Search

Urban environments are vulnerable to the introduction of non-native species and sometimes contribute to their invasion success. Knowing how urban landscape features affect the population dynamics of exotic species is therefore essential to understand and manage these species. The spotted-wing drosophila, Drosophila suzukii, is a highly polyphagous fruit fly that has become a very problematic invasive species over the last decade. Because of its important damage on fruit production, D. suzukii populations have mainly been studied in agricultural areas, while their dynamics in urban landscape remain poorly explored. The objective of this study was to investigate the role of urban environment in the invasion success of D. suzukii by identifying local and landscape factors driving the abundance of the fly along seasons and urbanization gradients. To achieve this, 526 insect traps were randomly set in four different habitats (urban forest, park, riverside and town centre) along an urbanization gradient in the city of Amiens (France), between September 2018 and August 2019. The influence of landscape and local environmental variables on Drosophilidae species diversity and composition was examined using GLM and multivariate analyses. We found that Drosophilidae species richness and abundance were negatively impacted by urbanization. The Drosophilidae community was dominated by D. subobscura and D. suzukii, but their relative abundance varied with seasons. Drosophila suzukii used urban forest during winter and also during heat waves in summer. The fly was still active in this habitat in winter when the ground was covered with snow. The cover of brambles, shrubs, soil litter and dead wood debris were identified as valuable ecological indicators of the presence of D. suzukii. We highlight the role of the different components of urban environment in the ecology of D. suzukii, particularly with regard to its winter survival. These results could serve for designing management strategies in urban habitats in order to reduce the invasion success of D. suzukii. [ABSTRACT FROM AUTHOR]

The Greater Mekong Subregion (GMS) economic cooperation program is an effective and fruitful regional cooperation initiative for socioeconomic development in Asia; however, the vegetation change trends and directions in the GMS caused by rapid development remain unknown. In particular, there is a current lack of comparative studies on vegetation changes in various countries in the GMS. Based on the MODIS normalized difference vegetation index (NDVI) time series data, this study analyzed the spatiotemporal patterns of vegetation coverage and their trends in the GMS from 2000 to 2022 using the Theil–Sen slope estimation, the Mann–Kendall mutation test, and the gravity center migration model. The key findings were as follows: (1) the NDVI in the GMS showed an overall upward fluctuating trend over the past 23 years, with an annual growth rate of 0.11%. The NDVI changes varied slightly between seasons, with the greatest increases recorded in summer and winter. (2) The spatial distribution of NDVI in the GMS varied greatly, with higher NDVI values in the north–central region and lower NDVI values in the south. (3) A total of 66.03% of the GMS area showed increments in vegetation during the studied period, mainly in south–central Myanmar, northeastern Thailand, Vietnam, and China. (4) From 2000 to 2022, the gravity center of vegetation greenness shifted northward in the GMS, especially from 2000 to 2005, indicating that the growth rates of vegetation in the north–central part of the GMS were higher than those in the south. Furthermore, the vegetation coverage in all countries, except Cambodia, increased, with the most pronounced growth recorded in China. Overall, these findings can provide scientific evidence for the GMS to enhance ecological protection and sustainable development. [ABSTRACT FROM AUTHOR]

Intergenerational health mobility serves as a crucial indicator that reflects both social class mobility and health inequality. In this study, we constructed a comprehensive index to evaluate the health of residents in terms of physical, psychological and social adaptation dimensions using data from the China Family Panel Studies from 2010 to 2018. It then measured intergenerational health mobility using the intergenerational rank correlation coefficient method. Furthermore, the dynamic evolutionary trend, spatial differences and their sources, and the convergence characteristics of intergenerational health mobility were revealed by nonparametric kernel density estimation, the Dagum Gini coefficient, and the σ(β) convergence model, respectively. The formation mechanisms were explored using the quadratic assignment procedure. The results showed a general improvement but unbalanced trend of intergenerational health mobility in China, and hypervariable density was identified as the primary factor contributing to this difference. The σ convergence characteristics and β convergence mechanism were verified in China and its three regions. Environmental quality, industrial structure, and accessibility of medical and health resources had significant and decreasing effects on the spatial differences in intergenerational health mobility across China, with varying impacts observed among the three regions. This study not only provides empirical insights into understanding the dynamics laws of intergenerational health mobility and promoting regional coordinated development in China but also offers valuable guidance for formulating healthcare policies in developing countries and for achieving the United Nations Sustainable Development Goals. [ABSTRACT FROM AUTHOR]

