Does corporate social responsibility of pharmaceutical manufacturing enterprises decrease debt financing costs? Economic implications through a moderated mediation model
DOI: https://doi.org/10.3846/tede.2026.25480Abstract
In today’s complex economy, debt financing costs play a crucial role in shaping corporate competitiveness and are significantly shaped by stakeholder interests. This study focuses on the pharmaceutical manufacturing industry, exploring how Corporate Social Responsibility (CSR) affects the debt financing costs, with CSR further divided into strategic CSR and altruistic CSR. Drawing on the data of 286 pharmaceutical enterprises publicly traded on China’s A-share market during the 2010–2021 period, we construct a moderated-mediation framework to examine the complex mechanisms by which CSR affects debt financing costs. The findings show that stronger CSR efforts are linked to decreased debt financing costs. Financial performance acts as a mediator in this relationship, while media attention serves as a moderator. Specifically, strategic CSR initiatives, enterprises that are privately-owned, companies positioned in the eastern areas of China, and strong medical regulation witness a more significant reduction in financing costs. Furthermore, we find that compared to other industries, the fulfilment of social responsibility by pharmaceutical manufacturing enterprises plays a more crucial role in the sustainable development of the enterprise. This study examines the mechanisms through which pharmaceutical manufacturing firms reduce debt financing costs by fulfilling Corporate Social Responsibility (CSR), contributing to understanding of CSR’s economic value creation China’s emerging economy context. By incorporating firm-level and regional economic variations, the research addresses a gap in the existing literature and provides insights for pharmaceutical companies to optimize their financing strategies and attain sustainable economic development in emerging economies.
First published online 16 March 2026
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corporate social responsibility, debt financing costs, pharmaceutical manufacturing companies, moderated mediation model, financial performance, media attentionHow to Cite
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References
Acharya, V. V., & Ryan, S. G. (2016). Banks’ financial reporting and financial system stability. Journal of Accounting Research, 54(2), 277–340. https://doi.org/10.1111/1475-679X.12114
Aigbedo, H. (2021). An empirical analysis of the effect of financial performance on environmental performance of companies in global supply chains. Journal of Cleaner Production, 278, Article 121741. https://doi.org/10.1016/j.jclepro.2020.121741
Aleknevičienė, V., & Stralkutė, S. (2023). Impact of corporate social responsibility on cost of debt in Scandinavian public companies. Oeconomia Copernicana, 14(2), 585–608. https://doi.org/10.24136/oc.2023.016
An, H., & Gu, X., Obrenovic, B., & Godinic, D. (2023). The role of job insecurity, social media exposure, and job stress in predicting anxiety among white-collar employees. Psychology Research and Behavior Management, 16, 3303–3318. https://doi.org/10.2147/PRBM.S416100
Antoine, B., & Renault, E. (2020). Testing identification strength. Journal of Econometrics, 218(2), 271–293. https://doi.org/10.1016/j.jeconom.2020.04.017
Aquino, R. P., Barile, S., Grasso, A., & Saviano, M. (2018). Envisioning smart and sustainable healthcare: 3D Printing technologies for personalized medication. Futures, 103, 35–50. https://doi.org/10.1016/j.futures.2018.03.002
Bae, K.-H., Ghoul, S. E., Guedhami, O., Kwok, C. C. Y., & Zheng, Y. (2019). Does corporate social responsibility reduce the costs of high leverage? Evidence from capital structure and product market interactions. Journal of Banking & Finance, 100, 135–150. https://doi.org/10.1016/j.jbankfin.2018.11.007
Bae, K.-H., El Ghoul, S. E., Gong, Z. J., & Guedhami, O. (2021). Does CSR matter in times of crisis? Evidence from the COVID-19 pandemic. Journal of Corporate Finance, 67, Article 101876. https://doi.org/10.1016/j.jcorpfin.2020.101876
