Search Results (7,540)

Housing is a crucial determinant of population migration. However, the mechanisms through which urban housing influences floating-population re-migration, as well as its role in guiding the efficient spatial allocation of populations, remain underexplored. This study investigated the impact of urban housing status on population re-migration based on the spatial equilibrium theory, and empirically tested this relationship using nearly 370,477 individual migration intentions records from the China Migrants Dynamic Survey (CMDS). The key findings are as follows. First, urban housing status is related to shaping population re-migration intentions. In particular, owner-occupied housing and government-provided low-rent housing are associated with lower re-migration intentions. Second, institutional constraints on migrant populations can vary somewhat depending on household registration status. Rural-registered floating populations may sometimes face somewhat more restrictions in accessing urban housing and public services. By contrast, high-wage areas has less re-migration intentions primarily through labor income gains, leading to heterogeneous housing status effects on migration intentions. Further analysis reveals spatial and individual heterogeneity in how urban housing status shapes population re-mobility. Floating populations residing in first-tier, second-tier, and provincial capital cities prioritize employment opportunities. In comparison, first-generation floating populations, those with local spouses, and individuals engaged in low-risk occupations exhibit stronger demand for stable residence. Full article

Cropland and rural settlements are core components of rural human–environment systems, and their coordinated development is crucial for regional sustainability, particularly in China’s major agricultural production regions. Taking the Huang-Huai-Hai region as the study area, this study systematically investigates the spatiotemporal evolution of cropland and its coupling relationship with rural settlements using land use data from 1990 to 2020. Grid-based analysis and multiple spatial modeling methods were employed. The results show that: (1) From 1990 to 2020, the cropland in the region decreased by a net total of 21,021.94 km², with annual dynamic degrees ranging from −0.13% to −0.28%. Cropland conversion to other land uses far exceeded conversion from others, with construction land being the primary destination. Among these, rural settlements and urban construction land accounted for 43.75% and 55.58% of the total cropland loss, respectively. (2) The spatial distribution of cropland exhibited a distinct pattern of “hot in the center and south, cold in the periphery and north” (Moran’s I = 0.232, p < 0.001), indicating significant positive spatial autocorrelation. Hot spot areas clustered in the North China Plain and the Huang-Huai Plain, while cold spot areas were distributed in the Yanshan–Taihang mountains and the hilly regions of the Shandong Peninsula, clearly controlled by topography. (3) Cropland change exhibited stage-specific characteristics. The pattern was relatively stable during 1990–2000. During 2000–2010, cropland conversion to other uses intensified, with high-value conversion areas concentrated around urban agglomerations. In the 2010–2020 period, these high-value conversion areas diffused from the core plain areas to urban fringe zones. (4) The spatial coupling between cropland and rural settlements was predominantly characterized by the Moderately Coordinated Type (MCT), accounting for 48.38–58.44% of the area. However, the proportion of Rural Settlement-Dominant Type (RC) increased from 15.51% to 21.58%, indicating a trend toward intensifying human–environment conflicts. Overall, the Huang-Huai-Hai region experienced significant cropland changes. While its spatial pattern remains relatively stable, the coupling relationship between cropland and rural settlements is deteriorating, posing challenges to regional food security and rural sustainable development. Full article

Fine particulate matter with a diameter ≤2.5 μm (PM_2.5) pollution poses a global public health crisis, demonstrating significant threats to human health. This study focused on the strategically important Chengdu-Chongqing Economic Circle in western China, systematically comparing the toxic effects of urban and rural PM_2.5 across five levels. PMF and regression analysis were used to identify source contributions, dual-omics to pinpoint key molecules, and epidemiological data with a GAM model to assess health risks. Findings demonstrate that rural PM_2.5 possesses greater biotoxicity than its urban counterpart. Cytotoxicity in urban and rural PM_2.5 originated from road dust/vehicle emissions and biomass burning, respectively. Subsequently, integrated omics and molecular biology analyses identify kinesin family member 20A (KIF20A) as a shared key target, which mediates toxicity induced by both urban and rural PM_2.5. Finally, epidemiological analysis reveals that females and ≥65 years old exhibit relatively high sensitivity to urban PM_2.5 exposure trends, with rhinitis showing a comparatively higher impact among various related diseases. The novelty of this work lies in its pioneering application of a multi-tiered investigative approach. This approach spans “environmental samples-cellular mechanisms-population health” within the Chengdu-Chongqing economic circle context, systematically elucidating common and distinct respiratory health risk of urban and rural PM_2.5. This work offers a vital scientific foundation for advancing region-specific, precise air pollution prevention and control measures. Full article