Introduction: Grain production at the regional level is related to the strategic development orientation of the country as a whole, and maintaining the stability of grain production is of great importance in ensuring the sustainable development of the food system. Studying the potential imbalance differences resulting from the spatial and temporal development of grain production and its driving factors will help to reduce the contradiction between the rapid development of the urban economy and the inappropriate use of arable land resources, thus coordinating regional agricultural development and further clarifying the direction and focus of future food security construction work. Methods: This study focuses on the potential imbalance differences based on spatial and temporal development of grain production in Jiangsu Province during the period 1990-2020, and explores the spatial and temporal patterns and driving mechanisms of grain production spatial autocorrelation model and spatial error model are applied to analysis the spatial and temporal characteristics of grain production and security in Jiangsu Province and their influencing factors. Results: The results are as follows: (1) The total amount of food in Jiangsu Province increased by 17.36% during the 30-year period, but the growth rate was lower than the national average. (2) Regional differences are significant, with a significant decline in grain production in southern Jiangsu and growth in northern and central Jiangsu. (3) The center of gravity for grain production has shifted to northern Jiangsu. (4) Grain production is significantly correlated with socio-economic factors such as per capita ownership, sown area, irrigated area, and cultivated area. Discussion: To ensure the sustainability of food production in the future, attention should be paid to the risk of imbalance in regional food production, coordination of socio-economic factors, promotion of efficient agricultural production, improvement of the relevant policy system and optimization of the food production system. [ABSTRACT FROM AUTHOR]

A crucial strategic choice for China’s sustainable growth in the new era is the carbon peak & carbon neutral (30–60) aim, which has set new and higher requirements for the green and sustainable development of cities in the new era, and the carbon peak & carbon neutral level is gradually becoming one of the important indicators of the green and sustainable development of cities. Based on disentangling the connotation of urban green development under the vision of carbon neutrality, this study constructed a framework system for assessing urban green development in the new era, measured and portrayed the spatial and temporal variation characteristics of green development efficiency (C-GDE) under the carbon neutrality constraint in 284 prefecture-level and above cities in China using the SBM-Undesirable model, and further explored the effect of multi-subject factors on urban C-GDE using the panel Tobit model. The main findings are as follows. (1) The average allocation level of C-GDE in Chinese cities has remained at a low level from 2009 to 2019, with an overall “V”-shaped trend of “down → up”, increasing from 0.4031 to 0.5206, an overall increase of 29.15 %. (2) The overall C-GDE of Chinese cities showed the decreasing characteristics of “western cities > eastern cities > central cities”, “super cities > small cities > medium cities > large cities > mega cities > mega cities”, “non class cluster cities > class II cities > class III cities > class I cities”, and “agriculture-led cities > industry-led cities > balanced development cities > business and tourism service cities”. (3) The spatio-temporal pattern of urban C-GDE was influenced by multiple factors such as individual-level factors, enterprise-level factors, government-level factors, and other basic-level characteristic factors. Each factor, through its own evolution or coupling with other factors, continuously shaped the internal development of the urban system and promotes the greening process and urban C-GDE. Finally, targeted recommendations were made based on the findings of the study.

Abstract Haemorrhagic septicaemia (HS) is an economically important disease affecting cattle and buffaloes and the livelihoods of small-holder farmers that depend upon them. The disease is caused by Gram-negative bacterium, Pasteurella multocida, and is considered to be endemic in many states of India with more than 25,000 outbreaks in the past three decades. Currently, there is no national policy for control of HS in India. In this study, we analysed thirty year (1987–2016) monthly data on HS outbreaks using different statistical and mathematical methods to identify spatial variability and temporal patterns (seasonality, periodicity). There was zonal variation in the trend and seasonality of HS outbreaks. Overall, South zone reported maximum proportion of the outbreaks (70.2%), followed by East zone (7.2%), Central zone (6.4%), North zone (5.6%), West zone (5.5%) and North-East zone (4.9%). Annual state level analysis indicated that the reporting of HS outbreaks started at different years independently and there was no apparent transmission between the states. The results of the current study are useful for the policy makers to design national control programme on HS in India and implement state specific strategies. Further, our study and strategies could aid in implementation of similar approaches in HS endemic tropical countries around the world.

