China Policy Research Articles

PM2.5 Induces Developmental Neurotoxicity in Cortical Organoids

There is mounting evidence implicating the potential neurotoxic effects of PM2.5 during brain development, as it has been observed to traverse both the placental barrier and the fetal blood-brain barrier. However, the current utilization of 2D cell culture and animal models falls short in providing an accurate representation of human brain development. Consequently, the precise mechanisms underlying PM2.5-induced developmental neurotoxicity in humans remain obscure. To address this research gap, we constructed three-dimensional (3D) cortical organoids that faithfully recapitulate the initial stages of human cerebral cortex development. Our goal is to investigate the mechanisms of PM2.5-induced neurotoxicity using 3D brain organoids that express cortical layer proteins. Our findings demonstrate that exposure to PM2.5 concentrations of 5 μg/mL and 50 μg/mL induces neuronal apoptosis and disrupts normal neural differentiation, thereby suggesting a detrimental impact on neurodevelopment. Furthermore, transcriptomic analysis revealed PM2.5 exposure induced aberrations in mitochondrial complex I functionality, which is reminiscent of Parkinson's syndrome, potentially mediated by misguided axon guidance and compromised synaptic maintenance. This study is a pioneering assessment of the neurotoxicity of PM2.5 pollution on human brain tissues based on 3D cortical organoids, and the results are of great significance in guiding the formulation of the next air pollution prevention and control policies in China to achieve the sustainable improvement of air quality and to formulate pollution abatement strategies that can maximize the benefits to public health.

Accessibility evaluation and multi-scenario optimization of medical services in underdeveloped city driven by multi-source data and latest policies for China

Accessibility evaluation and multi-scenario optimization of medical services in underdeveloped city driven by multi-source data and latest policies for China

Mapping the Evolving Landscape of Library-Related Policies in China: A Topic Modeling Approach

This study aims to investigate the thematic characteristics and evolutionary patterns of library policies in China from 1949 to 2023. Employing the Latent Dirichlet Allocation (LDA) model, the research analyzed 2,703 Chinese government-issued policies related to libraries during this period, identifying key topics and tracing their developmental trajectories. The study recognized four distinct developmental phases, five major topics, and the underlying connections among feature terms within different topics. It discussed the corresponding topic strengths and evolving trends in each phase. Library policies in China are predominantly centered on five key domains: 1) spatial planning and architectural integration, 2) information management and transparency, 3) legal regulations and supervisory enforcement, 4) heritage preservation and sustainable development, and 5) community inclusion and accessibility. Notably, spatial planning and architectural integration consistently garner substantial attention, highlighting their enduring prominence, while there is relatively less emphasis on community inclusion and accessibility, as well as heritage preservation and sustainable development. The contribution of this study lies in conducting a semantic exploration of the overall transformation in library-related policies in China, validating the effectiveness of the LDA model in identifying topics within policy texts, and expanding the research perspective on library policy evolution.

Perceived quality of parent-child interaction in parents of autistic children: relationship with parental education level

IntroductionMost autism research was conducted in Western, Educated, Industrialised, Rich and Democratic (WEIRD) countries. This study is the first to examine factors that were associated with perceived quality of parent-child interaction in non-WEIRD parents of autistic children.MethodsNinety-one Chinese parents of autistic children (82 females, 9 males) completed an online survey which involved two sections. The first section included demographics questions about the parent and the family, including age, gender, educational level, and household income. It also assessed parents’ perceived quality of parent-child interaction and their autistic traits. The second section included demographics questions about their autistic child, including age and gender, and assessed autistic traits and behavioural problems.ResultsParent’s education level was associated with and the only predictor of their perceived quality of parent-child interaction. The higher educational level in parents the higher quality of parent-child interaction was perceived by the parents.DiscussionThese findings underscored the significance of parents’ education level as a unique predictor of perceived parent-child interaction quality among Chinese parents of autistic children, providing implications to corresponding education and social policies in China and other non-WEIRD countries.

Regional Development Policies in Afghanistan and Neighboring Countries: A Comparative Analysis

This essay explores the regional development policies applied in Afghanistan and its neighboring countries using a comparative qualitative analysis method. It focuses on infrastructure development, human capital investment, regional integration, and technological innovation policies. It compares development policies in China, Iran, Pakistan, and Afghanistan highlighting key projects which have fostered regional connectivity and economic growth. By comparing these policies, the essay evaluates how these initiatives have contributed to reducing regional disparities. This study aims to provide insights into how regional development policies can address Afghanistan’s socio-economic disparities and promote sustainable development. Despite notable successes, the research identifies ongoing challenges such as political instability, limited financial resources, and weak regional cooperation that impede further progress in Afghanistan. Key policy recommendations for Afghanistan include enhancing regional cooperation, investing in technological infrastructure, and developing human capital to achieve sustainable growth and stability.

