ORIGINAL RESEARCH article
Front. Public Health
Sec. Health Economics
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1673534
This article is part of the Research TopicMultilevel Medical Security Systems and Big Data in Healthcare: Trends and Developments, Volume IIIView all articles
The Impact of Public Cultural Participation on Public Health Efficiency: Empirical analysis from Chinese cities
Provisionally accepted
- 1School of Art and Design, Shandong Women’s College, Jinan, China
- 2Macau University of Science and Technology, Taipa, Macao, SAR China
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Cultural dissemination plays a pivotal role in shaping public health awareness, fostering a cultural atmosphere that embeds public health concepts deeply in people's hearts. Based on panel data from 154 prefecture-level cities spanning from 2007 to 2021, this paper systematically evaluates the impact mechanism and regional heterogeneity characteristics of urban residents' public cultural participation on public health efficiency from the perspective of market-policy interaction, using a two-way fixed effects model. The study finds that urban residents' public cultural participation significantly enhances residents' public health efficiency, indicating that public cultural participation significantly improves health efficiency through social capital accumulation, promotion of healthy behaviors, and service resource coordination. Among the control variables, economic development level and population size positively contribute to health efficiency, while industrialization level, infrastructure, and urbanization have a significant negative impact. The conclusion remains valid after replacing the measurement method of urban residents' public cultural participation in the robustness test. Based on this, policy recommendations such as promoting "culturehealth" integrated governance and optimizing the structure of public cultural investment are proposed to mitigate the health risks associated with urbanization and industrialization.
Keywords: Public Cultural Participation, public health efficiency, Two-way fixed effects, Social capital accumulation, China
Received: 26 Jul 2025; Accepted: 13 Aug 2025.
Copyright: © 2025 Yang, Zhang and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Zhen Zhang, Macau University of Science and Technology, Taipa, Macao, SAR China
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