ArticleFrontiers in public health2026
Health dividends of urbanization and spatial spillovers: evidence from urban agglomerations in the Yangtze River Economic Belt.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Urbanization serves as a pivotal driver of socio-economic development, yet its impact on public health remains complex and often ambiguous, particularly within ecologically fragile zones such as the Yangtze River Economic Belt (YREB). This study employs a comprehensive econometric framework utilizing panel data from 108 prefecture-level cities in the YREB spanning 2010-2022. We integrate the Spatial Durbin Model (SDM), panel quantile regression, and causal mediation analysis to investigate the direct and indirect impacts of urbanization on public health, proxied by the Crude Death Rate (CDR). The findings reveal a significant inhibitory effect of urbanization on mortality rates, confirming the "urban health dividend." A notable spatial spillover effect was identified, wherein urbanization in neighboring regions further amplifies local health benefits. Heterogeneity analysis demonstrates that the marginal health benefits of urbanization are significantly greater in high-mortality regions compared to low-mortality regions. Furthermore, mediation tests quantify that medical technology upgrading (24.53%), resident income growth (22.18%), and environmental governance effectiveness (18.65%) are the primary transmission channels. This study may provide regional empirical evidence for understanding the health co-benefits of green urbanization and offers policy implications for advancing coordinated regional development strategies.
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