Objective: To evaluate the impact of urban–rural health insurance integration on the health outcomes and financial burden of rural older adults. Methods: Utilizing panel data from the China Health and Retirement Longitudinal Study (CHARLS) spanning 2013 to 2018, we employed a staggered difference-in-differences model coupled with propensity score matching (PSM-DID) for rigorous causal identification. Results: The policy significantly reduced out-of-pocket medical expenditures for rural households by approximately 5.6% (p = 0.034). Concurrently, significant improvements were observed in both physical health (a 0.092-point reduction in ADL impairment scores) and mental health (a 0.725-point reduction in CES-D depression scores). Mechanism analyses revealed that the integration did not significantly increase the probability of outpatient or inpatient visits—thereby ruling out supplier-induced demand and moral hazard—while effectively reducing the incidence of catastrophic health expenditure by 1.9% (p = 0.004). Heterogeneity analyses indicated that while the financial relief was universally distributed across varying educational levels, the policy dividends were predominantly captured by the younger-old demographic. Notably, the reduction in financial burden was not statistically significant for the oldest-old cohort (aged 75 and older). Conclusions: The urban–rural health insurance integration has achieved a dual dividend of financial protection and health enhancement without triggering the overutilization of medical services. Nevertheless, the unmet care expenses for older adults with severe disabilities underscore the urgent necessity for a secondary safety net, such as long-term care insurance. Full article

Buildings account for nearly 30% of global energy-related carbon emissions. In rapidly developing economies, the operational phase of buildings represents a major and growing source of emissions. However, emission pathways in hot-summer-cold-winter (HSCW) regions remain understudied. This study analyzes carbon emission peaks and influencing factors in the operational phase of existing civilian buildings in Anhui Province. It integrates energy balance tables, the LEAP model, carbon emission factors, and the STIRPAT model. The energy balance table method disaggregates building energy consumption into urban, rural residential and public sectors. It adjusts for transportation energy by deducting specific proportions of gasoline and diesel from industrial, commercial, and residential sectors. Heating energy calculations are simplified because the region has a HSCW climate with limited centralized heating. The LEAP model projects emissions under four scenarios from 2020 to 2060. The STIRPAT model with ridge regression reveals that the permanent population and energy structure negatively influence residential emissions with elasticities of −2.646 and −1.465, respectively. This finding is consistent with the province’s energy transition, where coal use dropped from 28.48% in 2005 to 0.45% in 2020 and electricity use rose from 39.86% to 59.01%. In contrast, per capita GDP, building area, and energy intensity show positive effects. For public buildings, tertiary industry added value and energy structure are key determinants. Scenario analysis identifies the blueprint scenario as optimal, with residential emissions peaking at 34.29 million tons in 2025 and declining to 9.19 million tons by 2060 through measures such as 10% building retrofits by 2025, 75% energy-saving standards for new constructions, 50% retrofits by 2060, and renewable energy integration with building electrification, outperforming the baseline scenario that peaks in 2036 at 49.46 million tons and other intermediate scenarios. The study underscores that energy structure optimization significantly decouples energy consumption from emissions, offering actionable pathways for dual carbon goals through policy synergies in building efficiency, population management, and clean energy adoption to foster sustainable development and the construction industry’s low-carbon transition. Full article

The use of critical spatial perspectives in interrogating spatial inequities has proven essential to understanding rural students’, teachers’, and leaders’ experiences. In this qualitative study, we use spatial (in)justice to examine the socio-spatial challenges rural schools experience across different U.S. geographies. We then explore the spatialized local responses to educational problems through the leveraging of local strengths and partnerships, countering deficit perspectives of rural schools and communities. Disrupting bounds between rural and urban scholarship through a common critical framing of place can serve as a source of resistance to shared sources and outcomes of spatial injustice. Full article

Reliable air pollution monitoring remains a major challenge in Sub-Saharan Africa (SSA), limiting the assessment of population exposure and the development of effective mitigation strategies. Recent advances in low-cost (LC) sensors offer promising opportunities, but their deployment in low-infrastructure settings still faces significant technical and logistical challenges. This study presents the experience gained from deploying LC sensor networks in Burkina Faso, Niger, and the Republic of Guinea, focusing on the practical challenges of installing and maintaining these systems under demanding conditions. In Burkina Faso, an LC station was co-located with a reference-grade instrument, enabling field calibration. In Niger, factory-calibrated LC sensors were deployed across urban, semi-urban, and rural settings, while in Guinea they were installed in a remote area. Several practical issues and challenges emerged, including unstable power supplies, limited internet connectivity, safety, and logistical constraints. Careful planning and involvement of local expertise proved essential for the long-term sustainability of LC sensors. Knowledge transfer to local partners supported ongoing maintenance and strengthened data ownership. Overall, this study demonstrated that the reliability of LC air quality networks in SSA depends not only on technology, but also on adaptive strategies, robust calibration, and strong local engagement, offering practical guidance for future scalable and sustainable implementations in resource-limited settings. Full article

