Understanding and Harnessing the Health Effects of Rapid Urbanization in China
- 4 May 2011
- journal article
- policy analysis
- Published by American Chemical Society (ACS) in Environmental Science & Technology
- Vol. 45 (12), 5099-5104
- https://doi.org/10.1021/es2004254
Abstract
China is undergoing a rapid transition from a rural to an urban society. This societal change is a consequence of a national drive toward economic prosperity. Rapid urbanization impacts on infrastructure, environmental health and human wellbeing. Unlike many cases of urban expansion, Chinese urbanization has led to containment, rather than to increase, in the spread of infectious diseases. Conversely, the incidence of chronic conditions such as cardiovascular and metabolic diseases has risen, with higher rates occurring in urban regions. This rural–urban gradient in disease incidence seems not to be a reflection simply of more aggressive diagnosis or healthcare access. Other diseases exhibit little rural versus urban differences (e.g., liver cancer or respiratory disease), or even occur at a higher rate in the rural population (e.g., esophageal cancer). This article examines the impact of this changing demographic on environmental health and human wellbeing in China. Lessons learned from epidemiological studies mostly carried out in Europe and the U.S. may not be directly transferable to China. We advocate that there is now a need to establish robust systems of accurate data collection, a Chinese biobank network to facilitate the profiling of human health effects, and relevant randomized controlled trials to identify effective interventions in the Chinese urbanized setting. Such studies could allow for the future implementation of disease-preventive strategies.Keywords
This publication has 50 references indexed in Scilit:
- The Effect of Rural-to-Urban Migration on Obesity and Diabetes in India: A Cross-Sectional StudyPLoS Medicine, 2010
- Entry screening to delay local transmission of 2009 pandemic influenza A (H1N1)BMC Infectious Diseases, 2010
- Physical activity recommendations for health: what should Europe do?BMC Public Health, 2010
- Inhalation exposure to ambient polycyclic aromatic hydrocarbons and lung cancer risk of Chinese populationProceedings of the National Academy of Sciences, 2009
- Building Exposure Biology Centers to Put the E into “G × E” Interaction StudiesEnvironmental Health Perspectives, 2009
- Individual, social, environmental, and physical environmental correlates with physical activity among Canadians: a cross-sectional studyBMC Public Health, 2009
- Estimating Individual-Level Exposure to Airborne Polycyclic Aromatic Hydrocarbons throughout the Gestational Period Based on Personal, Indoor, and Outdoor MonitoringEnvironmental Health Perspectives, 2008
- Quantification of Urbanization in Relation to Chronic Diseases in Developing Countries: A Systematic ReviewJournal of Urban Health, 2008
- Obesity and cardio-metabolic risk factors in urban adults of Benin: Relationship with socio-economic status, urbanisation, and lifestyle patternsBMC Public Health, 2008
- Selection in Reported Epidemiological Risks: An Empirical AssessmentPLoS Medicine, 2007