The Hetao Irrigation District in Inner Mongolia, a vital grain-producing region in northern China, faces growing environmental challenges. Studying net primary productivity (NPP) is essential for understanding spatiotemporal vegetation shifts and guiding locally adapted restoration and management efforts. Utilizing MOD17A3/NPP data, this study applies the Theil–Sen median trend, Mann–Kendall significance, and the Hurst index to scrutinize the spatiotemporal distribution patterns of NPP from 2001 to 2021 and forecast future changes in the area. The findings reveal cyclic temporal trends, forming a "∧" shape with initial increases followed by decreases, notably during the July to August period each year. The multi-year average NPP exhibits a slight upward fluctuation trend, averaging 172.40 gCm−2a−1. Peaks occur approximately every three years, reaching the highest average in 2012 at 218.96 gCm−2a−1. Spatially, NPP distribution stays consistent over the years, influenced by various land cover types, especially cropland, shaping the spatial patterns. Monthly and yearly NPP trends over the 21 years indicate a significant decrease in May and June, with other months mostly showing a non-significant increase. The Hurst index for monthly and yearly NPP changes over 21 years shows relatively high weak anti-persistence. In summary, over the past 21 years, the NPP trend in the study area has not significantly improved and is expected to decline in the future. This study offers data support and a scientific foundation for refining the carbon cycle model, quantifying vegetation carbon sequestration capacity, addressing climate change policies, and striving for carbon peak and neutrality in the Hetao Irrigation District. [ABSTRACT FROM AUTHOR]

Copyright of Bulletin of Soil & Water Conservation is the property of Bulletin of Soil & Water Conservation Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Haemorrhagic septicaemia (HS) is an economically important disease affecting cattle and buffaloes and the livelihoods of small-holder farmers that depend upon them. The disease is caused by Gram-negative bacterium, Pasteurella multocida, and is considered to be endemic in many states of India with more than 25,000 outbreaks in the past three decades. Currently, there is no national policy for control of HS in India. In this study, we analysed thirty year (1987–2016) monthly data on HS outbreaks using different statistical and mathematical methods to identify spatial variability and temporal patterns (seasonality, periodicity). There was zonal variation in the trend and seasonality of HS outbreaks. Overall, South zone reported maximum proportion of the outbreaks (70.2%), followed by East zone (7.2%), Central zone (6.4%), North zone (5.6%), West zone (5.5%) and North-East zone (4.9%). Annual state level analysis indicated that the reporting of HS outbreaks started at different years independently and there was no apparent transmission between the states. The results of the current study are useful for the policy makers to design national control programme on HS in India and implement state specific strategies. Further, our study and strategies could aid in implementation of similar approaches in HS endemic tropical countries around the world. [ABSTRACT FROM AUTHOR]

For the preservation of ecosystems, including the enhancement of ecological strategies, examining the temporal and geographical variance in ecosystem services (ESs) and land use/land cover change (LUCC) is crucial. Gannan is situated on the upper Yellow River, which is a notable water conservation region with excellent ecological quality, but in the background of the local traditional production mode and rapid economic development, natural disasters, grassland degradation, and other ecological problems occur frequently. The integrated valuing of ecosystem services and tradeoffs (InVEST) model and the patch-generating land use simulation (PLUS) model are combined in this work to assess the spatiotemporal variance in ESs in Gannan. We set up three scenarios in modeling future land use—ecological protection (EP), natural development (ND), and economic development (ED) in 2050—and analyzed and evaluated the drivers of the variation in ESs. In order to reveal the LUCC in Gannan between 1990 and 2020, we predicted the LUCC and ESs spatial distribution characteristics in 2050, explored the correlation between its driving factors, and comprehensively analyzed and propose optimization measures and protection strategies. Through several simulation experiments, the findings indicate the following: (1) the largest percentage of land expansion for construction in Gannan between 1990 and 2020 is 74.53%, and the most noticeable percentage of shrinkage in the sand area is 20.67%; (2) from 1990 to 2020, Gannan's water yield, carbon storage, soil retention, and habitat quality all changed, by 60 × 108 m3, 0.04 × 108 t, −10.66 × 108 t, and −0.02, respectively; (3) ESs are influenced by a variety of natural and societal variables: the southern and southwestern regions of Gannan are home to the majority of ESs hot spot areas, while the northern region is home to the majority of cold spot areas. This study contributes to the analysis of the developmental traits of Gannan ecosystems and can serve as a model for the preservation of terrestrial ecosystems with comparable environmental traits. [ABSTRACT FROM AUTHOR]

