Evaluating PM2.5 -Related health costs in China-Evidence from 140 Chinese cities

Public health impacts of air pollution from the spatiotemporal heterogeneity perspective: 31 provinces and municipalities in China from 2013 to 2020

Air pollution has long been a significant environmental health issue. Previous studies have employed diverse methodologies to investigate the impacts of air pollution on public health, yet few have thoroughly examined its spatiotemporal heterogeneity. Based on this, this study investigated the spatiotemporal heterogeneity of the impacts of air pollution on public health in 31 provinces in China from 2013 to 2020 based on the theoretical framework of multifactorial health decision-making and combined with the spatial durbin model and the geographically and temporally weighted regression model. The findings indicate that: (1) Air pollution and public health as measured by the incidence of respiratory diseases (IRD) in China exhibit significant spatial positive correlation and local spatial aggregation. (2) Air pollution demonstrates noteworthy spatial spillover effects. After controlling for economic development and living environment factors, including disposable income, population density, and urbanization rate, the direct and indirect spatial impacts of air pollution on IRD are measured at 3.552 and 2.848, correspondingly. (3) China's IRD is primarily influenced by various factors such as air pollution, economic development, living conditions, and healthcare, and the degree of its influence demonstrates an uneven spatiotemporal distribution trend. The findings of this study hold considerable practical significance for mitigating air pollution and safeguarding public health.

Does environmental regulation matter for healthcare utilisation in China? An interrupted time series study

In recent years, China has implemented a series of environmental regulation policies to improve air quality, but the health effects of these policy changes need to be accurately clarified and quantified. The objective of this study was to empirically examine the effects of levying construction dust pollution fees on healthcare utilisation in a southern city of China. The study used a unique administrative insurance claim dataset from the city's Urban Employee Basic Medical Insurance scheme between 2013 and 2015. The sample included 69,961 enrolees. An interrupted time series design was employed to investigate whether and how the healthcare utilisation of enrolees changed after the policy change. The results showed that this environmental regulation policy did not affect the inpatient utilisation of enrolees but did negatively impact outpatient utilisation. In addition, outpatient utilisation of chronic disease coverage decreased for patients with chronic diseases, including diabetes and hypertension. This study provides evidence that enhancing environmental regulations helps reduce medical costs, which can benefit China and other developing countries to improve environmental quality and promote public health.

How does coordinated regional digital economy development improve air quality? New evidence from the spatial simultaneous equation analysis

Countries around the world are increasingly turning towards developing digital economies to find better strategies for tackling the environmental pollution associated with economic growth while also pursuing high-quality economic conditions. This study aims to probe the link between coordinated regional digital economy development (RDEC) and air quality. A province-level RDEC indicator based on city-level data is developed, and air pollution is gauged by annual average PM_2.5 concentrations. Furthermore, a spatial simultaneous equation model is employed to examine the causality further. The empirical results indicate that a bilateral causal relationship exists: RDEC improves air quality, and better air quality also facilitates RDEC. This relationship is influenced by spatial spillover effects. Specifically, air quality and RDEC of an area have a negative influence on the RDEC of neighboring regions, while they have a positive impact on neighboring areas' air quality. Further analysis suggests that green total factor productivity, advanced industrial structure, and regional entrepreneurship level can indirectly affect the contribution of RDEC to air quality. Additionally, the impact of air quality on RDEC may be realized through the increase in labor productivity, lower external environmental costs of regional economic development, and enhanced regional foreign economic exchange.