Baron, D. P. (2001). Private politics, corporate social responsibility, and integrated strategy. Journal of Economics & Management Strategy, 10(1), 7–45. https://doi.org/10.1111/j.1430-9134.2001.00007.x
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182. https://doi.org/10.1037/0022-3514.51.6.1173
Beji, R., Yousfi, O., Loukil, N., & Omri, A. (2021). Board diversity and corporate social responsibility: Empirical evidence from France. Journal of Business Ethics, 173, 133–155. https://doi.org/10.1007/s10551-020-04522-4
Benlemlih, M., & Bitar, M. (2018). Corporate social responsibility and investment efficiency. Journal of Business Ethics, 148, 647–671. https://doi.org/10.1007/s10551-016-3020-2
Bhaduri, S. (2018). Pharmaceutical industry in the global south: Introduction to special issue. Science, Technology and Society, 23(3). https://doi.org/10.1177/0971721818762904
Bhandari, A., & Javakhadze, D. (2017). Corporate social responsibility and capital allocation efficiency. Journal of Corporate Finance, 43, 354–377. https://doi.org/10.1016/j.jcorpfin.2017.01.012
Carroll, A. B., & Shabana, K. M. (2010). The business case for corporate social responsibility: A review of concepts, research and practice. International Journal of Management Reviews, 12(1), 85–105. https://doi.org/10.1111/j.1468-2370.2009.00275.x
Chaturvedi, U., Sharma, M., Dangayach, G. S., & Sarkar, P. (2017). Evolution and adoption of sustainable practices in the pharmaceutical industry: An overview with an Indian perspective. Journal of Cleaner Production, 168, 1358–1369. https://doi.org/10.1016/j.jclepro.2017.08.184
Chen, C.-J., Guo, R.-S., Hsiao, Y.-C., & Chen, K.-L. (2018a). How business strategy in non-financial firms moderates the curvilinear effects of corporate social responsibility and irresponsibility on corporate financial performance. Journal of Business Research, 92, 154–167. https://doi.org/10.1016/j.jbusres.2018.07.030
Chen, L., Han, B., & Yang, X. (2015). Research on the interactive influence between corporate social responsibility and top management turnover: Empirical evidence from Chinese A-share listed companies. Accounting Research, 406(8), 57–64 (in Chinese). https://doi.org/10.3969/j.issn.1003-2886.2015.08.008
Chen, Y.-C., Hung, M., & Wang, Y. (2018b). The effect of mandatory CSR disclosure on firm profitability and social externalities: Evidence from China. Journal of Accounting and Economics, 65(1), 169–190. https://doi.org/10.1016/j.jacceco.2017.11.009
Chen, Y. S., & Chang, K. C. (2010). The relationship between a firm‘s patent quality and its market value: The case of US pharmaceutical industry. Technological Forecasting and Social Change, 77(1), 20–33. https://doi.org/10.1016/j.techfore.2009.06.003
Cole, R. A., & Sokolyk, T. (2018). Debt financing, survival, and growth of start-up firms. Journal of Corporate Finance, 50, 609–625. https://doi.org/10.1016/j.jcorpfin.2017.10.013
Costinot, A., Donaldson, D., Kyle, M., & Williams, H. (2019). The more we die, the more we sell? A simple test of the home-market effect. The Quarterly Journal of Economics, 134(2), 843–894. https://doi.org/10.1093/qje/qjz003
Ding, W., Levine, R., Lin, C., & Wensi, X. (2022). Competition laws, ownership, and corporate social responsibility. Journal of International Business Studies, 53, 1576–1602. https://doi.org/10.1057/s41267-022-00536-4
Du, S., Bhattacharya, C. B., & Sen, S. (2010). Maximizing business returns to corporate social responsibility (CSR): The role of CSR communication. International Journal of Management Reviews, 12(1), 8–19. https://doi.org/10.1111/j.1468-2370.2009.00276.x
Dvorský, J., Švihlíková, I., Kozubikova, L., Frajtova M. K., & Balcerzak, A. P. (2023). Effect of CSR implementation and crisis events in business on the financial management of SMEs. Technological and Economic Development of Economy, 28(2), 463–482. https://doi.org/10.3846/tede.2023.19821
Fama, E. F., & French, K. R. (2002). Testing trade-off and pecking order predictions about dividends and debt. The Review of Financial Studies, 15(1), 1–33. https://doi.org/10.1093/rfs/15.1.1
Fang, X., Zhang, W., & Ghoreishi, M. (2023). Does environmental, social, and governance performance affect corporate economic value? Evidence from China’s A-share listed companies. Transformations in Business & Economics, 22(3A), 977–1002.
