Dynamics of urban expansion and form changes impacting carbon emissions in the Guangdong-Hong Kong-Macao Greater Bay Area counties.

Cities are the main carriers of social and economic development, and they are also important sources of carbon emissions. Therefore, it is essential to explore the impact of urban expansion and form changes on carbon emissions. Here, we attempted to analyzes the relationship between urban expansion and carbon emissions at the county level in the Guangdong-Hong Kong-Macao Greater Bay Area (GBA) from 1997 to 2017. It further decomposes the driving effects of carbon emissions from multiple factors, and considers the spatial heterogeneity between different urban form changes and driving effects. The results show that: The relationship between urban expansion and carbon emissions in the GBA has gone through three stages from 1997 to 2017, with 2012 as a turning point. Optimization of economic development models and strict protection of the ecological environment can effectively control carbon emissions. After 2012, the economic development effect (GE) and population scale effect (PE) are the driving factors of carbon emissions, while the carbon emission intensity effect (CE) and urban land intensity effect (UE) are the inhibitory factors of carbon emissions. The contribution rate of UE to carbon emission reduction can reach 86 %. The impact of urban form changes on carbon emissions has spatial heterogeneity. The changes in urban form have a significant impact on the carbon emissions of counties in Dongguan and Shenzhen. The increase in fragmentation indirectly promotes carbon emissions. In 2007-2012, the increase in centrality significantly weakened the economic development effect, which is conducive to emission reduction. After 2007, the increase in compactness in counties in the eastern part of the GBA, including Zhongshan and Zhuhai, is not conducive to emission reduction.

Attitudes towards Advance Care Planning and Healthcare Autonomy among Community-Dwelling Older Adults in Beijing, China.

OBJECTIVES: To investigate the preferences of ACP and healthcare autonomy in community-dwelling older Chinese adults. METHODS: A community-based cross-sectional study was conducted with older adults living in the residential estate of Chaoyang District, Beijing. RESULTS: 900 residents were enrolled. 80.9% of them wanted to hear the truth regarding their own condition from the physician; 52.4% preferred to make their own healthcare decisions. Only 8.9% of them preferred to endure life-prolonging interventions when faced with irreversible conditions. 78.3% of the respondents had not heard of an ACP; only 39.4% preferred to document in an ACP. Respondents with higher education had significantly higher proportion of having heard of an ACP, as well as preferring to document in an ACP, compared to those with lower education. Those aged <70 years had higher proportion of having heard of an ACP, as well as refusing life-prolonging interventions when faced with irreversible conditions, compared to those aged ≥ 70 years. CONCLUSIONS: Although the majority of community-dwelling older Chinese adults appeared to have healthcare autonomy and refuse life-prolonging interventions in terms of end-of-life care, a low level of "Planning ahead" awareness and preference was apparent. Age and education level may be the influential factors.