Evaluating the ecosystem health of riparian zones is helpful for decision-makers to formulate appropriate management measures. However, there are few methods for such evaluation which account for both the human requirements and ecological aspects of riparian zones. To address this, we created a Pressure-State(Vigor-Organization-Resilience)-Response framework for evaluating the ecosystem health of the riparian zone of the Yangtze River in Jiangsu Province, a region experiencing intense land use changes. Evaluation indicators, including land use change and ecosystem services, were selected. The comprehensive index method was used to calculate the evaluation indicators of ecosystem health, namely pressure, state, and response, and the comprehensive evaluation indicator itself. Using the cold and hot spot analysis, we also analyzed the spatial heterogeneity of ecosystem health in the riparian zone, constructed an ecological management pattern, and proposed corresponding management and protection measures. The results show that (1) from 2010 to 2020, construction land in the study area increased by more than 20%, and all studied land types underwent some degree of conversion to construction land, with cultivated land and water bodies being the main focus of conversion. (2) In 2020, the average ecosystem health in the riparian zone was normal, with a spatial distribution characterized by "high dispersion and low clustering"; and (3) according to the results of the ecosystem health evaluation and cold and hot spot analysis, key areas for stronger ecological protection were identified and, based on this, a number of management recommendations were proposed.
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