The Greater Mekong Subregion (GMS) economic cooperation program is an effective and fruitful regional cooperation initiative for socioeconomic development in Asia; however, the vegetation change trends and directions in the GMS caused by rapid development remain unknown. In particular, there is a current lack of comparative studies on vegetation changes in various countries in the GMS. Based on the MODIS normalized difference vegetation index (NDVI) time series data, this study analyzed the spatiotemporal patterns of vegetation coverage and their trends in the GMS from 2000 to 2022 using the Theil–Sen slope estimation, the Mann–Kendall mutation test, and the gravity center migration model. The key findings were as follows: (1) the NDVI in the GMS showed an overall upward fluctuating trend over the past 23 years, with an annual growth rate of 0.11%. The NDVI changes varied slightly between seasons, with the greatest increases recorded in summer and winter. (2) The spatial distribution of NDVI in the GMS varied greatly, with higher NDVI values in the north–central region and lower NDVI values in the south. (3) A total of 66.03% of the GMS area showed increments in vegetation during the studied period, mainly in south–central Myanmar, northeastern Thailand, Vietnam, and China. (4) From 2000 to 2022, the gravity center of vegetation greenness shifted northward in the GMS, especially from 2000 to 2005, indicating that the growth rates of vegetation in the north–central part of the GMS were higher than those in the south. Furthermore, the vegetation coverage in all countries, except Cambodia, increased, with the most pronounced growth recorded in China. Overall, these findings can provide scientific evidence for the GMS to enhance ecological protection and sustainable development.

There is always a contradiction between the limited health resources and the unlimited demand of the population for health services, and only by improving the productivity of health resources can the health level of the population be improved as much as possible. Using prefecture-level administrative regions as spatial units, the paper analyzes the spatial pattern and changes of health productivity of health resources in China from 2000 to 2010, and uses a spatial panel Tobit model to examine the effects of factors such as technical level of health institutions, health service accessibility, public health policies and ecological environment quality on health productivity of health resources. The results show that with the Hu Huanyong line as the dividing line, the spatial heterogeneity of “high in the southeast and low in the northwest” in the health productivity of China's health resources is clear; as the regional differences narrow, the spatial correlation increases, and the spatial pattern of “overall dispersion and partial agglomeration” becomes more obvious. The fitting results of the spatial Durbin model reveal the direction and degree of influence of local and adjacent factors on the production efficiency of health resources. The positive influence of technical level of local health institutions and the accessibility of health services, the literacy level and the ability to pay for health services of residents in adjacent areas, the degree of urbanization of regional health resource allocation, climate suitability and the quality of the atmospheric environment are significant. And the negative influence of local residents' literacy and ability to pay for health services, the technical level of health institutions in adjacent areas and the degree of medicalization of health resource allocation are also significant. The influence of the degree of medicalization of local health resource allocation and the accessibility of health services in adjacent areas are significantly spatial-heterogeneous.

The Hetao Irrigation District in Inner Mongolia, a vital grain-producing region in northern China, faces growing environmental challenges. Studying net primary productivity (NPP) is essential for understanding spatiotemporal vegetation shifts and guiding locally adapted restoration and management efforts. Utilizing MOD17A3/NPP data, this study applies the Theil–Sen median trend, Mann–Kendall significance, and the Hurst index to scrutinize the spatiotemporal distribution patterns of NPP from 2001 to 2021 and forecast future changes in the area. The findings reveal cyclic temporal trends, forming a “∧” shape with initial increases followed by decreases, notably during the July to August period each year. The multi-year average NPP exhibits a slight upward fluctuation trend, averaging 172.40 gCm−2a−1. Peaks occur approximately every three years, reaching the highest average in 2012 at 218.96 gCm−2a−1. Spatially, NPP distribution stays consistent over the years, influenced by various land cover types, especially cropland, shaping the spatial patterns. Monthly and yearly NPP trends over the 21 years indicate a significant decrease in May and June, with other months mostly showing a non-significant increase. The Hurst index for monthly and yearly NPP changes over 21 years shows relatively high weak anti-persistence. In summary, over the past 21 years, the NPP trend in the study area has not significantly improved and is expected to decline in the future. This study offers data support and a scientific foundation for refining the carbon cycle model, quantifying vegetation carbon sequestration capacity, addressing climate change policies, and striving for carbon peak and neutrality in the Hetao Irrigation District.

