The throughput of materials fuels the economic process and underpins social well-being. These materials eventually return to the environment as waste or emissions. They can have significant environmental impacts throughout life cycle stages, such as biodiversity loss, adverse health effects, water stress, and climate change. China is the largest resource extractor globally, but the endpoint environmental impacts and the role of possible socioeconomic drivers associated with its resource extraction remain unclear. Here, we account for and analyze the two endpoint environmental impacts associated with China's resource extraction from 2000 to 2017 and quantify the relative contributions of various socioeconomic factors using structural decomposition analysis. The results show that the environmental impacts of China's resource extraction peaked in 2010. There was a significant decline from 2010 to 2017, in which human health damage decreased by 32.8 % and ecosystem quality damage decreased by 55.8 %. On the consumer side, the advancement in China's urbanization process led to an increase in the environmental impacts of urban residents' consumption, and the effect of investment on the environmental impacts decreased significantly after 2010. Decreases in the intensity of the environmental impacts in most sectors and improvements in production structure could reduce the impacts of resource extraction on human health and ecosystems.