Provincial Administrative Units Research Articles

Study on Regional Economic Effect of "West-East Power Transmission"

There is a certain mismatch between China's energy distribution and economic development. In this regard, the "West-East Power Transmission" project has optimized the allocation of China's power resources by exploiting the energy potential of the west. Based on the relevant economic data of 31 provincial administrative units in China from 1995 to 2018, combined with theoretical mechanism analysis, this paper hopes to explore the regional economic effect of "west point to East transmission" by designing a dynamic two-way fixed effect DID model divided into input and output areas. It is found that the policy of "power transmission from west to East" has no significant promoting effect on the whole, but has significant promoting effect on the economy of the import area in the medium and long term. In the input area, it mainly improves the output value of the tertiary industry and promotes the optimization of industrial structure. In addition, the heterogeneity robust estimators of de Chaisemartin and D 'Haultfoeuille were also used to estimate the policy effect at the input site, and the results were similar to those of dynamic TWFE.

Mapping the susceptibility to freeze-thaw deterioration and regionalization of freeze-thaw environments of earthen sites in China: A preliminary study

Earthen sites in China are widely exposed to freeze-thaw environments. There is a lack of knowledge about the spatial distribution patterns of freeze-thaw deterioration and environments, as well as preventive conservation strategies and subsequent refined research on the freeze-thaw deterioration of earthen sites. In this study, the freeze-thaw deterioration process of earthen sites was divided into two periods. Thirteen relevant factors were selected, and using the GIS-FAHP method, a susceptibility map for freeze-thaw deterioration of earthen sites in China was created. The Jenks Natural Breaks method was then employed to categorize the areas into five susceptibility levels: very low (24.6 %), low (18.2 %), moderate (24.2 %), high (18.2 %) and very high (14.8 %). Based on the susceptibility map, the three-level regionalization scheme for freeze-thaw environments of earthen sites in China was systematically developed, taking into account the differences in freeze-thaw deterioration susceptibility and natural landscape within the geomorphological units, and the environmental codes were assigned to third level small-regions. The freeze-thaw environments of earthen sites in China were finally divided into 5 major-regions, 20 sub-regions and 42 small-regions. The results showed that in the area east of the Heihe-Tengchong line, the susceptibility to freeze-thaw deterioration showed latitudinal correlation, and the susceptibility gradually increased from south to north; in the area west of the Heihe-Tengchong line, the susceptibility to freeze-thaw deterioration exhibited strong zonal characteristics. Among the provincial administrative units, Gansu Province and Xinjiang Uighur Autonomous Region have the most complex freeze-thaw environments, while Qinghai, Tibet, Sichuan and Heilongjiang Provinces have the harshest freeze-thaw environments. This study can support regional management and prevention of freeze-thaw deterioration and deterioration studies of earthen sites in China.

Carbon leakage or carbon reduction? Carbon emission effect of the production relocation of metal smelting industry in China

AbstractThe metal smelting industry (MSI) is one of the major carbon emission sectors in China, and it is of great significance to clarify the mechanism and truth of the carbon effect of production relocation (PR) of MSI for reducing national carbon emissions. Based on this thinking and previous studies, we proposed two concepts of relative carbon emission effect (RCE) and absolute carbon emission effect (ACE) of PR, then developed models to explore the impact of PR of MSI (PRM) on national carbon emission between 30 provincial administrative units in China from 2007 to 2017. The study demonstrates that the PRM and its ACE and RCE is divergent across provinces and regions. Overall, the PRM is beneficial to national carbon reduction under both relative and absolute scenarios. Specifically, the transfer‐in PRM of most provinces in central regions is beneficial to national carbon reduction, while the transfer‐out PRM of many provinces in coastal areas has worst carbon leakage effect.

Spatial differences of specialty agriculture development in the mountainous areas of China -- "one village, one product" as an example

With the rapid development of urbanization, the rate of abandonment of arable land in China's mountainous areas has accelerated. Solving the phenomenon of abandonment of arable land has become an important issue in managing the use of China’s arable land, the key to which lies in the development of specialty agriculture using the unique natural environment of mountainous areas. This paper scrutinizes both the horizontal and vertical distribution of specialty agriculture in these areas, drawing upon the “One Village, One Product” dataset provided by the Chinese Ministry of Agriculture and Rural Development. The findings reveal that the horizontal distribution pattern of specialty agriculture exhibits the formation of eight primary clusters. It is intriguing to observe that a majority of these clusters are situated at the intersection of two or three provincial administrative units, with the largest cluster occurring at the border of Chengdu and Chongqing. In terms of the vertical distribution pattern, the specialty agriculture in China’s mountainous areas are mainly distributed at low altitudes, i.e., below 500 m, and at gentle slopes of 4°–8°, and with increases in altitude or slope, the overall amount of specialty agriculture declines rapidly.

