The coordinated development among economy, society, energy, and environment and their impacts on public health in China's cities

As China's urban areas rapidly developed, prefecture-level cities faced challenges in the coordinated development of the economy, society, energy, and environment (ESEE), which could impact public health. Previous research had examined the interactions between the various ESEE systems and their effects on public health. However, relatively few studies had conducted comprehensive analyses across different systems and regions. This paper aimed to conduct an in-depth analysis in this field. First, it calculated the ESEE development levels using principal component analysis, the entropy method, and data from 278 Chinese cities between 2012 and 2021. Next, it employed a coupling coordination degree model, which reflects the degree of coordinated development between different systems, to explore the coordinated development levels and trends of the four ESEE systems in each prefecture-level city. Furthermore, this paper innovatively used a spatial Durbin model, incorporating ESEE coordination levels to investigate their impact on public health in local and surrounding areas. The results indicated that the positive impact of ESEE coordinated development on local public health was 0.5082, while the impact on surrounding areas was 2.0240. This influence was more pronounced in smaller cities, suggesting the need to enhance regional cooperation, balance developmental disparities, and promote ESEE coordinated development to improve public health.