The Relationship Between the Actual Level of Air Pollution and Residents' Concern about Air Pollution: Evidence from Shanghai, China

Air pollution perception bias: Mismatch between air pollution exposure and perception of air quality in real-time contexts

Air pollution perception biases hinder the public's awareness of actual air quality. Past studies that examined the association and mismatch between actual and perceived air quality neglected individuals' dynamic exposure and their activity, travel, spatial, temporal, and social contexts. Using data collected with real-time air pollutant sensors and ecological momentary assessment (EMA), this study investigated the association and mismatch between momentary air pollution exposure and perceived air quality. It also examined how activity type, travel mode, spatial and temporal contexts, and social factors contribute to this disparity. The results show that exposure to air pollution is significantly higher in residential areas (1.777 μg/m3) and transportation land-use areas (2.863 μg/m3) compared to commercial areas. Exposure in the evening is 1.308 μg/m3 higher than in the afternoon. Working or studying activities are associated with 2.863 μg/m3 lower exposure, and individuals perceive air quality as good when working or studying and in residential areas. Conversely, individuals assess air quality as poor in railway travel contexts and being accompanied by friends. This study also reveals the nonstationary association between air pollution exposure and perceived air quality. The odds of underestimating air pollution are 1.8-2.7 times as high as that in residential areas and 2.1 to 2.6 times that in transportation land-use areas when compared to commercial areas. Implementing targeted mitigation measures in these contexts can enhance public awareness of air pollution.

Particulate matter concentration effects on attention to environmental issues: a cross-sectional study among residents in Korea's Pohang Industrial Complex

Background

With modernization, air pollution has become increasingly serious, and its effects on health have been revealed. As a result, public interest in environmental pollution has become critical for regulating air pollution. In our study, we aim to evaluate the impact of air pollution levels on public attention to environmental issues and examine whether awareness of the residential environment's impact on health acts as a mediator in this relationship.

Methods

We conducted an analysis on 400 individuals surveyed in the preliminary feasibility study on adverse health effects in the Pohang Industrial Complex, to examine the relationship between particulate matter 2.5 (PM2.5) and attention to environmental issues. Logistic regression analysis was performed, and mediation analysis was used to determine whether awareness of the residential environment's impact on health mediated the relationship.

Results

The logistic regression analysis results showed that PM2.5 levels were associated with attention to environmental issues (adjusted odds ratio [AOR]: 2.1; 95% confidence interval [CI]: 1.3-3.5; p = 0.003) and awareness of health impacts (AOR: 3.4; 95% CI: 1.6-7.1; p = 0.001). The PM2.5 levels showed 9.9% (95% CI: 5.4-14.0) increase in the prevalence of high attention to environmental issues, of which, only 1.0% (95% CI: 0.2-2.3) were mediated by health impact awareness. In the overall analysis, 10% of the total effect of PM2.5 on attention to environmental issues was mediated by health impact awareness.

Conclusions

According to this study's results, there was a correlation between air pollution levels and attention to environmental issues. Awareness of the health impacts of air pollution partially mediated the effect of air pollution levels on attention to environmental issues. In future studies, it is recommended to identify other mediators to further understand this structure.

Anti-social behaviour and economic decision-making: Panel experimental evidence in the wake of COVID-19

We systematically examine the acute impact of exposure to a public health crisis on anti-social behaviour and economic decision-making using unique experimental panel data from China, collected just before the outbreak of COVID-19 and immediately after the first wave was overcome. Exploiting plausibly exogenous geographical variation in virus exposure coupled with a dataset of longitudinal experiments, we show that participants who were more intensely exposed to the virus outbreak became more anti-social than those with lower exposure, while other aspects of economic and social preferences remain largely stable. The finding is robust to multiple hypothesis testing and a similar, yet less pronounced pattern emerges when using alternative measures of virus exposure, reflecting societal concern and sentiment, constructed using social media data. The anti-social response is particularly pronounced for individuals who experienced an increase in depression or negative affect, which highlights the important role of psychological health as a potential mechanism through which the virus outbreak affected behaviour.

