ArticleFrontiers in public health2026
Can sports consumption cities reduce residents' medical expenditures? Evidence from China.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Decision-Making Styles Shaping College Students' Sports and Health Consumption Preferences: Behavioral and Neurological Evidence.Behavioral sciences (Basel, Switzerland) · 2026Article
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Authors and funding
4 authors.
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Abstract
Background: The relentless rise in healthcare expenditures poses a severe challenge to the sustainable development of global societies. In China, a pilot program for Sports Consumption Cities (SCC) represents a pioneering strategic effort to align growth in the sports industry with public health promotion. This study aims to examine the causal impact of this city-level non-medical intervention on residents' medical expenditures and to elucidate how active lifestyle policies function as a cost-control strategy. Methods: Using longitudinal data from the China Family Panel Studies (CFPS) from 2014 to 2022, we employed a Difference-in-Differences (DID) strategy to evaluate the impact of SCC construction on residents' medical expenditures. Additionally, a mediation model was applied to examine four parallel pathways: sports consumption, physical exercise frequency, self-rated health, and depression levels. The findings were validated using instrumental variable methods with historical data and rigorous robustness tests. Results: The construction of the SCC significantly reduced residents' medical expenditures by 10.86% (β = -0.115, Conclusion: This study provides compelling empirical evidence that the SCC construction effectively validates the "exercise as medicine" hypothesis at the urban governance level. By optimizing the urban health environment, the pilot project has driven a paradigm shift from passive medical treatment to proactive health management. However, the identified structural heterogeneity underscores the need for future policies to embrace inclusive precision governance. Targeted subsidies for mobility-constrained households and the integration of exercise prescriptions into chronic disease management are crucial to ensuring the equitable distribution of health dividends across all socioeconomic strata.
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