Ministry of Education Key Laboratory for Earth System Modelling, Centre for Earth System Science, Tsinghua University, Beijing, China.
Lancet. 2012 Mar 3;379(9818):843-52. doi: 10.1016/S0140-6736(11)61878-3.
China has seen the largest human migration in history, and the country's rapid urbanisation has important consequences for public health. A provincial analysis of its urbanisation trends shows shifting and accelerating rural-to-urban migration across the country and accompanying rapid increases in city size and population. The growing disease burden in urban areas attributable to nutrition and lifestyle choices is a major public health challenge, as are troubling disparities in health-care access, vaccination coverage, and accidents and injuries in China's rural-to-urban migrant population. Urban environmental quality, including air and water pollution, contributes to disease both in urban and in rural areas, and traffic-related accidents pose a major public health threat as the country becomes increasingly motorised. To address the health challenges and maximise the benefits that accompany this rapid urbanisation, innovative health policies focused on the needs of migrants and research that could close knowledge gaps on urban population exposures are needed.
中国经历了历史上最大规模的人口迁移,其快速的城市化进程对公共卫生产生了重要影响。对城市化趋势的省级分析表明,全国范围内农村向城市的迁移正在发生转变,并呈现加速趋势,城市规模和人口也在迅速增长。城市化地区由于营养和生活方式选择而导致的疾病负担不断增加,是一个主要的公共卫生挑战,在中国农村向城市迁移的人口中,医疗保健机会、疫苗接种覆盖率以及事故和伤害方面的差距也令人困扰。城市环境质量,包括空气和水污染,既对城市地区也对农村地区的疾病有影响,而随着中国日益实现机动化,与交通相关的事故也构成了重大的公共卫生威胁。为了应对这些健康挑战并最大限度地利用这一快速城市化带来的好处,需要制定关注移民需求的创新性卫生政策,并开展研究,以填补城市人口暴露方面的知识空白。