What influences the development of wine-producing regions? New economic opportunities in the eastern foothills of the Helan Mountains in China

The formation and development of wine regions require unique natural conditions and hundreds of years of technical and cultural accumulation. The development of the wine industry at the eastern foot of Helan Mountain in China, in addition to the appropriate geographical environment, the technical migration, and talent flow supported by consistent policies, have improved the allocation ability of resource factors and conversion efficiency, making it a world-renowned new wine-producing region in just 40 years. This particular mechanism deserves attention as new industries develop in other parts of the world. Using the methods of spatial autocorrelation, hot spot analysis, and geographic detector, this paper comprehensively analyzes the growth and spatial evolution characteristics of wineries in the eastern foot of Helan Mountain in China and deeply discusses the mechanism of the interaction between the localization of global floating capital and China's unique regional economic policies. It is found that the local selection of global floating capital has a spatial locking effect on the formation of CHMWR, and the rolling support policies of China's central and local governments promote the rapid expansion and regional spread of the number and scale of wineries, with significant spatial agglomeration and spatial diffusion. The profound mechanism of such changes lies in the dual interaction of the local selection of global liquid capital and the Chinese government's wine-producing policies adapted to the geographical environment. In this process, a series of internal and external factors such as the innovation of grape planting and wine-making technology, consumer market, and government behavior have accelerated the continuous growth of the wine-producing region at the eastern foot of Helan Mountain in Ningxia. This paper adds a new understanding and deep understanding of the interaction between the local implantation of economic globalization and the macro-control policies of the Chinese government.

The mining of China's policies against COVID-19 based on a policy target and tool co-evolution framework

Mining all COVID-19 policies issued by China can provide valuable lessons for both China and other countries in future pandemic control efforts. In this paper, we introduce a novel framework for mining the co-evolution of policy targets and policy tools. We employ bibliometric methods, text mining, and network analysis to explore the entire evolution of China's COVID-19 policies. Examining 1154 central government policies, (a) we extract policy targets from each policy, uncovering their evolution across different stages of the pandemic; (b) propose to identify the policy tool used in each policy unit by integrating an automatic identification model and active learning. We also reveal the categorical structure of these tools; (c) characterize the co-evolution pattern between policy targets and policy tools, shedding light on their dynamic relationship. Our findings indicate that policy targets have shifted across various stages, revealing unique characteristics in China's COVID-19 prevention and control efforts. Notably, there is a self-paradox between prevention measures and economic development. We identify the inadequateness in the distribution and utilization of policy tools. Ensuring the alignment of policy targets with appropriate tools is crucial. This synchronization and co-evolution between policy targets and tools are essential for enhancing the functional approach to policy implementation. This paper is the first systematic mining and review about the COVID-19 policies issued by the Chinese government, and our policy target and tool co-evolution mining framework provides a new quantitative framework for policy mining, especially an improved large language model and active learning theory are integrated to identify the policy tools automatically.

Transformative social work education through a joint MSW programme: from participatory action research to policy and practice innovation in China

ABSTRACT In China, social work was reestablished in 1988. Despite the number of social work programmes increased very fast throughout the 1990s, there was a huge need for social work-trained educators. The Hong Kong Polytechnic University and Peking University launched the MSW (China) Programme in 2000 to create a critical mass of social work educators who would assume future leadership in social work development in mainland China. Participatory action research was employed as a methodology to explore how social work education could transform students into catalysts for social work education and social development. Purposive sampling was adopted, and seven cohorts totaling 238 graduates who graduated from the programme were the participants in this research. Data collection and analysis were carried out throughout the action research process. We found the triple capacity building model to be a good pedagogy to foster transformation among participants, and to steer the knowledge co-creation, practice innovation, policy reform, and social change through social work education. In this paper, we will provide an overview of the background, vision, and mission, as well as the teaching pedagogy of the programme and a case study to demonstrate how social work education has an impact on policy and practice innovation in China.

