Low enrollment intention threatens the funding pools of rural insurance schemes in developing countries. The purpose of this study is to investigate how social capital enhances the enrollment of health insurance among rural middle-aged and elderly. We propose that social capital directly increases health insurance enrollment, while indirectly influences health insurance through health risk avoidance. We used data from the China Health and Retirement Longitudinal Study (wave 4) dating the year of 2018, instrumental variable estimation was introduced to deal with the endogeneity problem, and the mediation analysis was used to examine the mechanism of social capital on insurance enrollment. The results show that social capital is positively related to social health insurance enrollment, and the relationship between social capital and social health insurance enrollment is mediated by health risk avoidance.

Poverty, and especially the widening disparity between the rich and the poor, leads to social unrest that can interrupt the harmonious development of human society. Understanding the reasons for income inequality, and supporting the development of an effective strategy to reduce this inequality, have been major goals in socioeconomic research around the world. To identify the determinants of the income gap, we calculated the Gini coefficients for Chinese provinces and performed regression analysis and contribution analysis for heterogeneity, using data from 30 Chinese provinces from 2002 to 2018. We found that urbanization, higher education, and foreign direct investment in eastern China and energy in central and western China were important factors that increased the Gini coefficient (i.e., decreased equality). Therefore, paying more attention to the fair distribution of the factors that can increase the Gini coefficient and investing more in the factors that can reduce the Gini coefficient will be the keys to narrowing the income gap. Our approach revealed factors that should be targeted for solutions both in China and in other developing countries that are facing similar difficulties, although the details will vary among countries and contexts.

This case study employs the Asset-Based Community Development (ABCD) theory as a conceptual framework, utilizing semi-structured interviews combined with focus group discussions to uncover the driving forces influencing rural revitalization and sustainable development within communities. ABCD is considered a transformative approach that emphasizes achieving sustainable development by mobilizing existing resources within the community. Conducted against the backdrop of rural revitalization in China, the study conducts on-site investigations in Yucun, Zhejiang Province. Through the analysis of Yucun’s community development and asset utilization practices, the study reveals successful experiences in various aspects, including community construction, industrial development, cultural heritage preservation, ecological conservation, organizational management, and open economic thinking. The results indicate that Yucun’s sustainable development benefits from its unique resources, leveraging policy advantages, collective financial organizations, and open economic thinking, among other factors. These elements collectively drive rural revitalization in Yucun, leading to sustainable development.

Leukemia is a major public health problem in China, but epidemiological studies on leukemia in China are still insufficient. This study aims to analyze leukemia's disease burden and risk factors in China from 2010 to 2021 and provide a basis for leukemia prevention and treatment. Using data from the Global Burden of Disease (GBD) database, trends in the burden of leukemia in China from 2010 to 2021 were analyzed. Additionally, epidemiological differences by gender and age groups were explored. In 2021, there were 531,000 leukemia patients in China, with 106,000 new cases and 59,000 deaths. Compared to 2010, the mortality rate and disability-adjusted life years (DALYs) per 100,000 population in 2021 decreased by 5% and 18%, respectively, while the incidence and prevalence rates increased by 12% and 29%, respectively. Gender and age stratification indicated that males had higher rates across all indicators than females, and elderly individuals faced higher leukemia mortality and DALYs. The most significant decrease in DALYs was observed in children and adolescents under 20. The highest burden of leukemia for males was found in the 85–90 age group, while for females, it was in the 70–74 age group. Major risk factors for leukemia included smoking, high BMI, and exposure to carcinogens, benzene, and formaldehyde. The overall burden of leukemia in China showed a decreasing trend, with significant gender and age differences. More measures are needed to reduce leukemia mortality, particularly focusing on the prevention and treatment of leukemia in males and the elderly.