Fatima, T., & Elbanna, S. (2023). Corporate social responsibility (CSR) implementation: A review and a research agenda towards an integrative framework. Journal of Business Ethics, 183, 105–121. https://doi.org/10.1007/s10551-022-05047-8
Flammer, C. (2015). Does product market competition foster corporate social responsibility? Evidence from trade liberalization. Strategic Management Journal, 36(10), 1469–1485. https://doi.org/10.1002/smj.2307
Fonseca, L. M., Domingues, J. P., & Dima, A. M. (2020). Mapping the sustainable development goals relationships. Sustainability, 12(8), Article 3359. https://doi.org/10.3390/su12083359
Franco, F., Urcan, O., & Vasvari, F. P. (2016). Corporate diversification and the cost of debt: the role of segment disclosures. The Accounting Review, 91(4), 1139–1165. https://doi.org/10.2308/accr-51325
Freeman, R. E., Harrison, J. S., Wicks, A. C., Parmar, B. L., & de Colle, S. (2010). Stakeholder theory: The state of the art. Cambridge University Press. https://doi.org/10.1017/CBO9780511815768
Fukuda, K., & Ouchida, Y. (2020). Corporate social responsibility (CSR) and the environment: Does CSR increase emissions?. Energy Economics, 92, Article 104933. https://doi.org/10.1016/j.eneco.2020.104933
Gartenberg, C., Prat, A., & Serafeim, G. (2019). Corporate purpose and financial performance. Organization Science, 30(1), 1–18. https://doi.org/10.1287/orsc.2018.1230
Geng, Z., & Pan, J. (2024). The SOE premium and government support in China’s credit market. The Journal of Finance, 79(5), 3041–3103. https://doi.org/10.1111/jofi.13380
Gigante, G., & Manglaviti, D. (2022). The ESG effect on the cost of debt financing: A sharp R&D analysis. International Review of Financial Analysis, 84, Article 102382. https://doi.org/10.1016/j.irfa.2022.102382
Gong, G., Xu, S., & Gong, X. (2018). On the value of corporate social responsibility disclosure: An empirical investigation of corporate bond issues in China. Journal of Business Ethics, 150, 227–258. https://doi.org/10.1007/s10551-016-3193-8
Gong, G., Huang, X., Wu, S., Tian, H., & Li, W. (2021). Punishment by securities regulators, corporate social responsibility and the cost of debt. Journal of Business Ethics, 171, 337–356. https://doi.org/10.1007/s10551-020-04438-z
Gu, L. L., Guo, J. L., & Wang, H. Y. (2020). Corporate social responsibility, financing constraints, and the financialization of enterprises. Journal of Financial Research, 476(2), 109–127.
Hajiha, Z., & Sarfaraz, B. (2014). The investigation of the relationship between corporate social responsibility and debt cost in Tehran stock exchange listed companies. The Journal of European Theoretical and Applied Studies, 2(2), 95–108.