Professionalisation of initial teacher education in China: 1974–2024

ABSTRACT Over the past 50 years, China’s initial teacher education (ITE) system has undergone significant changes and improvements. To review and reflect on these experiences, we construct a multi-level, context-specific conceptualisation of ITE professionalisation. Guided by this framework, we segment the history of ITE professionalisation into three phases: the specialising phase (1974–1998), the upgrading phase (1998–2012), and the quality-equity balancing phase (2012-present). The specialising phase is characterised by a single-purpose ITE system that is directly governed by educational authorities. The upgrading phase involves a policy-driven enhancement of ITE within higher education institutions and the transition from single-purpose to general-purpose institutions, reflecting broader transformations in higher education policies in China. The quality-equity balancing phase focuses on policies aimed at improving the quality of ITE while ensuring equitable access to high-quality teachers in underdeveloped regions and hard-to-staff rural schools. Our historical review contributes new insights into ITE research, offers practical implications for ITE reform and improvement, and raises questions for further investigation of ITE in both the Chinese context and internationally.

Is unassisted smoking cessation choice and success associated with high mental stress? Evidence from six cities in China.

Unassisted smoking cessation (USC) is a method of quitting smoking driven by self-determination without the support of professional cessation assistance. This approach may contribute to a potential decrease in overall smoking prevalence within a population. However, the factors potentially influencing smokers' choice of USC and their success remain unclear. This study examined the associations between mental stress and USC choice and success. Between June and September 2016, a cross-sectional multistage sampling design was used to interview subjects from six selected cities in China. A standardized questionnaire was used to obtain information on sociodemographic characteristics, USC choice, and success. Mental stress was measured by the Chinese version of the Perceived Stress Scale (CPSS). Multivariate logistic regression models were used to examine the association between mental stress, USC choice, and success, with adjustments for relevant covariates. Among 1647 smokers who had attempted or had quit, 91.6% (95% CI: 90.9-97.5) reported that they had done so without assistance, and 42.1% (95% CI: 32.4-61.3) of them achieved abstinence. While mental stress was not significantly associated with USC success (χ2=2.02, p=0.1547), smokers experiencing high levels of mental stress were 0.34 times less likely (95% CI: 0.23-0.50) to attempt USC compared to those with low levels of mental stress. Moreover, a significant negative linear association was observed between varying levels of mental stress and the prevalence of USC use (R2=0.910, p<0.001). The study findings should help to understand USC and its role in reducing smoking prevalence in the Chinese population. These findings can inform future tobacco control programs and policies in China. Government and social agencies should prioritize understanding smokers' preferences for USC and providing USC services to promote success within the population.

An Analysis on the Divergence of Monetary Policies Between China and the United States and Its Impact on the Trend of RMB Exchange Rate

The monetary policies of China and the US have differed due to their differing economic circumstances and stages of growth, which has had a significant impact on the RMB exchange rate's trend. This paper uses empirical analysis to examine the three channelsmarket expectations, China's foreign trade, and international capital flowsthrough which the monetary policy divergence between the two countries influences the RMB exchange rate. It also provides a detailed introduction to the historical development and current state of the policy divergence between the two countries.The findings demonstrate how market expectations are impacted by China and the US's divergent monetary policies, which first alter the US dollar index and interest rate disparity before influencing the direction of the RMB exchange rate. Finally, relevant suggestions are put forward on how to keep the RMB stable while addressing the strain on China's monetary policy brought on by the US and China's divergent monetary policies.

Assessing the impacts of fertility and retirement policies on China’s carbon emissions

AbstractThe gradual adjustment of fertility and retirement policies in China has social benefits in terms of coping with population aging. However, the environmental consequences of these policies remain ambiguous. Here we compile environmentally extended multiregional input–output tables to estimate household carbon footprints for different population age groups in China. Subsequently, we estimate the age-sex-specific population under different fertility policies up to 2060 and assess the impacts of fertility and retirement policies on household carbon footprints. We find that Chinese young people have relatively higher household carbon footprints than their older counterparts due to differences in income by age group. Relaxing fertility policies and delaying retirement age are associated with an increase in population (and labour supply) and thus increases in household carbon footprints, with the majority of these increases from the fertility side. These results may help policymakers understand interactions among those measures targeting population aging and climate action.

