Policy spillover effects of healthy city in the context of urban-rural integration:Evidence from healthy aging in rural areas
10.3969/j.issn.1674-2982.2025.07.007
- VernacularTitle:城乡融合背景下的健康城市政策溢出效应
- Author:
Yuan-zhuo LIU
1
;
Qi-feng MA
1
Author Information
1. 中国人民大学人口与健康学院 北京 100872;中国人民大学老年学研究所 北京 100872
- Publication Type:Journal Article
- Keywords:
Healthy city;
Policy spillover;
Rural older adults;
Healthy aging;
Urban-rural integration
- From:
Chinese Journal of Health Policy
2025;18(7):52-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the baseline direction,mechanisms,and heterogeneous manifestations of the spillover effects of healthy city pilot policies on healthy aging in rural areas.Methods:Utilizing five-wave panel data from the China Longitudinal Aging Social Survey(CLASS)spanning 2014-2023,a difference-in-differences model was constructed to examine whether significant changes occurred in healthy aging levels within rural areas following policy implementation.Results:The healthy city pilot policy exerted significantly positive spillover effects on healthy aging in rural areas,primarily manifested through improvements in older adults'psychological and social health.These effects operated via enhanced medical service utilization and improved health behaviors in later life.Rural older adults with higher education levels,those co-residing with children,and those residing in economically developed or medically well-resourced areas experienced greater benefits.Conclusions:Healthy city pilot policies can transcend urban boundaries and benefit rural healthy aging through policy spillover effects.Future policies should focus on:deepening the integration and deployment of high-quality medical resources to rural areas;increasing investment in constructing age-friendly supportive health environments in rural settings;and enhancing targeted health intervention strategies for relatively disadvantaged groups—thereby improving the equity and inclusiveness of policy spillovers.
