Background: After the lockdown of Wuhan on January 23, 2020, the government used community-based pandemic prevention and control as the core strategy to fight the pandemic, and explored a set of standardized community pandemic prevention measures that were uniformly implemented throughout the city. One month later, the city announced its first lists of “high-risk” communities and COVID-19-free communities. Under the standardized measures of pandemic prevention and mitigation, why some communities showed a high degree of resilience and effectively avoided escalation, while the situation spun out of control in other communities? This study investigated: 1) key factors that affect the effective response of urban communities to the pandemic, and 2) types of COVID-19 susceptible communities. Methods: This study employs the crisp-set qualitative comparative analysis method to explore the influencing variables and possible causal condition combination paths that affect community resilience during the pandemic outbreak. Relying on extreme-case approach, 26 high-risk communities and 14 COVID-19 free communities were selected as empirical research subjects from the lists announced by Wuhan government. The community resilience assessment framework that evaluates the communities’ capacity on pandemic prevention and mitigation covers four dimensions, namely spatial resilience, capital resilience, social resilience, and governance resilience, each dimension is measured by one to three variables. Results: The results of measuring the necessity of 7 single-condition variables found that the consistency index of “whether the physical structure of the community is favorable to virus transmission” reached 0.9, which constitutes a necessary condition for COVID-19 susceptible communities. By analyzing the seven condition configurations with high row coverage and unique coverage in the obtained complex solutions and intermediate solutions, we found that outbreaks are most likely to occur in communities populated by disadvantaged populations. However, if lacking spatial-, capital-, and governance resilience, middle-class and even wealthy communities could also become areas where COVID-19 spreads easily. Conclusions: Three types of communities namely vulnerable communities, alienated communities, and inefficient communities have lower risk resilience. Spatial resilience, rather than social resilience, constitutes the key influencing factor of COVID-19-susceptible communities, and the dual deficiencies of social resilience and governance resilience are the common features of these communities.

Along with the aging of the population and miniaturization of family structure, the problem of the left-behind elderly has become more and more prominent in China. According to the Report on the family development in China (2015) released by the National Health Commission of the People’s Republic of China, left-behind elderly people account for half of the total number of the elderly, of whom 10% live alone. The left-behind elderly not only suffer physiological obstacles such as body function decline, but also face a lack of support at the material level and loneliness at the spiritual level, which greatly affects their quality of life, accounting for their lower life satisfaction than that of the ordinary elderly. The rural areas of Sichuan Province are relatively backwards in terms of economic level and have limited pension security. Therefore, the left-behind elderly in rural areas are confronted with more complicated and severe pension problems compared with those in urban areas. Meanwhile, limited by economic and regional factors, a large number of rural labor forces in Sichuan Province have transferred to cities. These long-time migrant workers cannot provide material, spiritual and life care support for their left-behind parents in rural areas in a timely fashion, which changes their filial piety behaviors, and this affects the life satisfaction of the rural left-behind elderly. Therefore, it is necessary to understand the living conditions of empty-nest elderly and their children’s filial piety in rural areas of Sichuan province in order to verify the influence mechanism of filial piety on the life satisfaction of the elderly, and to explore how to improve the rural empty-nest elderly’s life satisfaction, enabling the elderly to live a healthy and happy life.

The call for citizen participation is a prominent theme in academic, public, and political discussions. Taking the S Village transformation project in Guangzhou City as a case study, this article examines how urban planners, as experts, contributed to improving citizen participation in local community planning. The planners constructed forums for expert-citizen interaction in which they provided residents with professional knowledge, performed multiple roles as both experts and communicators, and promoted capacity building; citizens were largely mobilized to perform active participation in this transformation project. The findings show that planners reframed the transformation plan based on villagers’ community identity towards the village history, which played an important role in reaching a mutual agreement regarding community development. The article echoes the argument that such professional groups have, as planners, emerged as mediators linking the government and citizens in Chinese community governance and discovers their role as an engine for promoting villagers’ innovation and self-development capacity. However, the study reveals that experts’ role in supporting citizens’ participation is restricted due to such factors as a lack of institutional support and high operating costs. More research needs to be done to explore how experts could better facilitate civic participation in different contexts.