Haque, F., & Ntim, C. G. (2020), Executive compensation, sustainable compensation policy, carbon performance and market value. British Journal of Management, 31(3), 525–546. https://doi.org/10.1111/1467-8551.12395
Husted, B. W., Jamali, D., & Saffar, W. (2016), Near and dear? The role of location in CSR engagement. Strategic Management Journal, 37(10), 2050–2070. https://doi.org/10.1002/smj.2437
Janssen, A., & Zhang, X. (2023). Retail pharmacies and drug diversion during the opioid epidemic. American Economic Review, 113(1), 1–33. https://doi.org/10.1257/aer.20210357
Khaw, K. L. H., Zainudin, R., & Rashid, R. M. (2019). Cost of debt financing: Does political connection matter? Emerging Markets Review, 41, Article 100632. https://doi.org/10.1016/j.ememar.2019.100632
Kim, S., & Ji, Y. (2021). Positive ripple effects of corporate leaders’ CSR donations amid COVID-19 on corporate and country reputations: Multi-level reputational benefits of CSR focusing on Bill Gates and Jack Ma. Public Relations Review, 47(4), Article 102073. https://doi.org/10.1016/j.pubrev.2021.102073
Kong, W. (2023). The impact of ESG performance on debt financing costs: Evidence from Chinese family business. Finance Research Letters, 55, Article 103949. https://doi.org/10.1016/j.frl.2023.103949
Kuokkanen, H., & Sun, W. (2020). Companies, meet ethical consumers: Strategic CSR management to impact consumer choice. Journal of Business Ethics, 166, 403–423. https://doi.org/10.1007/s10551-019-04145-4
Rosa, F. L., Liberatore, G., Mazzi, F., & Terzani, S. (2018). The impact of corporate social performance on the cost of debt and access to debt financing for listed European non-financial firms. European Management Journal, 36(4), 519–529. https://doi.org/10.1016/j.emj.2017.09.007
Li, D., Shang, C., & Jiao, C. (2022). Optimal licensing strategy of green technology with corporate social responsibility. Technological and Economic Development of Economy, 28(6), 1791–1817. https://doi.org/10.3846/tede.2022.17662
Li, G., & Liu, L. (2009). Debt financing costs and private credit discrimination. Journal of Financial Research, 12, 137–150.
Li, S., Chen, Z., Diao, Y., & Chen, Z. (2025). The impact of green finance on debt financing costs from the perspective of strategic corporate signaling behavior: Evidence from China. International Review of Financial Analysis, 102, Article 104024. https://doi.org/10.1016/j.irfa.2025.104024
Li, Y., Chen, R., & Xiang, E. (2022). Corporate social responsibility, green financial system guidelines, and cost of debt financing: Evidence from pollution-intensive industries in China. Corporate Social Responsibility and Environmental Management, 29(3), 593–608. https://doi.org/10.1002/csr.2222
Lilleoere, A.-M., & Holme Hansen, E. (2011). Knowledge‐sharing enablers and barriers in pharmaceutical research and development. Journal of Knowledge Management, 15(1), 53–70. https://doi.org/10.1108/13673271111108693
Liu, B., & McConnell, J. J. (2013). The role of the media in corporate governance: Do the media influence managers’ capital allocation decisions? Journal of Financial Economics, 110(1), 1–17. https://doi.org/10.1016/j.jfineco.2013.06.003
Liu, T., & Lee, L. F. (2019). A likelihood ratio test for spatial model selection. Journal of Econometrics, 213(2), 434–458. https://doi.org/10.1016/j.jeconom.2019.07.001
Long, S., Zuo, Y., & Tian, H. (2023). Asymmetries in multi-target monetary policy rule and the role of uncertainty: Evidence from China. Economic Analysis and Policy, 80, 278–296. https://doi.org/10.1016/j.eap.2023.08.013
Luo, W., Guo, X., Zhong, S., & Wang, J. (2019). Environmental information disclosure quality, media attention and debt financing costs: Evidence from Chinese heavy polluting listed companies. Journal of Cleaner Production, 231, 268–277. https://doi.org/10.1016/j.jclepro.2019.05.237
McWilliams, A., & Siegel, D. S. (2011). Creating and capturing value: Strategic corporate social responsibility, resource-based theory, and sustainable competitive advantage. Journal of Management, 37(5), 1480–1495. https://doi.org/10.1177/0149206310385696
