Classification of Regional Healthy Environment and Public Health in China

Environmental pollution has become a hot topic of concern for the government, academia and the public. The evaluation of environmental health should not only relate to environmental quality and exposure channels but also the level of economic development, social environmental protection responsibility and public awareness. We put forward the concept of the “healthy environment” and introduced 27 environmental indicators to evaluate and classify the healthy environment of 31 provinces and cities in China. Seven common factors were extracted and divided into economic, medical, ecological and humanistic environment factors. Based on the four environmental factors, we classify the healthy environment into five categories—economic leading healthy environment, robust healthy environment, developmental healthy environment, economic and medical disadvantageous healthy environment and completely disadvantageous healthy environment. The population health differences among the five healthy environment categories show that economic environment plays a major role in population health. Public health in regions with sound economic environment is significantly better than that in other areas. Our classification result of healthy environment can provide scientific support for optimizing environmental countermeasures and realizing environmental protection.