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BackgroundThere are huge differences in female breast cancer mortality between urban and rural China. In order to better prevent breast cancer equally in urban and rural areas, it is critical to trace the root causes of past inequities and predict how future differences will change. Moreover, carcinogenic factors from micro-individual to macro-environment also need to be analyzed in detail. However, there is no systematic research covering these two aspects in the current literature.MethodsBreast cancer mortality data in urban and rural China from 1994 to 2019 are collected, which from China Health Statistical Yearbook. The Age-Period-Cohort model is used to examine the effects of different age groups, periods, and birth cohorts on breast cancer mortality. Nordpred project is used to predict breast cancer mortality from 2020 to 2039.ResultsThe age effect gradually increases and changes from negative to positive at the age of 40–44. The period effect fluctuates very little and shows the largest difference between urban and rural areas in 2019. The birth cohort effect gradually decreases with urban-rural effects alternating between strong and weak. In the predicted results, the urban-rural mortality gap becomes first narrow and then wide and shows a trend of younger death.ConclusionsFrom the perspective of a temporal system, the changing trend of breast cancer mortality is highly consistent with the history of social and economic structural changes in China. From the perspective of the theory of social determinants of health, individuals, families, institutions and governments need to participate in the prevention of breast cancer.

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In responding to climate change, energy efficiency is one of the key factors for sustainable development, where the high-tech industry can play an important role. However, whether the development of high-tech industry impacts energy efficiency as well as the mechanisms behind still remain unclear. Thus, based on the dynamic spatial Durbin model, this study aims to investigate: 1) the impact of high-tech industry development on energy efficiency from three perspectives of high-tech industry development, i.e., scale, productivity, and agglomeration, and 2) the mechanisms behind such impact especially through technological innovation and industrial structure. The results confirm the influence of high-tech industry development on energy efficiency both directly and indirectly. On the one hand, our analysis contributes on the existing body of scientific knowledge by expounding the relationship between scale, productivity, and agglomeration of high-tech industry development and energy efficiency. On the other hand, it further deepens the understanding on such relationship by revealing two underlying mechanisms behind, i.e., through promoting technological innovation, the productivity and agglomeration of high-tech industries can either completely or partially improve energy efficiency, while the scale and agglomeration of high-tech industries can hinder energy efficiency to a certain level through the industrial restructuring. Based on these findings, this paper provides some policy implications, which are believed to facilitate the practices of energy conservation and emission reduction in China.