Minnis, M., & Sutherland, A. (2017). Financial statements as monitoring mechanisms: Evidence from small commercial loans. Journal of Accounting Research, 55(1), 197–233. https://doi.org/10.1111/1475-679X.12127
Nave, A., & Ferreira, J. (2019). Corporate social responsibility strategies: Past research and future challenges. Corporate Social Responsibility and Environment Management, 26(4), 885–901. https://doi.org/10.1002/csr.1729
Oh, S., Hong, A, & Hwang, J. (2017). An analysis of CSR on firm financial performance in stakeholder perspectives. Sustainability, 9(6), Article 1023. https://doi.org/10.3390/su9061023
Oikonomou, I., Brooks, C., & Pavelin, S. (2014). The effects of corporate social performance on the cost of corporate debt and credit ratings. Financial Review, 49, 49–75. https://doi.org/10.1111/fire.12025
Okafor, A., Adeleye, B. N., & Adusei, M. (2021). Corporate social responsibility and financial performance: Evidence from U.S Tech firms. Journal of Cleaner Production, 292, Article 126078. https://doi.org/10.1016/j.jclepro.2021.126078
Oliver, A. G., Campbell, R., Graffin, S., & Bundy, J. (2023). Media coverage of earnings announcements: How newsworthiness shapes media volume and tone. Journal of Management, 49(4), 1213–1245. https://doi.org/10.1177/01492063221080125
Ou, J., Wong, I. A., & Huang, G. Q. I. (2021). The coevolutionary process of restaurant CSR in the time of mega disruption. International Journal of Hospitality Management, 92, Article 102684. https://doi.org/10.1016/j.ijhm.2020.102684
Peng, D., Colak, G., & Shen, J. (2023). Lean against the wind: The effect of policy uncertainty on a firm’s corporate social responsibility strategy. Journal of Corporate Finance, 79, Article 102376. https://doi.org/10.1016/j.jcorpfin.2023.102376
Ren, J., Wu, P., & Hou, L. (2024). Social media attention and corporate greenwashing: Evidence from China. Corporate Social Responsibility and Environmental Management, 31(6), 5446–5465. https://doi.org/10.1002/csr.2875
Rodrigo, P., Aqueveque, C., & Duran, I. J. (2018). Do employees value strategic CSR: A tale of affective organizational commitment and its underlying mechanism. Business Ethics, the Environment & Responsibility, 28(4), 459–475. https://doi.org/10.1111/beer.12227
Schons, L., & Steinmeier, M. (2016). Walk the talk? How symbolic and substantive CSR actions affect firm performance depending on stakeholder proximity. Corporate Social Responsibility and Environmental Management, 23(6), 358–372. https://doi.org/10.1002/csr.1381
Shao, S., Li, B., Fan, M., & Yang, L. (2021). How does labor transfer affect environmental pollution in rural China? Evidence from a survey. Energy Economics, 102, Article 105515. https://doi.org/10.1016/j.eneco.2021.105515
Sheehy, B. (2015). Defining CSR: Problems and solutions. Journal of Business Ethics, 131, 625–648. https://doi.org/10.1007/s10551-014-2281-x
Shen, Q., Zhu, J., Qi, M., & Tao, X. (2023). Can environment, social, and governance performance improve the high-quality development of equipment manufacturing companies? Transformations in Business & Economics, 22(3A), 625–652.
Schramm-Klein, H., Zentes, J., Steinmann, S., Swoboda, B., & Morschett, D. (2016). Retailer corporate social responsibility is relevant to consumer behavior. Business and Society, 55(4), 550–575. https://doi.org/10.1177/0007650313501844
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. https://doi.org/10.1037/1082-989X.7.4.422
Shu, Y., Xu, G., Shen, Y., & Lv, M. (2019). Measurement of environmental and financial integration of heavily polluting enterprises: The theoretical analysis and system construction of environmental financial index. Accounting Research, 382(8), 3–11.
Shubham, Charan, P., & Murty L. S. (2018). Secondary stakeholder pressures and organizational adoption of sustainable operations practices: The mediating role of primary stakeholders. Business Strategy and the Environment, 27, 910–923. https://doi.org/10.1002/bse.2041
Simek, L., Bachmann, P., & Koutsky, J. (2023). Can QMS enhance competitiveness of logistics service providers in economic recession? Transformations in Business & Economics, 22(3), 83–100.