Living With Digital Government: Effects of Technology Anxiety on Public Support for Policy in China

Living With Digital Government: Effects of Technology Anxiety on Public Support for Policy in China

Rural E-commerce, Digital finance, and urban–rural common prosperity: A Quasi-natural Experiment Based on China's Comprehensive Demonstration of E-commerce Entering Rural Areas Policy

This study examined the impact of China's Comprehensive Demonstration of E-commerce Entering Rural Areas Policy (hereafter “the Policy”) on urban–rural shared prosperity. The empirical analyses indicate that the Policy has significantly elevated urban–rural common prosperity while exhibiting regional disparities. China's eastern region has shown the most substantial positive impact, followed by the central region and the western region. The findings illustrate the pivotal role of digital finance as a mediating factor in enhancing common prosperity through e-commerce initiatives in rural areas. These findings offer empirical evidence for formulating and refining urban–rural development policies in China.

Analysis of Regional Economic Cooperation in Asia and Policy Options for China

Recent years have witnessed a robust growth momentum in regional economic cooperation in Asia, marking it as an indispensable component of global economic development. With the acceleration of globalization and the deepening of regional integration, cooperation among Asian nations in areas such as trade, investment, and infrastructure has progressively intensified. Particularly under China's impetus, the signing of free trade agreements such as the Regional Comprehensive Economic Partnership (RCEP) signifies a new phase in Asia's regional economic cooperation. As the world's second-largest economy, China, with its vast market and vigorous economic growth, plays an increasingly pivotal role in regional economic collaboration. China's policy choices not only influence the sustainable development of its own economy but also have a profound impact on the entire economic landscape of Asia. Therefore, a thorough investigation of the current state, mechanisms, and characteristics of regional economic cooperation in Asia, along with an analysis of China's policy choices in this process, holds significant theoretical and practical importance.

Bangladesh-China-India-Myanmar (BCIM) – Economic corridor: an opportunity for regional connectivity and development cooperation in south and Southeast Asia

China is the largest country in terms of the purchasing power parity (PPP); and the country has started to invest hugely in the developing countries of the Southeast Asia, South Asia, Africa, Central Asia and the Middle-East. It wants to be connected with Europe, Africa and Middle East through its economic corridors such as BCIM, BRI, MSR and OBOR. It can be mentioned here that most of the South and Southeast countries are poor and need huge investment in the infrastructural projects. Therefore, the concept of BCIM is a win-win geostrategic and economic policy for South, Southeast and China. On the other hand, India is largest country in terms of the size of population; and its economy is also rising rapidly. And this country also needs huge investment and development cooperation from the different countries including China. Besides, Bangladesh is a lower middle-income country; it also wants to grow rapidly in terms of economic growth, transfer of technology and infrastructural developments. On other hand, Myanmar is a developing country in Southeast Asia which requires vast developments, transfer of technology, foreign investments in the coastal regions and regional connectivity for economic growth and development. Therefore, carrying out study on BCIM economic corridor is extremely important in the region. It’s a qualitative study in the context of mythology. This study has found that implementation of BCIM economic corridor is very important for South and Southeast Asia including Bangladesh for regional connectivity, trade and investment and development cooperation.

Evaluating the carbon emission reduction in construction and demolition waste management in China

Construction and demolition waste reduction (C&DWR) is an important measure to protect the environment and promote sustainable development in the construction sector. The present policy in China remains a lack of emphasis on carbon tax and penalty for reducing construction waste. This paper proposes a construction and demolition waste (C&DW) management model to identify the waste reduction effects of various policies in China. It simulates the effects of single policies and combined policies on waste reduction and carbon emission by using the approach of integrating system dynamics and grey model theory. The results reveal that: (1) Penalties can effectively reduce the amount of illegal dump waste and carbon emissions from illegal dump waste, with an appropriate penalty value (in Chinese CNY) suggested as ∈160,320. (2) Subsidies can vastly increase the amount of waste recycled and a carbon tax can reduce carbon emissions; the recommended values are suggested as subsidies ∈30,45 and carbon tax ∈40,70. (3) Compared to other policies, the combined policy of penalty–waste disposal charging fee–subsidy–carbon tax (160, 60, 45, 70) achieves the greatest environmental benefits in terms of reducing waste and carbon emission. (4) Governments should improve waste minimization incentive policies and gradually introduce trials for a carbon tax policy, encourage the use of digital governance combined with blockchain technology to regulate C&DW. These findings provide valuable insights for policymakers to develop effective waste reduction strategies and promote sustainability through the implementation of C&DWR theories.

