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Associations between environmental perception and self-rated health in the city hierarchy of China: Findings from a national cross-sectional survey

Author

Listed:
  • Sun, Wenyao
  • Wu, Ying
  • Wang, Lan
  • Li, Xiaotian
  • Guo, Qiaoni
  • Hu, Zhanzhan

Abstract

Identifying environmental determinants of health and clarifying their variations is crucial for health promotion in different cities by providing tailored intervention strategies. Although the association between perceived urban environment and health (e.g., self-rated health) has been repeatedly explored, most studies have focused on cities of a specific size, and it is still unknown whether either significant environment variables or the magnitude of the association would vary across different-sized cities. This study investigated how perceived urban environment variables significantly associated with individuals’ self-rated health varied from small cities to mega cities in China, based on a national survey including 5963 valid respondents. The results showed that the relationship between self-rated health and city size was U-shaped, with respondents in medium and large cities reporting a low-level self-rated health. Perceived greenness, public facilities, housing supply, and medical services were positively and significantly associated with self-rated health, with the odds ratio (OR) of 1.37 (95%CI: 1.29–1.46), 1.27 (95%CI: 1.19–1.35), 1.14 (95%CI: 1.09–1.20), and 1.17 (95%CI: 1.10–1.24), respectively. Furthermore, the magnitude of the association was significantly larger in mega cities. These findings provide useful evidence for promoting public health in cities of different sizes for achieving health equity and indicate that smaller cities and their health-supportive environment need further attention.

Suggested Citation

  • Sun, Wenyao & Wu, Ying & Wang, Lan & Li, Xiaotian & Guo, Qiaoni & Hu, Zhanzhan, 2024. "Associations between environmental perception and self-rated health in the city hierarchy of China: Findings from a national cross-sectional survey," Social Science & Medicine, Elsevier, vol. 348(C).
    • Handle: RePEc:eee:socmed:v:348:y:2024:i:c:s0277953624002296
    DOI: 10.1016/j.socscimed.2024.116785
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    References listed on IDEAS

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    1. Reid Ewing & Robert Cervero, 2010. "Travel and the Built Environment," Journal of the American Planning Association, Taylor & Francis Journals, vol. 76(3), pages 265-294.
    2. Kawachi, I. & Kennedy, B.P. & Glass, R., 1999. "Social capital and self-rated health: A contextual analysis," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1187-1193.
    3. Chunshan Zhou & Jing Chen & Shaojian Wang, 2018. "Does Migrant Status and Household Registration Matter? Examining the Effects of City Size on Self-Rated Health," Sustainability, MDPI, vol. 10(7), pages 1-15, June.
    4. Wen, Ming & Hawkley, Louise C. & Cacioppo, John T., 2006. "Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois," Social Science & Medicine, Elsevier, vol. 63(10), pages 2575-2590, November.
    5. Liang Ma & Jennifer Dill & Cynthia Mohr, 2014. "The objective versus the perceived environment: what matters for bicycling?," Transportation, Springer, vol. 41(6), pages 1135-1152, November.
    6. William A. V. Clark & Daichun Yi & Youqin Huang, 2019. "Subjective well-being in China’s changing society," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 116(34), pages 16799-16804, August.
    7. Wu, Jih-hwa & Li, Shu-Hua & Sung, Wei-Ying, 2016. "The study of perceived environment and its relation to senior citizen's physical activity behavior intention," Journal of Business Research, Elsevier, vol. 69(6), pages 2259-2264.
    8. Jason Corburn, 2017. "Urban Place and Health Equity: Critical Issues and Practices," IJERPH, MDPI, vol. 14(2), pages 1-10, January.
    9. Peijin Sun & Wei Lu & Yan Song & Zongchao Gu, 2019. "Influences of Built Environment with Hilly Terrain on Physical Activity in Dalian, China: An Analysis of Mediation by Perceptions and Moderation by Social Environment," IJERPH, MDPI, vol. 16(24), pages 1-17, December.
    10. Mei-Po Kwan, 2018. "The Limits of the Neighborhood Effect: Contextual Uncertainties in Geographic, Environmental Health, and Social Science Research," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 108(6), pages 1482-1490, November.
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