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<p>Since China’s market-oriented housing reform, rapidly rising urban housing prices and declining affordability have made housing cost burden a critical factor affecting the health and well-being of urban residents, particularly vulnerable groups such as renters. While previous literature has examined the relationship between housing costs and residents’ health, few studies have comprehensively assessed the effects of both subjective and objective housing cost burdens on the health of urban renters in China, and examined their underlying mechanisms. Using large-scale survey data from the 2021 City Health Examination social satisfaction survey, this study employs binary logistic regression and instrumental variable methods to investigate this relationship. The results show that both subjective and objective housing cost burdens are significantly negatively associated with self-rated health among Chinese urban renters. Furthermore,&#xa0;these negative associations are stronger among renters living in high-rent cities, males, local Hukou holders, and those in larger families. Housing cost burden is linked to lower self-rated health through longer commuting time, lower perceived community health service quality, diminished community activity participation, and poorer housing quality maintenance. Our findings offer valuable insights for developing healthy city strategies and targeted inclusive urbanization policies in China.</p>

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The impact of housing cost burden on self-rated health among urban renters in China

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月9日

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  • Dongsheng Zhan,
  • Ying He,
  • De Wang,
  • Zichen Wang

摘要

Since China’s market-oriented housing reform, rapidly rising urban housing prices and declining affordability have made housing cost burden a critical factor affecting the health and well-being of urban residents, particularly vulnerable groups such as renters. While previous literature has examined the relationship between housing costs and residents’ health, few studies have comprehensively assessed the effects of both subjective and objective housing cost burdens on the health of urban renters in China, and examined their underlying mechanisms. Using large-scale survey data from the 2021 City Health Examination social satisfaction survey, this study employs binary logistic regression and instrumental variable methods to investigate this relationship. The results show that both subjective and objective housing cost burdens are significantly negatively associated with self-rated health among Chinese urban renters. Furthermore, these negative associations are stronger among renters living in high-rent cities, males, local Hukou holders, and those in larger families. Housing cost burden is linked to lower self-rated health through longer commuting time, lower perceived community health service quality, diminished community activity participation, and poorer housing quality maintenance. Our findings offer valuable insights for developing healthy city strategies and targeted inclusive urbanization policies in China.