Authors
Dongsheng Zhan, Ying He, De Wang, Zichen Wang
Published in
Scientific reports. Jul 09, 2026. Epub Jul 09, 2026.
Abstract
Since China's market-oriented housing reform, rapidly rising urban housing prices and declining affordability have made housing cost burden a critical factor affecting the health and well-being of urban residents, particularly vulnerable groups such as renters. While previous literature has examined the relationship between housing costs and residents' health, few studies have comprehensively assessed the effects of both subjective and objective housing cost burdens on the health of urban renters in China, and examined their underlying mechanisms. Using large-scale survey data from the 2021 City Health Examination social satisfaction survey, this study employs binary logistic regression and instrumental variable methods to investigate this relationship. The results show that both subjective and objective housing cost burdens are significantly negatively associated with self-rated health among Chinese urban renters. Furthermore, these negative associations are stronger among renters living in high-rent cities, males, local Hukou holders, and those in larger families. Housing cost burden is linked to lower self-rated health through longer commuting time, lower perceived community health service quality, diminished community activity participation, and poorer housing quality maintenance. Our findings offer valuable insights for developing healthy city strategies and targeted inclusive urbanization policies in China.
PMID:
42426164
Bibliographic data and abstract were imported from PubMed on 10 Jul 2026.
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