Against the backdrop of widening regional disparities and the rapid expansion of digital connectivity, understanding the relationship between new quality productive forces (NQPF) and urban–rural integration requires a systemic and network-based perspective. This study approaches urban–rural integration from a complex adaptive system perspective embedded in dynamic interregional networks. Using panel data from 31 Chinese provinces from 2014 to 2024, we construct composite indices for NQPF and urban–rural integration and combine two-way fixed-effects models, static Spatial Durbin Models (SDM), and dynamic-network two-way fixed-effects spatial-lag specifications. This framework helps examine local associations, network-based spillover patterns, and heterogeneous system responses. The results show that: (1) urban–rural integration exhibits significant spatial clustering, with Moran’s I becoming positive and statistically significant after 2016, reflecting persistent structural imbalances within the regional system; (2) the static SDM results show that NQPF is positively associated with urban–rural integration both locally and through spatial indirect linkages; (3) compared with conventional static geographic matrices, the dynamic network-based spatial weights provide additional information on evolving interregional linkages shaped by economic proximity, digital capability similarity, and factor mobility; and (4) under the dynamic network-based specification, NQPF remains positively associated with network exposure in connected provinces, with heterogeneous patterns across regions. More stable local associations are observed in high-connectivity and eastern regions, while the low-connectivity group and central–western regions appear to benefit more from network-based linkages. These findings suggest that the relationship between NQPF and urban–rural integration is embedded in a spatially connected and network-conditioned regional system. By integrating spatial econometrics with a complex systems perspective, this study provides a complementary framework for understanding regional transformation in the digital era. Full article

Background/Objectives: Western Canadian and U.S. communities outside urban centres remain underserved by primary, specialist, emergency, mental health, and chronic-disease services. These access problems reflect distance, weather, workforce shortages, specialist maldistribution, primary care attachment gaps, broadband limitations, and the governance realities of Indigenous and Tribal communities. This scoping review with narrative synthesis examined how telehealth and virtual-care models affect rural access in western Canada and the western/frontier United States. Methods: Searches were completed on 21 May 2026 in PubMed/MEDLINE, Embase, CINAHL, Scopus, the Cochrane Library, and PubMed Central. Supplementary searches included Google Scholar, publisher platforms, reference-list checking, and official Canadian and U.S. health-system sources. Peer-reviewed evidence published from 1 January 2016 to 21 May 2026 was eligible when it addressed rural, remote, frontier, Indigenous, underserved, western, or northern healthcare settings and reported access, implementation, safety, continuity, equity, or service-use outcomes. Results: The search identified 112 records; 27 duplicates were removed, 85 records were screened, 37 full texts were assessed, and 28 peer-reviewed records were included. Seven official sources were retained separately. Evidence was mainly observational, qualitative, mixed-methods, implementation-focused, or review-level. Moderate confidence supported telehealth for travel reduction and specialist input, especially through eConsultation, provider-to-provider consultation, telementoring, and real-time emergency support. Confidence was low to moderate for hybrid primary care and telemental health, and low for durable reductions in emergency department use. Conclusions: Telehealth may be most appropriately implemented as a hybrid, locally anchored, culturally safe access model, not as a stand-alone substitute for rural primary care, specialist capacity, or emergency services. Implementation should include broadband support, local physical assessment capacity, documentation, continuity, patient education, and clear escalation pathways. Full article

This study investigates the psychological and contextual mechanisms through which consumers’ awareness of agriculture’s contribution to climate change translates into a willingness to pay (WTP) for low-carbon agricultural products. Drawing on data from Eurobarometer 93.2 (ZA7739; N = 24,193), the research applies a moderated mediation model (Hayes’ PROCESS Model 14) to examine the mediating role of support for mandatory environmental labelling and the moderating effect of residential context. The results indicate that climate change awareness is significantly and positively associated with WTP. Moreover, support for mandatory labelling partially mediates this relationship, suggesting that institutionalized transparency may serve as a key mechanism through which environmental concern becomes economically actionable. The findings further reveal that this indirect effect is moderated by the level of urbanization, being stronger in urban areas than in rural settings. This highlights the importance of socio-spatial context in shaping consumer responses to sustainability information. Overall, the study contributes to the literature on sustainable consumption by demonstrating that willingness to financially support low-carbon agriculture depends not only on environmental awareness but also on trust-enhancing policy instruments and contextual factors. The findings offer important implications for policymakers aiming to promote sustainable food systems through information-based regulation. Full article