A Causal Relationship between the New-Type Urbanization and Energy Consumption in China: A Panel VAR Approach

The accelerated urbanization process has been considered to be the root cause of increasingly severe energy consumption growth in China. However, energy is still an essential factor for the urbanization process, so arbitrarily mitigating energy use currently will unquestionably slow down the urbanization process. The principal contribution of this paper is to comprehensively analyze the dynamic interaction mechanism between the new-type urbanization and energy consumption, and further put forward a new idea of comparing the benefit of an increase in the level of new-type urbanization resulting from energy consumption and the negative externality of environmental damage related with energy consumption. This paper conducts an empirical study on the causal relationship between new-type urbanization and energy consumption using Chinese provincial administrative units from 1999 to 2020. And we find that new-type urbanization leads to energy consumption negatively and energy consumption leads to new-type urbanization positively for provinces in the eastern region. There is only a one-way effect of energy consumption on new-type urbanization for provinces in the central and northeastern regions, and there is negative feedback causality for provinces in the western region. Additionally, the benefit of an increase in the level of new-type urbanization resulting from energy consumption is larger than the negative externality of environmental damage related to energy consumption for provinces in the eastern, central, and northeastern regions, yet it is totally opposite for provinces in the western region. Finally, we propose some fruitful policy recommendations to construct new-type urbanization under the background of clear reduction targets for energy consumption in China.

Analysis of Spatial and Temporal Variation and Influencing Factors of Rural Land Dependence from the Perspective of Human-Land Relationship

Face the issues of rural youth outflow, increase of aging population, and rural decline, this research explored the spatiotemporal evolution characteristics and influencing factors of the rural human-land relationship using the quantification index of rural land dependence. The research defines the concept of rural land dependence and constructs an evaluation index system for rural land dependence. By using the entropy weight method, the research quantitatively measures the high and low levels of rural land dependence in 30 provincial administrative units in China from 2006 to 2020. Besides, the GIS spatial analysis and geodetector are used to explore and analyze the spatial-temporal pattern and influencing factors of China’s land dependence. The results show that: (1) Temporal evolution: Since 2006, the level of rural land dependence in China has shown a decreasing trend, with economic dependence > population dependence > spatial dependence in terms of partial dependence differences. (2) Spatial pattern: During the study period, there are regional differences in the spatial distribution of rural land dependence in China, with a “high in the southwest and low in the eastern coastal areas” characteristic. The distribution of high-dependence areas has changed from being concentrated to being dispersed, while the distribution of low-dependence areas has changed from being dispersed to being concentrated. (3) Influencing factors analysis: From 2006 to 2018, the number of large agricultural employees is the main influencing factor of land dependence. With the decrease of population dependence and the increase of spatial dependence indexes, as well as the influence of the social environment, the area of rural areas and the total area of the region became the main influencing factor of land dependence from 2018 to 2020. The results can provide scientific basis for deepening the research on rural land use efficiency, and also provide decision support for promoting rural sustainable development and achieving common prosperity.

Follow Suit: Imitative governance, resource inclination, and regional innovation efficiency

<p>Influenced by traditional notions of solidarity, when a province’s planning can be highly aligned with that of the central government, the province is perceived to be more collective and thus able to receive financial or resource favors from the central government. This consistency, as is often the case, reflected in doing the same thing as the central government. This situation may lead governors to ignore local economic performance and thus reduce regional innovation efficiency, as in the case of China’s Great Leap Forward. Likewise, it is possible to get better resources (energy or capital) by demonstrating managerial submissiveness, thus improving the regional innovation efficiency. Therefore, to verify the relationship between imitative governance and regional innovation efficiency, we collected relevant data from 31 major provincial administrative units in China, calculated the degree of imitative governance between provincial government work reports and central government work reports through text similarity, as well as utilized the SBM-DEA model to evaluate regional innovation efficiency. Meanwhile, we provide a new explanation of the phenomenon from the perspective of resource inclination. Finally, the empirical results show that imitative governance promotes local innovation efficiency and is moderated by resource inclination.</p>