Different countries have introduced different urgent policies to control the spread of the novel coronavirus. The compliance behavior of these anti-epidemic policies has always been an important concern to governments, and its effects need to be tested. In recent years, many scholars have paid attention to the mechanism and intervention of policy compliance behavior, which helps to explain the mechanism of anti-epidemic compliance behavior, and to improve the effectiveness of anti-epidemic policy. Therefore, considering the characters of youth groups in the context of the novel coronavirus, this study takes campus anti-epidemic compliance behavior as the research topic, based on 680 effective samples of college students in China, in order to examine the effectiveness of these policies using an investigation experiment. This study revealed that the ‘Nudge’ policy instrument was the most effective way to guide individuals’ behavior during the coronavirus outbreak, the ‘Sermon’ instrument was the least recognized, and the ‘Whip’ instrument (a traditional and classical policy instrument) had its normal effect on individuals’ behavior. Additionally, it found that high accessibility in policy implementation results in more significant policy behavior. By taking the effects of different policy behaviors into consideration, governments may produce better and more effective policy implementation and compliance during the anti-epidemic period.

Countries worldwide are making efforts to achieve health equity. China focuses on the implementation of the policy goal of “improving the primary level” to eliminate the health equity gap. The main purpose of this study is to examine the effects of the healthcare reforms at the primary level in China and to analyze the key factors that can help to improve their effectiveness. From the perspectives of the policy attention mechanism and public policy analysis, this study will explore primary care reforms from policy formulation to policy implementation on the basis of grounded theory and empirical research on primary care reforms in Shenzhen, China, that was conducted from 2018 to 2019. The present study found that the government pays close attention to the medical level and service level of primary care services at the policy formulation phase but less attention to talent level and information sharing. At the same time, this study combined with empirical data from primary care centers in Shenzhen for the period covering 2018 to 2019 evaluates policy implementation and its effect. Multiple regression analysis revealed that the medical level, talent level, service level, and information sharing helped to develop primary care services and improved health equity. Nevertheless, this study reflects a deviation between policy formulation and policy implementation for the development of primary care policies. Empirical experience shows that the development of talent level and information sharing can significantly promote primary care services and health management. Therefore, this study implies that in the process of promoting the health equity at the primary level, more attention should be paid to the consistency between policy formulation and policy implementation. Additionally, the policy promotion and influence mechanism can be improved, particularly in terms of talent development and information sharing, in order to effectively promote the development of health equity at the primary level.

Rapid urbanization in China has profoundly transformed its urban systems, bringing about considerable ecological challenges and significant imbalances between urban growth and ecological health. The Pearl River Delta (PRD) urban agglomeration, as one of China’s most economically dynamic regions, exemplifies the complex interactions between rapid urbanization and environmental sustainability. This study examined these dynamics using statistical yearbook and geographic information data from 1999 to 2018. Through a multi-scale approach integrating panel entropy, coupled coordination analysis, and FLUS models, we evaluated the relationship between urbanization and ecology at both the agglomeration and city levels. The findings revealed that while the overall coordination between urbanization and ecology in the PRD has improved, it remains at a moderate level with pronounced core-periphery disparities. Core cities face increasing ecological pressures and inefficient land use patterns. Simulation results, under three distinct policy scenarios—“unconstrained”, “growth machine”, and “compact and intensive usage/urban renewal”—and validated through field research, indicate that urban renewal presents a viable strategy for optimizing land use and mitigating ecological pressures. The study provides both a comprehensive diagnostic framework for assessing urban health and sustainability and practical intervention pathways, particularly for regions experiencing similar rapid urbanization challenges. The insights gained are especially relevant to other developing countries, offering strategies to enhance urban resilience and ecological sustainability while addressing persistent regional inequalities.