Background: Extracorporeal cardiopulmonary resuscitation (ECPR) can improve outcomes following refractory out-of-hospital cardiac arrest (OHCA); however, access is constrained by geography and resources. This study compared two strategies against the current system in Nara Prefecture, Japan: a two-stage hospital model using chest-pain network hospitals as ECPR-initiation sites, and a prehospital ECPR model using physician-staffed ambulances from two extracorporeal membrane oxygenation (ECMO)-ready hospitals. Methods: A geographic information system (GIS)-based simulation was conducted using emergency medical service (EMS) records of witnessed cardiac-origin OHCA cases (2017–2022). Isochrone analyses estimated areas reachable within a 60 min arrest-to-ECMO target. In the two-stage hospital model, patients located within a 15 min transport radius from chest-pain network hospitals were considered geographically covered. In the prehospital ECPR model, a physician-staffed ambulance was assumed to reach arrest sites within a 25 min travel-time radius from ECMO-ready hospitals. The study outcome was geographic coverage, defined as the proportion of cases within each service area; the two strategies were compared using McNemar’s test for paired proportions. Results: Among 1476 included cases, the coverage rate was as follows: current system, 28.7%; two-stage hospital model, 65.2%; prehospital model, 70.4% (p < 0.001). Certain eastern and southern mountainous regions remained outside both coverage areas. Conclusions: Using real-world EMS data, a mobility-focused prehospital ECPR strategy provided broader potential geographic access without requiring additional fixed hospital infrastructure than expanding hospital-based initiation sites. Optimization of prehospital deployment may represent a geographically feasible approach to expanding ECPR access in mixed urban–rural regions, though operational feasibility and cost-effectiveness require further evaluation. Full article

Cordyceps militaris is a high-value medicinal mushroom with growing demand in functional-food and nutraceutical markets, yet practical frameworks for small-scale, family-operated cultivation remain limited. This study presents an integrated technical and economic feasibility analysis of small-scale Cordyceps production under two scenarios: a one-room setup (Scenario 1) and a two-room configuration with a shared processing area and staggered scheduling (Scenario 2). Both use consistent biological, operational, and market assumptions with no hired labor, and the analysis covers capital expenditure (CapEx), operating costs (OpEx), profitability, payback, and break-even thresholds, complemented by sensitivity analysis of parameters such as biological efficiency and contamination rates. Both scenarios were technically and financially viable. Scenario 1 achieved a net present value (NPV) of $1761, an internal rate of return (IRR) of 10%, a 4.7-year discounted payback, and a 133% five-year return on investment (ROI); Scenario 2 attained an NPV of $85,437, a 66% IRR, a 1.6-year payback, and a 366% ROI. Because gross margins were consistent across scales, the expansion’s advantage stemmed from more efficient CapEx amortization rather than improved unit profitability. Cordyceps cultivation emerges as a viable family-operated, small-scale enterprise that can diversify family income, generate supplementary or primary earnings, and support urban and rural livelihoods. Full article