Understanding Carbon Emissions Reduction in China: Perspectives of Political Mobility

Climate change is one of the largest challenges facing mankind, and the question of how to reduce carbon emissions has raised extensive concern all over the world. However, due to the lack of mechanisms to explain the impact of political factors on environmental regulatory tools, the evaluation of carbon emissions reduction is insufficient in the majority of previous studies. How to better explore the path of carbon emissions reduction has become the key for China to achieve carbon neutralization as soon as possible. Based on a quasi-natural experiment regarding China’s carbon emission trading policy, this paper adopts a difference-in-differences model to address the impact of political mobility on China’s carbon emissions trading policy, and the selected pilot and non-pilot provinces of this policy in China enabled the model to be matched. Using a panel database with 30 provincial administrative units as the observation objects, the results show that China’s carbon emissions trading policy and the horizontal mobility experience of the provincial governors exert a significant positive effect on carbon emission reduction. Additionally, this study identifies a latent factor previously ignored by the existing literature: the correlation between political factors and carbon emissions. This verifies our theoretical hypothesis that officials transferred from the provincial level tend to have higher performance regarding carbon emission reduction. This paper also provides suggestions for the central government to further plan and implement carbon emission reduction policies and mobilize the incentives of local officials in environmental governance.

Trends of Incidence, Mortality, and Risk Factors for Lower Respiratory Infections among Children under 5 Years in China from 2000 to 2019.

Understanding the temporal trends in the burden of lower respiratory tract infections (LRI) and their attributable risk factors in children under 5 years is important for effective prevention strategies. We used incidence, mortality, and attributable risk factors of LRI among children under 5 years from the Global Burden of Diseases database to analyze health patterns in 33 provincial administrative units in China from 2000 to 2019. Trends were examined using the annual average percentage change (AAPC) by the joinpoint regression method. The rates of incidence and mortality for under-5 LRI in China were 18.1 and 4134.3 per 100,000 children in 2019, with an AAPC decrease of 4.1% and 11.0% from 2000, respectively. In recent years, the under-5 LRI incidence rate has decreased significantly in 11 provinces (Guangdong, Guangxi, Guizhou, Hainan, Heilongjiang, Jiangxi, Qinghai, Sichuan, Xinjiang, Xizang, and Zhejiang) and remained stable in the other 22 provinces. The case fatality ratio was associated with the Human Development Index and the Health Resource Density Index. The largest decline in risk factors of deaths was household air pollution from solid fuels. The burden of under-5 LRI in China and the provinces has declined significantly, with variation across provinces. Further efforts are needed to promote child health through the development of measures to control major risk factors.

The Spatial Spillover Effect of Clean Energy Development on Economic Development: A Case of Theoretical and Empirical Analyses from China.

Does clean energy development (CED) have a spatial spillover effect on economic growth (EG)? Using the panel data of 30 provincial administrative units from 2000 to 2019 in China, this study empirically investigates the spatial spillover effect of CED on EG. From the perspective of the supply side rather than the consumption side, using the spatial Durbin model (SDM), the study finds that CED does not have a significant impact on EG, while there is an apparent positive spillover effect of CED on EG in China, meaning that CED in one province can boost EG in the surrounding provinces. Theoretically, this paper provides a new perspective for studying the relationship between CED and EG. In practice, it provides a reference for further improving the government's future energy policy.

Spatial-Temporal Variation and Influencing Factors of Regional Tourism Carbon Emission Efficiency in China Based on Calculating Tourism Value Added.

