli AA, Fazaeli AR (2012) The relationship between health expenditures and economic growth in middle east & North Africa (MENA) countries. Int J Buss Mgt Eco Res 3(1):425–428
Nasreen S (2021) Association between health expenditures, economic growth and environmental pollution: long-run and causality analysis from Asian economies. Int J Health Plan M 36(3):925–944
Neves SA, Marques AC, Patricio M (2020) Determinants of CO2 emissions in European Union countries: does environmental regulation reduce environmental pollution? Econ Anal Policy 68:114–125
Oladipo JA ((2014) Utilization of health care services in rural and urban areas: a determinant factor in planning and managing health care delivery systems. Afr Health Sci 14(2):322–333
Ponte EV, Cruz AA, Athanazio R, Carvalho-Pinto R, Fernandes FLA, Barreto ML, Stelmach R (2018) Urbanization is associated with increased asthma morbidity and mortality in Brazil. Clin Respir J 12(2):410–417
Rana MMP (2011) Urbanization and sustainability: challenges and strategies for sustainable urban development in Bangladesh. Environ Dev Sustain 13(1):237–256
Ren SG, Li XL, Yuan BL, Li DY, Chen XH (2018) The effects of three types of environmental regulation on eco-efficiency: a cross-region analysis in China. J Clean Prod 173:245–255
Rosengren A, Smyth A, Rangarajan S (2019) Socioeconomic status and risk of cardiovascular disease in 20 low-income, middle-income, and high-income countries: the Prospective Urban Rural Epidemiologic (PURE) study. Lancet Glob Health 7(6):e748–e760
Shang J, Wang Z, Li L, Chen Y, Li PF (2018) A study on the correlation between technology innovation and the new-type urbanization in Shaanxi province. Technol Forecast Soc Chang 135:266–273
Sirmatel II, Geroliminis N (2018) Economic model predictive control of large-scale urban road networks via perimeter control and regional route guidance. IEEE Trans Intell Transport Syst 19(4):1112–1121
Soheila KY, Khanalizadeh B (2017) Air pollution, economic growth and health care expenditure. Econ Res-Ekon Istraz 30(1):1181–1190
Szabo CP (2018) Urbanization and mental health. Curr Opin Psychiatr 31(3):256–257
Tseng SC, Hung SW (2014) A strategic decision-making model considering the social costs of carbon dioxide emissions for sustainable supply chain management. J Environ Manage 133:315–322
Vaccari M, Vinti G, Cesaro A, Belgiorno V, Salhofer S, Dias MI, Jandric A (2019) WEEE treatment in develo** countries: environmental pollution and health consequences-an overview. Int J Env Res Pub He 16(9):1595
Vennemo H, Aunan K, Lindhjem H, Seip HM (2009) Environmental pollution in China: status and trends. Rev Env Econ Policy 3(2):209–230
Ventriglio A, Bellomo A, Di Gioia I, Di Sabatino D, Favale D, De Berardis D, Cianconi P (2021) Environmental pollution and mental health: a narrative review of literature. CNS Spectr 26(1):51–61
Wang Q (2018) Urbanization and global health: the role of air pollution. Iran J Public Health 47(11):1644–1652
Wang RY, Xue DS, Liu Y, Chen HS, Qiu YZ (2018) The relationship between urbanization and depression in China: the mediating role of neighborhood social capital. Int J Equity Health 17:105. https://doi.org/10.1186/s12939-018-0825-x
Wei ZY, Bai JJ, Feng RT (2022) Evaluating the spatial accessibility of medical resources taking into account the residents’ choice behavior of outpatient and inpatient medical treatment. Socio-Econ Plan Sci 83:101336
Wu HQ, Shi Y, **a Q, Zhu WD (2014) Effectiveness of the policy of circular economy in China: a DEA-based analysis for the period of 11th five-year-plan. Resour Conserv Recy 83:163–175
Wu HT, Gai ZQ, Guo YX, Li YW, Hao Y, Lu ZN (2020) Does environmental pollution inhibit urbanization in China? A new perspective through residents’ medical and health costs. Environ Res 182:109128
Xu HQ, Jia Y, Sun ZD, Su JH, Liu QS, Zhou QF, Jiang GB (2022) Environmental pollution, a hidden culprit for health issues. EEH 1(1):31–45
Yang XD, Zhang JN, Ren SY, Ran QY (2021) Can the new energy demonstration city policy reduce environmental pollution? Evidence from a quasi-natural experiment in China. J Clean Prod 287:125015
Yu BB (2021) Ecological effects of new-type urbanization in China. Renew Sust Energ Rev 135:110239
Zeng GJ, Xu YC, Wang LJ, Zhong SR (2021) From localization to de-localization and re-localization: transformation of the human-land relationship in China’s urbanization process. Prog Geo 40(1):28–39
Zhang GL, Zhang N, Liao WM (2018) How do population and land urbanization affect CO2 emissions under gravity center change? A spatial econometric analysis. J Clean Prod 202:510–523
Zhao C, Wang B (2022) How does new-type urbanization affect air pollution? Empirical evidence based on spatial spillover effect and spatial Durbin model. Environ Int 165:107304
Zhou CL, Wei JL (2007) Measurement model and empirical analysis of industrial structure level - taking Shanghai, Shenzhen and Ningbo as examples. Shanghai Econ Rev 6:15–21
Funding
This work was financially supported by the Project of Liaoning Social Science Planning Fund (No. L22BGL003, No. L22BTJ001).
Author information
Authors and Affiliations
Contributions
Congting Sun: Conceptualization, supervision, formal analysis, writing—review and editing, funding acquisition. Ying Wang: Conceptualization, investigation, formal analysis, visualization. Zhichuan Zhu: Writing—review and editing, supervision, visualization.
Corresponding author
Ethics declarations
Ethical approval and consent to participate
Not applicable.
Consent to publish
All authors declare that they have consent for publication in the journal of Environmental Science and Pollution Research.
Competing interests
The authors declare no competing interests.
Additional information
Responsible Editor: Philippe Garrigues
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Sun, C., Wang, Y. & Zhu, Z. Urbanization and residents’ health: from the perspective of environmental pollution. Environ Sci Pollut Res 30, 67820–67838 (2023). https://doi.org/10.1007/s11356-023-26979-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11356-023-26979-2