ArticleBMC public health2025
Can climate-resilient city construction promote healthier middle-aged and older adults? Evidences from China.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Protecting High-Vulnerability Elderly in Climate Emergencies: Lessons from Beijing's 2025 Floods.Environment & health (Washington, D.C.) · 2026Article
- Can sports consumption cities reduce residents' medical expenditures? Evidence from China.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundTo proactively mitigate climate risks, address the growing challenge of population aging, and promote sustainable well-being among older adults, the Chinese government launched a pilot program for climate-resilient cities (CRC). However, empirical evidence on the health impacts of CRC initiatives for middle-aged and older populations remains limited.
methodsThis study integrates data from the China Health and Retirement Longitudinal Study (CHARLS, 2011–2020) with the China City Statistical Yearbook. The difference-in-difference (DID) estimation strategy was applied to assess the causal effects of CRC implementation on health outcomes among middle-aged and older adults.
resultsThe construction of climate-resilient cities significantly improved self-rated health. The health benefits of CRC development were mediated through reduced exposure to extreme weather events, improved air quality, enhanced energy efficiency, and better outcomes in cognitive function, social participation, and thermal adaptability. Subgroup analyses revealed stronger positive effects among individuals with chronic diseases, as well as those living in urban areas and western regions of China.
conclusionClimate-resilient city initiatives substantially enhance the health and well-being of middle-aged and older adults, particularly in vulnerable populations and regions. These findings highlight the importance of incorporating climate resilience into urban planning and public health strategies to address both environmental challenges and population aging.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.