Relationship between Environmental Pollution, Environmental Regulation and Resident Health in the Urban Agglomeration in the Middle Reaches of Yangtze River, China: Spatial Effect and Regulating Effect

The Healthy China 2030 Initiative is closely related to the coordinated development between national health, economy, and society. This major move demonstrates China’s active engagement in global health governance and in the fulfillment of the 2030 Agenda for Sustainable Development (SDGs). Based on Grossman’s health production function, this paper introduces key factors such as environmental pollution and environmental regulation to empirically investigate the regulating effect of environmental regulation, as well as the spatial spillover of environmental pollution and environmental regulation acting on resident health. We examine these effects by using the panel data of 28 cities of the urban agglomeration in the middle reaches of the Yangtze River (UAMYRY) between 2009 and 2019. The results show that: (1) Environmental pollution brings a loss to resident health. Among the urban agglomerations, the circum-Changsha–Zhuzhou–Xiangtan urban agglomeration (CCZXUA) and the Poyang Lake urban agglomeration (PLUA) have a much lower health effect of environmental pollution than the Wuhan urban agglomeration (WUA). (2) With the growing intensity of environmental regulation, the negative effect of environmental pollution on resident health will gradually decrease. Regionally, the environmental regulation in the CCZXUA has the best effect on residents’ health, followed by the WUA and the PLUA, which have the worst. (3) As a whole, the spatial spillover of environmental regulation and pollution has a significant impact on residents’ health, and the spatial spillover effect between urban agglomerations is stronger than that between cities in each urban agglomeration. The conclusions remain robust with various tests such as replacing control variables, introducing lagged explanatory variables, and considering endogeneity. Based on robust empirical evidence, several specific region policy suggestions, including rolling out proper environmental regulation policies, and establishing a linking mechanism of environmental management, were put forward to improve the environmental pollution state and resident health level of the UAMYRY.