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Rural–urban inequities in deaths and cancer mortality amid rapid economic and environmental changes in China

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  • Lee Liu

    (University of Central Missouri)

Abstract

Objectives This paper examines rural–urban inequities in mortality and cancer mortality amid rapid economic growth and environmental degradation in China. Methods SPSS and Joinpoint Regression were used to analyze the 2002–2015 datasets from all death registries in China and associated economic and environmental data. Results Death and cancer mortality rates among rural residents were higher and increased faster than urban residents. In particular, rural men 30–34 years old were 44% more likely to die from cancer and over 67% more likely to die from all causes, compared to their urban counterparts. Among rural women 15–19 years old, the death rate was 47% higher and the cancer mortality rate was 44% higher than among urban women. Death and cancer mortality rates tended to be positively associated with economic growth and air pollution variables. Conclusions Rural–urban health inequities have widened in China, with rural youth at the greatest disadvantage. The anticipated health benefits from income growth may have been offset by the impact of air pollution, which calls for further investigation into the causes of rural–urban health inequities.

Suggested Citation

  • Lee Liu, 2019. "Rural–urban inequities in deaths and cancer mortality amid rapid economic and environmental changes in China," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 39-48, January.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:1:d:10.1007_s00038-018-1109-3
    DOI: 10.1007/s00038-018-1109-3
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    References listed on IDEAS

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    1. Bakkeli, Nan Zou, 2016. "Income inequality and health in China: A panel data analysis," Social Science & Medicine, Elsevier, vol. 157(C), pages 39-47.
    2. Xuejie Ding & Francesco C. Billari & Stuart Gietel-Basten, 2017. "Health of midlife and older adults in China: the role of regional economic development, inequality, and institutional setting," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 857-867, November.
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    5. Biggs, Brian & King, Lawrence & Basu, Sanjay & Stuckler, David, 2010. "Is wealthier always healthier? The impact of national income level, inequality, and poverty on public health in Latin America," Social Science & Medicine, Elsevier, vol. 71(2), pages 266-273, July.
    6. Zeng, Di & You, Wen & Mills, Bradford & Alwang, Jeffrey & Royster, Michael & Anson-Dwamena, Rexford, 2015. "A closer look at the rural-urban health disparities: Insights from four major diseases in the Commonwealth of Virginia," Social Science & Medicine, Elsevier, vol. 140(C), pages 62-68.
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    Cited by:

    1. Yigang Zhang & Xiaoyan Guo, 2023. "The Dilemma and Path of Rural Environmental Governance in China: From the Perspective of a Community with a Shared Future," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    2. Wei Zhou & Fan Zhang & Shihao Cui & Ke-Chiun Chang, 2022. "Is There Always a Negative Causality between Human Health and Environmental Degradation? Current Evidence from Rural China," IJERPH, MDPI, vol. 19(17), pages 1-13, August.

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