Human fatalities and injury from wildlife attacks often result in a negative attitude toward conservation. This research was undertaken to investigate the patterns and conflict-causing factors of human killing and injury by large mammals, especially by Asian elephant ( Elephas maximus ), common leopard ( Panthera pardus ), and Bengal tiger ( Panthera tigris tigris ) in the Bardia-Banke Complex of western Nepal. We collected human death and injury records caused by wildlife in the Bardia-Banke Complex between 2019 and 2023, based on relief applications submitted by the victim's family. Additionally, camera trap monitoring was conducted following incidents of human-tiger and human-leopard conflicts. A total of 76 incidents involving human casualties and injuries were considered for analysis. Incidents of livestock depredation, crop raiding, and property damage were excluded from the analysis. Most of the attacks on humans were caused by tigers (75%), followed by elephants (16%) and leopards (9%). Almost all incidents occurred in daytime (97%). The highest number of conflicts were recorded in 2021, with 20 incidents. Most of the cases (84%) occurred within 1 km of forest edge. Khata corridor and the western side of the Bardia National Park, i.e., Karnali River corridor, were identified as high-conflict areas. The primary causes of the conflict manifested in cattle grazing (28%), grass cutting (28%), firewood collection (11%), fishing (8%), vegetable collection (5%), sand collection (4%), during rescuing friends (3%), grazing captive elephants (3%), highway rides (3%), sleeping in Chaupadi Goth (3%), walking nearby forest areas (3%), playing nearby forest areas (1%), while feeding pig (1%), and working in agricultural lands (1%). To promote human-wildlife coexistence, community-based patrols (33%), habitat restoration (26%), electric fencing (26%), and insurance (7%) were identified as the preferred strategies. Therefore, we recommend that stakeholders and concerned bodies increase awareness among local community about the use of forest resources, wildlife behavior, and human-wildlife conflict mitigation strategies., Competing Interests: The authors declare no conflicts of interest., (© 2024 The Author(s). Ecology and Evolution published by John Wiley & Sons Ltd.)

The global cotton trade network (CTN) has profoundly reshaped the spatial and temporal patterns of the global textile industry. Within the global CTN, a vast empire of cotton that connects continents worldwide has been built, and its center has shifted in time and space in response to intensive global cooperation and economic development. The rapid economic development of developing countries led to a shift in the center of the global CTN from 1986 to 2020. Thus, we propose the hypothesis that the cotton import center has shifted to developing countries/regions. We analyzed the evolution of the global CTN pattern from the perspective of complex network theory. The results showed that the cotton trade expanded in terms of the scale and spatial configuration of global flows and tended to be dominated by core countries. The cotton import center shifted from developed countries, such as Japan, South Korea and Italy, to developing countries, such as China, Bangladesh, Turkey and Indonesia. The cotton export center shifted from Asia to the United States and Brazil. The global CTN community evolved from a "multipolar" balanced pattern to a "unipolar" imbalanced pattern. Global institutional, political and international trade shifts profoundly affected the global CTN. Economic development level and natural resource endowment were the dominant drivers of network formation. Recently, the effects of the distance between trading countries, the use of a common official language and international organizations have diminished. The findings regarding the shift in the cotton center to the Global South from 1986 to 2020 provide scientific evidence for understanding the evolution of the global CTN. • The cotton import center has shifted to the Global South. • The cotton export center has shifted from Asia to the United States and Brazil. • The global CTN evolved from multipolar balance to a unipolar imbalance pattern. • Institutional, political and international trade shifts affected the global CTN. • The impacts on the CTN of geographic distance and a common language have decreased. [ABSTRACT FROM AUTHOR]

