Influence of Built Environment in Hygienic City in China on Self-rated Health of Residents.

Objective: To assess the subjective perception of residents on the built environment in hygienic cities and its relation to the self-rated health (SRH) status of residents, providing a basis for a better promotion on construction of health-supportive environments. Methods: The online survey was adopted with the respondents recruited from residents living in Chaoyang District of Beijing in January 2021. With SRH level as the dependent variable, two-category logistic regression analysis was conducted to analyze the impact of the built environment in hygienic cities on the SRH status of residents. Results: A total of 1,357 respondents were enrolled in this study. After controlling confounding factors, four aspects in the built environment in hygienic cities were detected remarkable influences on the SRH level of residents, including enough green space in the living area [odds ratio ( OR) = 1.395, 95% confidence interval (95% CI): 1.055-1.845], clean and hygienic living environment ( OR = 1.472, 95% CI: 1.107-1.956), residents' confidence in drinking water safety in the living area ( OR = 1.856, 95% CI: 1.354-2.544) and residents' confidence in food safety in the living area ( OR = 1.405, 95% CI: 1.027-1.921). Conclusion: Regarding city construction, the government should focus more on the subjective perception of residents on built environments to build a supportive environment benefiting the health of residents.