Background: Borrelia miyamotoi is an emerging tick-borne pathogen causing relapsing fever in humans. Although Saint Petersburg and the surrounding Leningrad Oblast harbor a high abundance of ixodid ticks (I. ricinus, I. persulcatus), no integrated assessment has yet simultaneously addressed pathogen circulation in vectors, reservoir hosts, and human populations in this specific northwestern region of Russia. Methods: During 2022–2024, we collected 1518 questing adult ticks and trapped 516 small mammals in Saint Petersburg and Leningrad Oblast. B. miyamotoi DNA was detected by real-time PCR. Sera from 3743 randomly selected volunteers (1553 from Saint Petersburg, 2190 from Leningrad Oblast) were tested for anti-B. miyamotoi IgG/IgM using a protein microarray (antigens: GlpQ, Vmps, flagellin). Infection rates and seroprevalence with 95% Wilson confidence intervals were compared using chi-square tests. Results: The overall tick infection rate was 3.78% (57/1506). I. ricinus had a significantly higher prevalence (4.94%; 95% CI: 3.67–6.60%) than I. persulcatus (2.29%; 95% CI: 1.39–3.74%; p = 0.011). Ticks from Leningrad Oblast also showed markedly elevated infection rates (4.98%; 95% CI: 3.75–6.58%) compared to those from Saint Petersburg (1.89%; 95% CI: 1.06–3.35%; p = 0.004). Small mammals exhibited substantially higher infection rates in Leningrad Oblast (39.44%; 95% CI: 31.78–47.65%) than in Saint Petersburg (13.90%; 95% CI: 10.76–17.78%; p < 0.001). Bank voles (Myodes glareolus) and yellow-necked mice (Apodemus flavicollis) were the main reservoirs; synanthropic rodents trapped within the city were found to be infected for the first time. No significant organotropism was detected, but positive correlations between infection in the heart, liver, and kidney suggested hematogenous dissemination. The overall human seroprevalence of B. miyamotoi was 1.71% (95% CI: 1.34–2.18%) and was significantly higher in Leningrad Oblast (2.19%; 95% CI: 1.66–2.89%) than in Saint Petersburg (1.03%; 95% CI: 0.64–1.67%; p = 0.010). In contrast, the seroprevalence of B. burgdorferi s. l. did not differ between the two regions (approximately 5.1%). Conclusions: This first comprehensive, multi-level investigation in Saint Petersburg and Leningrad Oblast reveals a stable epidemiological gradient: natural foci in Leningrad Oblast sustain higher B. miyamotoi circulation in ticks and rodents, which translates into a two-fold higher exposure of the rural population. The findings highlight the need to include B. miyamotoi in regional tick-borne infection surveillance programs and to adopt differentiated risk assessment strategies for urban and rural settings. Full article

Male circumcision (MC) has been shown in studies from South Africa, Kenya, and Uganda to reduce heterosexual Human Immunodeficiency Virus (HIV) transmission among men by approximately 50–60%. Despite Namibia’s adoption of voluntary medical male circumcision (VMMC) as part of national HIV prevention strategies, uptake remains suboptimal in some communities. This study assessed the knowledge, attitudes, and perceptions (KAP) of male circumcision among men aged 20–40 years in Otjiwarongo, Namibia, and examined socio-demographic factors associated with these outcomes. A community-based cross-sectional survey was conducted between March and May 2024, involving 359 participants selected through multistage sampling. Data were collected using structured, pre-tested questionnaires and analysed using STATA version 19. Descriptive statistics, chi-square tests, and binary logistic regression were used to summarise data and identify predictors of favourable KAP outcomes. Overall, 69.1% of respondents demonstrated good knowledge of male circumcision, 72.7% had positive attitudes, and 69.9% reported positive perceptions. Awareness of male circumcision was high (91.9%); however, only 69.4% of participants recognised its role in reducing HIV infection risk, and notable misconceptions persisted regarding its protective effects and procedural aspects. Multivariable analysis showed that urban residence (AOR = 1.58; 95% CI: 1.03–2.42; p = 0.035) and higher education (AOR = 4.12; 95% CI: 1.21–14.02; p = 0.024) were significant predictors of favourable KAP outcomes. In addition, good knowledge was strongly associated with positive attitudes (AOR = 3.25; 95% CI: 2.01–5.26; p < 0.001) and perceptions (AOR = 2.87; 95% CI: 1.79–4.60; p < 0.001). In conclusion, while knowledge, attitudes, and perceptions towards male circumcision were generally favourable, important gaps and misconceptions remain. Targeted, culturally appropriate health education interventions are needed, particularly among rural and less-educated populations, to improve understanding and acceptance of VMMC as part of comprehensive HIV prevention strategies. Full article

Mountainous traditional villages are rural heritage settlements shaped by complex environmental and socioeconomic interactions. Rapid urbanization has driven resource outflow and spatial restructuring, intensifying the conservation–development conflict. Existing conservation models relying on standardized criteria neglect village heterogeneity, and current studies insufficiently capture cluster-specific driving mechanisms across spatial scales. Using 153 traditional villages in the Qin–Ba Mountains of southern Shaanxi, this study shifts the analysis from overall spatial pattern identification to the comparison of cluster-specific driving mechanisms. The results indicate (1) traditional villages display an agglomeration pattern of “one primary core, one secondary core, and multiple peripheries,” forming valley corridor and hilly barrier clusters; (2) socioeconomic factors show greater explanatory power than natural factors at the global scale; (3) influencing factors exhibit dual heterogeneity, with intensity and direction varying across space and clusters displaying distinct dominant-factor combinations; and (4) socioeconomic factors may provide enabling conditions for traditional village conservation and adaptive reuse under appropriate governance contexts. Accordingly, valley corridor clusters can follow “conservation through development,” whereas hilly barrier clusters should adopt “development through conservation.” These findings offer empirical support for spatially differentiated governance of mountainous traditional villages. Full article