2023
DOI: 10.3389/fpubh.2022.1096964
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How does urbanization affect public health? New evidence from 175 countries worldwide

Abstract: Urbanization is an essential indicator of contemporary society and a necessary historic stage in the industrialization of all countries. Thus, we explore the impact of urbanization on public health using the OLS estimation and a two-way fixed effect model based on annual panel data from 175 countries from 2000 to 2018. This paper also addresses potential endogeneity issues and identifies causal relationships using the coefficient stability tests, system GMM, and instrumental variable method. The results demons… Show more

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Cited by 30 publications
(12 citation statements)
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“…Urbanization is linked to enhance economic and social progress, providing improved access to sanitation, healthcare services, employment, and higher food quality. These findings align with studies by Zhang et al 138 , Jiang et al 38 , Fan et al 139 , Wang 140 , and Gong et al 141 , which similarly found positive associations between urbanization and improved life expectancy and reduced infant mortality rates across diverse country panels. While urbanization’s health effects may vary across nations, our results support its overall positive impacts on health outcome indicators.…”
Section: Resultssupporting
confidence: 90%
“…Urbanization is linked to enhance economic and social progress, providing improved access to sanitation, healthcare services, employment, and higher food quality. These findings align with studies by Zhang et al 138 , Jiang et al 38 , Fan et al 139 , Wang 140 , and Gong et al 141 , which similarly found positive associations between urbanization and improved life expectancy and reduced infant mortality rates across diverse country panels. While urbanization’s health effects may vary across nations, our results support its overall positive impacts on health outcome indicators.…”
Section: Resultssupporting
confidence: 90%
“…This is not unexpected considering the high rate of rural–urban migration in the continent, and the observed unplanned rapid urbanization that deteriorates human health conditions through poor housing conditions, overcrowding, and poor environmental sanitation that stimulate the spread of diseases. The finding on this variable though consistent with Nathaniel and Khan ( 85 ), it is, however, contrary to the finding from Zhang et al ( 86 ) and Mahalik et al ( 77 ). A possible reason for this contrary finding is the heterogeneity in the preparedness for the level of urbanization across the region of the world, which was not taken into consideration in the two studies.…”
Section: Empirical Results and Analysissupporting
confidence: 52%
“…The central government’s tournament mode of evaluating local officials has encouraged local governments to expand land finance, drive fixed asset investment, increase enthusiasm for infrastructure construction, and directly promote economic growth [ 28 ]. The rapid advancement of the urbanization rate has also contributed to this stimulating effect [ 29 ]. In the long run, because land finance ignores the balanced development of secondary and tertiary industries and the effective allocation of resources, the economic growth model driven by fixed asset investment is not sustainable [ 30 ].…”
Section: Literature Reviewmentioning
confidence: 99%