Assessing the Impact of Pollution on Urban Scale in China: A New Perspective from Residents’ Health

Environmental pollution significantly impacts the urbanization process. Despite the well-documented influence of urban scale on pollution, understanding of the specific effects of pollution at the urban scale remains limited. This study aims to further the understanding of the impact of pollution on urban scales by analyzing pollution variations and mechanisms. This study investigated city-level panel data in China, specifically assessing different pollutant emissions and their linkage to resident health. This study found that pollution has contrasting effects on urban land and population scales. It leads to expansion in urban land but has crowding-out effects on population scales. Notably, pollution from haze was found to increase urban mortality to a greater extent than pollution from industrial sources. Furthermore, this research found that increasing healthcare expenditures for urban residents can offset the negative impact of pollution on population growth and promote coordinated urbanization. This study emphasizes the importance of local government investment in medical services and public expenditures to mitigate the harmful effects of pollution on health, which can substantially prevent population outflows. Furthermore, stronger environmental protection measures can prevent urban land development sprawl resulting from pollution. In conclusion, this study highlights the need for a balanced approach to pollution control and urban development to achieve sustainable and high-quality urbanization. © 2023 by the authors.