Tourism-related carbon emission efficiency is an important indicator that reflects the sustainable development of tourism and can better balance the relationship between negative environmental impact and economic value. According to panel data of 30 provincial regions, "the tourism value added coefficient" (not including the Tibet Autonomous Region) in mainland China from 2000 to 2019, we estimate the tourism of each provincial administrative unit carbon emissions, measure the tourism carbon efficiency value, and analyze the measurement results of the change trend, spatial differentiation characteristics, and influencing factors. The results show that (1) the carbon emission efficiency of regional tourism in China increased significantly from 2000 to 2019, but there was a significant difference in the carbon emission efficiency of tourism among regions, and the sustainable development level of regional tourism was still unbalanced. (2) The spatial pattern of provincial administrative units in China has the adjacent characteristics of High-High agglomeration and Low-Low agglomeration, the difference in the tourism eco-efficiency development level among regions gradually decreases with time, and there is a dynamic convergence characteristic. (3) The q value represents the intensity of the impact factor on tourism carbon emission efficiency. According to the q value, the factors affecting tourism carbon emission efficiency were divided into dominant factors (0.5 ≤ q ≤ 1), inducing factors (0.2 ≤ q < 0.5) and driving factors (0 ≤ q < 0.2), among which the level of technological development was the dominant factor. The level of opening-up to the outside world is the inducing factor; environmental regulation intensity, urbanization level, regional economic development level, tourism industry environment, and tourism infrastructure are the driving factors. (4) The influence degree of influencing factors on the spatial differentiation of tourism carbon emission efficiency is significantly different in different periods. The degree of influence of the urbanization level and tourism industry environment shows an upward trend over time, and the influence degree of other factors shows a "V-shaped" trend. (5) The two-factor interaction will significantly enhance the spatial differentiation of regional tourism carbon emission efficiency, and the interaction between the level of scientific and technological innovation and other influencing factors has a deeper impact on tourism carbon emission efficiency.

Urban development sustainability, industrial structure adjustment, and land use efficiency in China

It remains unclear on how industrial structure adjustment interacts with urban land use efficiency and how urbanization affects their interaction, despite its significance for urban development sustainability. We explore such interactions in China based on a panel dataset of 31 provincial administrative units from 1978 to 2018. The results show that as urbanization proceeds, the industrial structure optimization exhibits a positive linear correlation with urban land use efficiency, while the relationship between industrial structure upgrade and urban land use efficiency depends on level of urbanization, which follows an inverted U-shape. The effect of urban land use efficiency on the optimization of industrial structure is divergent across provinces. We also find that a higher level of urbanization facilitates the positive interactions between industrial structure adjustment and urban land use efficiency in the central and western regions of China, but the effect is attenuated in eastern China. We propose policy recommendations tailored to different regions with distinct levels of economic development status and industrial structure for urban development sustainability.

Analysis on the concept and clinical practice of patient-controlled analgesia in the treatment of cancer pain by Chinese medical providers

Objective: To investigated the concept and clinical practice of patient-controlled analgesia (PCA) in the treatment of cancer pain. Methods: Doctors, nurses, pharmacists from the oncology department, pain department, or hospice department were investigated using an electronic questionnaire from December 1 to December 31, 2021. In addition to the basic information, there were 26 questions were collected, including the current situation of cancer pain treatment, the concept of medical staff on PCA treatment of cancer pain and the clinical practice of PCA. Results: Questionnaires from 2 872 medical staff were collected from 993 hospitals in 30 provincial administrative units. Only 34.8% (955/2 748) of medical staff considered that the satisfaction rate of cancer pain control was over 75%, and 27.9% (548/1 968) of medical staff convinced that the satisfaction rate of breakthrough pain control was less than 50%. 97.1% (2 439/2 513) of medical staff considered that PCA could be effectively used for cancer pain treatment. The proportion of medical staff in secondary and tertiary hospitals who thought that PCA was applicable to cancer pain that could not be effectively alleviated by standardized non-invasive drug administration was 64.6% (319/494) and 69.1% (1 262/1 826) respectively, which was higher than that in primary hospitals [57.0% (110/193)] (P=0.002). In different occupations, the proportion of nurses who convinced PCA treatment of cancer pain increased the risk of addiction and drug overdose was 62.8% (431/686) and 76.1% (522/686), respectively, which was higher than doctors [39.2% (670/1709) and 58.2% (995/1709), respectively] and pharmacists [49.2% (58/118) and 65.3% (77/118), respectively] (all P<0.001). There was no significant difference in type of pump, route of administration, mode of infusion, protocol for PCA administration and selection of common medication in PCA treatment of cancer pain among different hospitals (all P>0.05). The calculation of continuous infusion dose and rescue dose of PCA was not uniform among different hospitals. After initiation of PCA, 71.7% (1 226/1 709) of hospitals had insufficient analgesia and most of them needed to be adjusted for 1-3 times to achieve satisfactory analgesia. Conclusion: Medical staff have insufficient cognition of PCA treatment of cancer pain and there is a lack of unified guidance in clinical practice. Therefore, it is an urgent need to develop an expert consensus on PCA treatment of cancer pain.