Tang, P., Jiang, Q., & Wang, C. (2024). Beyond environmental actions: How environmental regulations stimulate strategic-political CSR engagement in China?. Energy Economics, 129, Article 107171. https://doi.org/10.1016/j.eneco.2023.107171
Vallaster, C. (2017). Managing a company crisis through strategic corporate social responsibility: A practice-based analysis. Corporate Social Responsibility and Environment Management, 24(6), 509–523. https://doi.org/10.1002/csr.1424
Vishwanathan, P., van Oosterhout, H., Heugens, P. P. M. A. R., Duran, P., & van Essen, M. (2020). Strategic CSR: A concept building meta-analysis. Journal of Management Studies, 57(2), 314–350. https://doi.org/10.1111/joms.12514
Wang, B., Wang, F., Kong, X., Liu, L., & Liu, C. (2024). Environmental, social, and governance disclosure and capital market mispricing. Corporate Social Responsibility and Environmental Management, 31(3), 2383–2401. https://doi.org/10.1002/csr.2691
Wang, H., Lu, W., Ye, M., Chau, K. W., & Zhang, X. (2016). The curvilinear relationship between corporate social performance and corporate financial performance: Evidence from the international construction industry. Journal of Cleaner Production, 137, 1313–1322. https://doi.org/10.1016/j.jclepro.2016.07.184
Xia, X., Teng, F., & Gu, X. (2019). Reputation repair and corporate donations: An investigation of responses to regulatory penalties. China Journal of Accounting Research, 12(3), 293–313. https://doi.org/10.1016/j.cjar.2019.06.001
Xie, Q., & Wang, T. G. (2022). Promoting corporate social responsibility message in COVID-19 advertising: How threat persuasion affects consumer responses to altruistic versus strategic CSR. Journal of Business Research, 148, 315–324. https://doi.org/10.1016/j.jbusres.2022.04.073
Xu, L., Fan, M., Yang, L., & Shao, S. (2021). Heterogeneous green innovations and carbon emission performance: Evidence at China’s city level. Energy Economics, 99, Article 105269. https://doi.org/10.1016/j.eneco.2021.105269
Xu, S., Qiao, M., Che, B., & Tong, P. (2019). Regional anti-corruption and CSR disclosure in a transition economy: The contingent effects of ownership and political connection. Sustainability, 11(9), Article 2499. https://doi.org/10.3390/su11092499
Yang, J., & Basile, K. (2021). Communicating corporate social responsibility: External stakeholder involvement, productivity and firm performance. Journal of Business Ethics, 150, 1–17.
Ye, K., & Zhang, R. (2011). Do lenders value corporate social responsibility? Evidence from China. Journal of Business Ethics, 104, 197–206. https://doi.org/10.1007/s10551-011-0898-6
Yu, S. H., & Liang, W. C. (2020). Exploring the determinants of strategic corporate social responsibility: An empirical examination. Sustainability, 12(6), Article 2368. https://doi.org/10.3390/su12062368
Zeng, J., Ren, J., & Ning, Z. (2022). Mediating effect of corporate social responsibility-based entrepreneurship on environmental improvement: Evidence from 475 heavy-polluting enterprises. Journal of Business Research, 149, 506–517. https://doi.org/10.1016/j.jbusres.2022.05.014
Zhang, S., Li, H., & Li, Y. (2018). Political connection, commercial credit and debt financing cost. Communication of Finance and Accounting, 12, 93–96 (in Chinese). https://doi.org/10.16144/j.cnki.issn1002-8072.2018.12.018
Zhang, W., Kwon, J. W., & Choy, M. (2023). Localizing corporate social responsibility in China: The role of geographic proximity to political and financial centers. Journal of Cleaner Production, 421, Article 138430. https://doi.org/10.1016/j.jclepro.2023.138430
Zhao, W., Liang, Y., & Li, P. (2023). Can enterprises’ participation in targeted poverty alleviation reduce the cost of debt financing? Evidence from China. Finance Research Letters, 58, Article 104551. https://doi.org/10.1016/j.frl.2023.104551
Zhou, G., Sun, Y., Luo, S., & Liao, J. (2021). Corporate social responsibility and bank financial performance in China: The moderating role of green credit. Energy Economics, 97, Article 105190. https://doi.org/10.1016/j.eneco.2021.105190
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