Assessment and monitoring of the quality of the ecological environment in the area is a very important fundamental task in the development of ecological civilization in the Xiaojiang River Basin in Yunnan Province, which serves as a demonstration area for ecological restoration in the upper reaches of the Yangtze River. The Landsat remote sensing images from 1990, 1995, 2000, 2005, 2010, 2014, 2018, and 2022 were chosen, and the four indexes of greenness （NDMVI）, humidity （WET）, dryness （NDBSI）, and heat （LST） were extracted. The remote sensing ecological index （RSEI） was created using the principal component analysis method, then the spatial and temporal patterns and trends of ecological quality in the Xiaojiang River Basin between 1990 and 2022 were examined using the GEE platform, ArcGIS 10.7 platform, and Python platform, combining the analysis methods of geographic information mapping, coefficient of variation, Mann-Kendall trend test, Sen's slope estimation, and Hurst's index. The findings demonstrated that： ① the ecological quality of the study area had more obvious geographic differentiation spatially, and by 2022, the areas with excellent and good ecological quality grades were primarily distributed in the areas with better alpine vegetation cover, and those with poor ecological quality were primarily distributed in the areas of the mudslide ravines with relatively low terrain. On a time scale, the study area's RSEI index increased from 0.41 in 1990 to 0.55 in 2022, with a fluctuating overall trend of ecological quality improvement and an average increase of 0.048（10 a） -1 ； this progress was directly related to a number of ecological construction initiatives that have been energetically carried out, such as converting farms to forests, preventing mudslides, saving soil and water, managing heavy metal contamination, etc. ② The RSEI was more appropriate for the evaluation of ecological quality in alpine ravine areas because, in comparison to the NDVI index, the NDVMI adopted in this study was more sensitive to vegetation information in topographic undulation areas, especially in shaded areas, and could more accurately and quantitatively describe the vegetation information. ③ The RSEI in the Xiaojiang River Basin had a mean coefficient of variation of 0.202. Overall, its volatility was low, and its high volatility was mostly concentrated in the mudslide gully area along both sides of the Xiaojiang River fracture zone, where the surface was made up of bare rocks and sediment that was easily impacted by the changing of the seasons, the climate, and human activity. ④ The quality of the ecological environment in the region was significantly improving, with the rising area reaching 85.72% of the total area and the declining area accounting for approximately 10.15% of the total area. The future trend of change will be dominated by ongoing improvement and future degradation, accounting for 44.75% and 39.97%, respectively. It is important to pay close attention to areas that could potentially degrade. The findings of this study can serve as a theoretical foundation for additional ecological environmental conservation, management, and sustainable development in the Xiaojiang River Basin.

E-scooter sharing is a potential feeder to complement public transit for alleviating the first-and-last-mile problem. This study investigates the integration between shared e-scooters and public transit by conducting a comparative analysis in 124 European cities based on vehicle availability data. Results suggest that the integration ratios of e-scooter sharing in different cities show significant variations and range from 5.59% to 51.40% with a mean value of 31.58% and a standard deviation of 8.47%. The temporal patterns of integration ratio for first- and last-mile trips present an opposite trend. An increase in the integration ratio for first-mile trips is related to a decrease in the integration ratio for last mile in the time series. Additionally, these cities can be divided into four clusters according to their temporal variations of the integration ratios by a bottom-up hierarchical clustering method. Meanwhile, we explore the nonlinear effects of city-level factors on the integration ratio using explainable machine learning. Several factors are found to have noticeable and nonlinear influences. For example, the density of public transit stations and a higher ratio of the young are positively associated with the integration ratio to a certain extent. The results potentially support transport planners to collectively optimize and manage e-scooter sharing and public transport to facilitate multi-modal transport systems. • Integration of e-scooter sharing with public transit in 124 European cities. • Spatial and temporal patterns of integration in different cities. • Nonlinear effects of city-level factors on the integration. [ABSTRACT FROM AUTHOR]

There is always a contradiction between the limited health resources and the unlimited demand of the population for health services, and only by improving the productivity of health resources can the health level of the population be improved as much as possible. Using prefecture-level administrative regions as spatial units, the paper analyzes the spatial pattern and changes of health productivity of health resources in China from 2000 to 2010, and uses a spatial panel Tobit model to examine the effects of factors such as technical level of health institutions, health service accessibility, public health policies and ecological environment quality on health productivity of health resources. The results show that with the Hu Huanyong line as the dividing line, the spatial heterogeneity of "high in the southeast and low in the northwest" in the health productivity of China's health resources is clear; as the regional differences narrow, the spatial correlation increases, and the spatial pattern of "overall dispersion and partial agglomeration" becomes more obvious. The fitting results of the spatial Durbin model reveal the direction and degree of influence of local and adjacent factors on the production efficiency of health resources. The positive influence of technical level of local health institutions and the accessibility of health services, the literacy level and the ability to pay for health services of residents in adjacent areas, the degree of urbanization of regional health resource allocation, climate suitability and the quality of the atmospheric environment are significant. And the negative influence of local residents' literacy and ability to pay for health services, the technical level of health institutions in adjacent areas and the degree of medicalization of health resource allocation are also significant. The influence of the degree of medicalization of local health resource allocation and the accessibility of health services in adjacent areas are significantly spatial-heterogeneous., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Tang, Ao and Li.)