Study on the construction of overseas economic and trade cooperation Zone under production capacity cooperation in Jiangsu Province

Jiangsu is a big province in foreign trade and foreign direct investment, and its total volume ranks among the top among provincial administrative units in China. "Park economy" is an important name card of economic development in Jiangsu Province, and overseas economic and trade cooperation zone is one of the important and effective ways of production capacity cooperation. With the development of The Times, Jiangsu Province has made a series of achievements in the construction of overseas economic and trade cooperation zone, but it is followed by the emergence of various problems. This paper expounds the status quo of the overseas economic and trade cooperation zone and its advantages, analyzes the existing problems, and puts forward suggestions for the government to establish investment service institutions, promote the sustainable development of the overseas economic and trade cooperation zone, and improve the added value of the products of the overseas economic and trade cooperation zone.

Can Inbound Tourism Improve Regional Ecological Efficiency? An Empirical Analysis from China.

Inbound tourism has an important impact on regional eco-efficiency. This paper uses the panel data of 31 provincial administrative units in China from 2005 to 2019; uses the improved DEA model to measure the regional ecological efficiency; and uses the panel threshold model to investigate input, output, and efficiency from the perspective of green technology innovation. Then, it explores the heterogeneous effects of inbound tourism on ecological efficiency. This paper finds that cross-border tourism has a positive impact on the ecological efficiency of tourist destinations. However, the degree of influence varies and will be changed with the level of regional green innovation. The main conclusions are as follows: (1) From an overall perspective, inbound tourism has a significant positive effect on ecological efficiency. (2) With the increase in green innovation investment and output, the promotion effect of inbound tourism on regional ecological efficiency first increases and then decreases. (3) The higher the green innovation efficiency, the greater the promotion effect of inbound tourism on ecological efficiency. Therefore, the Chinese government should encourage the development of inbound tourism, adopt greener innovative technologies that are cleaner and more environmentally friendly, and enhance the welfare effect of tourism on green economy.

Spatiotemporal Characteristics and Influencing Factors of Water Resources’ Green Utilization Efficiency in China: Based on the EBM Model with Undesirable Outputs and SDM Model

A shortage of water resources is a global issue of common concern. The contribution of the article mainly includes the following two parts. First is the study of water resources’ green utilization efficiency (WRGUE) in 30 provincial administrative units of China from 2009 to 2019 by adopting the epsilon-based measure (EBM) model with undesirable outputs, which can yield a more accurate and reasonable assessment result. In addition, the spatial Durbin model was applied to analyze the driving factors of the WRGUE, which considers the spatial effects. The results are as follows: (1) The discrepancy of the WRGUE in different regions of China is conspicuous, with the highest in East China, followed by the central and the western region, while the Northeast is the lowest. A general decrease trend from China’s southeast coastal area to the northwest inland is presented. (2) Global spatial autocorrelation analysis shows a significant positive spatial autocorrelation in the WRGUE of the 30 sample provinces. However, the local spatial autocorrelation analysis shows that the WRGUE in China presents stronger spatial homogeneity than heterogeneity. (3) The levels of technology advancement, economic development, and the Opening-up policy implementation serve as positive factors influencing the WRGUE in China. On the contrary, the urbanization level has a significant negative impact on the WRGUE. The results of this paper may have great value for sustainable water resource utilization.

Coupling analysis of population aging and economic growth with spatial-temporal variation: a case study in China

BackgroundChina now faces an increasingly aging society which may exert economic pressure in the long run. This study illustrates the spatial pattern and evolution of population aging and economic development in China. The coupling coordination degree of population aging and economic development at the national and provincial levels are calculated and demonstrated, and the spatial patterns and characteristics are investigated.MethodsThis paper presents a coupling analysis of the elderly population rate (EPR) and per capita Gross Regional Product (GRPpc) in China by using the coupling and coordination model. Further, the spatial pattern and evolution of population aging and economic development are investigated based on the standard deviational ellipse. The collected data is at the level of provincial administrative units in mainland China covering the period 2002 to 2020.ResultsThe results reveal the spatial difference in the coupling and coordination degree between EPR and GRPpc across provinces. The eastern coastal areas are higher than the central and western regions of China. The orientation and directions of EPR are more than GRPpc, indicating that the polarization in population aging is more severe than economic development. Significant positive correlations between coupling coordination degree and sustainable competitiveness are detected.ConclusionsPolicymakers should fully consider regional differences and sustainable development in policy formulation of China. The western and northeastern provinces should be given priority in the regional sustainable development plan. At the same time, the coordination between population aging and economic development also requires to be examined especially.