Mortality attributable to ambient PM2.5 exposure across regions in China from 2005 to 2020

BackgroundChina has implemented rigorous clean air policies since 2013 to address PM2.5 pollution particularly affecting economically developed regions. The Fusion relative risk model was recently developed to better capture the association between long-term PM2.5 exposure and mortality risk, but it has not been used in China. MethodsWe estimated cause-specific PM2.5 attributable deaths among adults (≥ 25 years) across China over 2005–2020 at a 0.1° × 0.1° spatial resolution using the Fusion model, and also adopted the Global Exposure Mortality Model (GEMM) for comparison. We investigated 31 provinces and targeted five mega city clusters: Beijing–Tianjin–Hebei cluster (BTH), Yangtze River Delta cluster (YRD), Pearl River Delta cluster (PRD), Cheng–Yu cluster (CY) and Middle reaches of the Yangtze River cluster (MYR). ResultsThe Fusion model estimated PM2.5 attributable deaths increased from 2.38 million (95 % UI: 2.06-2.64) in 2005 to 2.68 million (95 % UI: 2.33-2.95) in 2013 (12.6 %), then declined by 11.6 % to 2.37 million (95 % UI: 2.04-2.65) in 2020. Ischemic Heart Disease (IHD) and Stroke contributed most to the total attributable deaths (33.4 % and 35.0 % in 2020). Compared with the GEMM, the Fusion model generated higher attributable mortality estimates for IHD, Stroke and Chronic Obstructive Pulmonary Disease, but lower estimates for Lung Cancer and Lower Respiratory Infections. PM2.5 attributable deaths were clustered in densely populated and highly polluted regions, with Henan and Shandong bearing the highest mortality burden among the 31 provinces. PM2.5 attributable deaths in BTH, YRD, PRD, CY and MYR declined by 5.3 %, 11.5 %, 18.0 %, 25.4 % and 18.6 % respectively over 2013–2020, with greater declines in attributable mortality rates (18.9 %, 23.8 %, 33.8 %, 27.3 % and 24.1 %). ConclusionsFuture clean air policies in China should consider regional disparities and continue prioritizing highly polluted and densely populated urban areas, including the five mega city clusters.

“The Lung Disease as an Evanescent Rainbow”: Indigenous Languages as Agency in Communicating COVID-19 in Multilingual Kham Tibetan Region in China

The role of language is one of the most critical elements in communicating COVID-19 public health mandates globally. This study aims to explore how Tibetans in the multilingual Kham region came to understand COVID-19 and develop health choices. To accomplish this goal, we used a culture-centered approach to examine how the words/phrases of COVID-19 influence Kham Tibetans’ agency [the ability to develop actions (or lack thereof)] to work on the infectious disease and the pandemic management policy in China. This analysis explores the interactions among social structure, culture, and agency in the creation of transformative practices for negotiating the digital biomedical environment. Based on 30 in-depth interviews with Tibetans in the Kham region, we illustrate that the dialogical praxis to co-construct languages significantly impacts Tibetans’ deliberate agency, the capacity to act that is conscious or intended, to work on COVID-19 and the pandemic-control policy.

Exploring the lack of continuity of care in older cancer patients under China's 'integrated health system' reform.

Continuity of care is essential to older patients' health outcomes, especially for those with complex needs. It is a key function of primary healthcare. Despite China's policy efforts to promote continuity of care and an integrated healthcare system, primary healthcare centres (PHCs) are generally very underused. To explore the experience and perception of continuity of care in older cancer patients, and to examine how PHCs play a role in the continuity of care within the healthcare system in China. A qualitative study using semi-structured interviews was conducted in two tertiary hospitals in Nantong city, Jiangsu province, China. A combination of deductive and inductive analysis was conducted thematically. Interviews with 29 patients highlighted three key themes: no guidance for patients in connecting with different levels of doctors, unmet patients' needs under specialist-led follow-up care, and poor coordination and communication across healthcare levels. This study clearly illustrated patients' lack of personal awareness and experience of care continuity, a key issue despite China's drive for an integrated healthcare system. The need for continuity of care at each stage of cancer care is largely unmeasured in the current healthcare system for older patients. PHCs offer benefits which include convenience, less burdened doctors with more time, and lower out-of-pocket payment compared to tertiary hospitals, especially for patients with long-term healthcare needs. However, addressing barriers such as the absence of integrated medical records and unclear roles of PHCs are needed to improve the crucial role of PHCs in continuity of care.