A great many ecological and environmental problems have been caused in the course of rapid economic development and urbanization in Sichuan Province. Evaluating ecosystem health condition is of significant importance for regional sustainable development. Based on relevant city-level data in social, economic, agricultural and ecological aspects from 2000 to 2016 as well as county-level data obtained through the downscaling model, the authors built the pressure-status-response model to make comprehensive evaluation and analysis of ecosystem health of studied regions in Sichuan Province on city-level and county-level scales. The results show that the overall score of ecosystem health in Sichuan increased from 0.610 to 0.687 in 2000—2016, but the spatial distribution shows that the eastern part of Sichuan was better than the western part. The development between studied regions is extremely unbalanced. Chengdu had outstanding advantages in comparison other regions. The results of ecosystem health assessment in each county shows that 27.9% of the total counties are “unhealthy” and “sick”, while about half of the counties are above the “normal” level. The counties whose evaluation results are “sick” are mainly concentrated in Garze and Aba prefectures. The ecological health status in northwest Sichuan deserves much more attention.
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