Understanding the impact of emotional support on mental health resilience of the community in the social media in Covid-19 pandemic

BackgroundEmotional support in social media can act as a buffer against the negative impact of affective disorders. However, empirical evidence relating to emotional support in social media and how it influences the wider public remains scanty. The objective of this study is therefore to conduct a prototype investigation into the translation mechanism of emotional support in social media, providing empirical evidence for practitioners to use to tackle mental health issues for the wider public. MethodsA regression model is proposed to examine the relationship between perceived and received emotional support. Received emotional support is set as the dependent variable and measured using public activity. Perceived emotional support is derived using Natural Language Processing (NLP)-based content analysis. The model is then analyzed using a panel date with a total number of 61,297 posts from 17 Weibo accounts in 17 provincial administrative units in China. ResultsThe relationship between perceived and received emotional support is not linear but complex, suggesting that translation of emotional support is not automatic. Further, our empirical evidence suggests that the translation of emotional support in social media is affected by frequency and pandemic stage. LimitationsThe study does not examine the direct relationship between perceived and received emotional support, instead adopting public activity as a proxy for the latter construct. In addition, the relationship between perceived and received emotional support is more complex than linear, requiring further model and theory development.

An Empirical Study of the Impact of Financialization of the Economy on China's Economic Growth

This paper compares the development of economic growth theories, and explains the mechanism and influence pathways of economic financialization on economic growth. Relevant economic development data of 34 provincial administrative units in China for 2017 years are collected, and the impact of two variables, such as technology investment and financial investment, on economic aggregates is analyzed through a multiple linear regression model, and it is found that the deep development of China's financial market has begun to impede economic growth, and relevant policy suggestions are put forward on this basis.

Temporal trend and attributable risk factors of stroke burden in China, 1990–2019: an analysis for the Global Burden of Disease Study 2019

SummaryBackgroundUnderstanding the temporal trend of the disease burden of stroke and its attributable risk factors in China, especially at provincial levels, is important for effective prevention strategies and improvement. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) is to investigate the disease burden of stroke and its risk factors at national and provincial levels in China from 1990 to 2019.MethodsFollowing the methodology in the GBD 2019, the incidence, prevalence, mortality, and disability-adjusted life-years (DALYs) of stroke cases in the Chinese population were estimated by sex, age, year, stroke subtypes (ischaemic stroke, intracerebral haemorrhage, and subarachnoid haemorrhage), and across 33 provincial administrative units in China from 1990 to 2019. Attributable mortality and DALYs of underlying risk factors were calculated by a comparative risk assessment.FindingsIn 2019, there were 3·94 million (95% uncertainty interval 3·43–4·58) new stroke cases in China. The incidence rate of stroke increased by 86·0% (73·2–99·0) from 1990, reaching 276·7 (241·3–322·0) per 100 000 population in 2019. The age-standardised incidence rate declined by 9·3% (3·3–15·5) from 1990 to 2019. Among 28·76 million (25·60–32·21) prevalent cases of stroke in 2019, 24·18 million (20·80–27·87) were ischaemic stroke, 4·36 million (3·69–5·05) were intracerebral haemorrhage, and 1·58 million (1·32–1·91) were subarachnoid haemorrhage. The prevalence rate increased by 106·0% (93·7–118·8) and age-standardised prevalence rate increased by 13·2% (7·7–19·1) from 1990 to 2019. In 2019, there were 2·19 million (1·89–2·51) deaths and 45·9 million (39·8–52·3) DALYs due to stroke. The mortality rate increased by 32·3% (8·6–59·0) from 1990 to 2019. Over the same period, the age-standardised mortality rate decreased by 39·8% (28·6–50·7) and the DALY rate decreased by 41·6% (30·7–50·9). High systolic blood pressure, ambient particulate matter pollution exposure, smoking, and diet high in sodium were four major risk factors for stroke burden in 2019. Moreover, we found marked differences of stroke burden and attributable risk factors across provinces in China from 1990 to 2019.InterpretationThe disease burden of stroke is still severe in China, although the age-standardised incidence and mortality rates have decreased since 1990. The stroke burden in China might be reduced through blood pressure management, lifestyle interventions, and air pollution control. Moreover, because substantial heterogeneity of stroke burden existed in different provinces, improved health care is needed in provinces with heavy stroke burden.FundingNational Key Research and Development Program of China and Taikang Yicai Public Health and Epidemic Control Fund.