Self-rated health status (SRHS) reflects individuals’ social environment, and the difference between urban and rural areas in China further highlights the impact of social environment on health. This paper aimed to systematically analyze and compare the impact mechanism of the SRHS of urban and rural residents from multiple dimensions, i.e., time, space, and scale. Drawing on data from the Chinese General Social Survey (CGSS) and China Statistical Yearbook, we used spatial, cross, and HLM analyses. Results indicate that: (1) From 2010 to 2017, the overall SRHS level of Chinese residents gradually declined; the gradient pattern of east, middle, and west became more marked, and the health level in rural areas generally fell behind that of urban areas. (2) The focus of SRHS moved toward mental health, and people’s perceptions of the social environment gradually became a key factor affecting health. (3) In the long term, the gradient allocation of medical service resources could narrow the gap between urban and rural areas to comprehensively improve regional health levels.

Regional development issues can be reflected in land use and addressed through land use restructuring. It is commonly recognized that strengthening the role of small towns in the coordinated and sustainable development of counties, towns, and villages is effective in solving land use problems. However, relevant studies do not focus on the county space and lack scale extensions to reflect the role and status of small towns. In this paper, an analytical framework is developed and some research hypotheses are proposed from the perspective of “Scale-Space” interaction. Then, a county in central China is used as a case study to reveal the mechanism of rural land use restructuring by comparing the changes in land use structure in different locations in recent years. The study finds that under the constraint of the basic principle of “Requisition-Compensation Balance”, the county has reorganized the spatial and landscape pattern of the countryside through extensive “demolition of the old” and “construction of the new”. Among them, towns that are distant from the county center, while improving their cohesion, give full play to their role as regional sub-centers, and are expected to become an important force driving urbanization in the future.

Large infrastructure projects play a crucial role in regional development but can also negatively impact cultivated-land protection. This study focuses on the role of local governments in land-use conflicts and the rebalancing of land-use structures during large infrastructure construction. Using the construction of a reservoir in the Huaihe River as a case study, the research examines the evolution of government attention and the process of township local governments promoting land-use adjustment. The findings reveal that local governments go through a process of “Create–Reinforce–Adjust–Delivery” in their attention to reservoir construction to maximize their interests. Attention fluctuates in terms of reservoir construction, cultivated-land protection, and immigration-development assistance. Biased land-use decisions were made at different stages, leading to four stages of rebalancing efforts: “Generation–Challenge–Marked effect–Continuous negative impact”. This process provides insights into land-use decision-making and the rebalancing of land-use structure. The study suggests that the superior government should guide local governments to enhance attention to cultivated-land protection through laws and policies, while local governments should focus on the quality protection of cultivated land and mitigate the negative impact of rebalancing efforts.