The effect of air pollution on Chinese green bond market: The mediation role of public concern

Green bonds are becoming increasingly important in sustainable investments since their environmental protection attributes allow them to benefit from environmental degradation. However, the mechanism of environmental degradation on green bonds has not yet been studied. This study proposes a mediation model to analyze air pollution's influence on green bonds. Theoretically, air pollution leads to increased public concern through public environmental awareness and perceptions of physical health risks. Enhanced public concern drives investors' green preference and environmental responsibility, thus expanding green bond demand, in which public concern plays an important mediation role. To verify the mediating effect, causal stepwise regression and bootstrap methods are used. The empirical results confirm this theoretical mechanism. Air pollution is significantly positively related to public concern. Public concern is positively linked with green bond investment willingness, resulting in increased volatility. The total positive effect of air pollution on green bonds is partly absorbed by the mediating effect of public concern that is significantly positive and reaches 30.21% of the total effect. In addition, major crisis events (e.g., COVID-19) may hinder the positive mediation process by generating a negative trend and distracting the public. This means that the government could propose appropriate measures to minimize the negative aspects in order to promote green finance. The mediation model is also useful for investors wishing to increase green assets in their portfolios and provides an incentive for businesses to promote green finance.

High-risk population and factors of stroke has changed among middle-aged and elderly Chinese-Evidence from 1989 to 2015

Background

Stroke is an acute cerebrovascular disease with high mortality and disability. This study aimed to investigate the trend of stroke prevalence from 1989 to 2015 in China, explore the transition of high-risk population and high-risk factors, and provide some evidence to develop more targeted stroke intervention strategies.

Material and methods

We derived the baseline data from China Health and Nutrition Survey (CHNS). Participants responded to face-to-face interviews and examinations containing demographic information, behavioral health information, disease history, and physical examination. We applied chi-square test, shapley value decomposition model, and decision tree model to evaluate the changes of high-risk population and high-risk factors of stroke.

Results

Across 42,419 middle-aged and elderly residents, the prevalence of stroke was decreasing from 1989 to 2015. Hypertension was the leading risk factor of stroke, while its contribution rate was weakened with the increasing of medicine taking rate. As the second risk factor of stroke, the contribution of age decreased either. Meanwhile, the contribution rate of historical health factors, lifestyle factors, and regional factors, such as body mass index, diabetes, and living area to the impact of stroke was increasing. In addition, the first high-risk population of stroke changed from hypertension patients aged 75 years and above to without spouse residents living in stroke belt such as Beijing and Liaoning. The second risk population of stroke transformed from male hypertensive patients under 75 years old into male hypertensive patients living in urban. The third high-risk group turned from the elderly aged 75 and above into the female patients with hypertension and diabetes.

Conclusions

This study demonstrated that the high-risk population and high-risk factors of stroke changed in China and revealed the direction and internal mechanism of transition of stroke. Targeted stroke intervention strategies should be renewed. Health education for the high-risk population of stroke should be carried out, healthy living habits need be advocated, and the use of antihypertensive drugs for the hypertensive patients should be standardized.

Psychometric properties of a novel instrument for evaluating indoor air pollution health literacy in adults

This study aimed to develop and validate the psychometric properties of a novel instrument that measures Indoor Air Pollution Health Literacy (IAPHL). The qualitative phase was conducted to design questions based on the conceptual model of the European Health Literacy Survey Questionnaire. We developed a 38-item instrument covering 12 constructs, that is, four information competencies within three health domains to assess IAPHL. A cross-sectional online video survey of 647 adults aged 20 years and above in Taiwan was conducted. Various measures of validity and reliability coefficients were assessed to indicate the psychometric properties of the IAPHL instrument. The content validity indices for relevance, importance, and clarity of the 38 questions were 0.97, 0.96, and 0.89, respectively. The model fit indices obtained from the confirmatory factor analysis supported the acceptable structures of the theoretically hypothetical 12-factor model (standardized root mean square residual = 0.055; root mean square error of approximation = 0.065). Internal consistency for the instrument showed a Cronbach's alpha of 0.96. The IAPHL instrument developed in this study showed satisfactory validity and reliability and can be used in future fieldwork.

Does Internet use improve farmers' perception of environmental pollution? Evidence from rural China

People's weak perceptions of environmental pollution (PEP) threaten the achievement of the Global Sustainable Goals, especially in rural areas. However, Internet use may improve farmer's PEP. Thus, based on survey data from rural China, this study uses an endogenous switching regression model (ESRM) to remove the selection bias and quantitatively evaluate the impact of Internet use on the farmers' PEP. The results of this study show that (1) for group of farmers using the Internet, if they do not use the Internet, their PEP may decrease by 91.004% and (2) for group of farmers not using the Internet, if they use the Internet, their PEP may increase by 100.160%. These results provide the evidence for developing countries aiming to improve their residents' PEP and provide a new path for solving the problem of global environmental pollution and realizing sustainability.

No Country for Old Men. Assessing Socio-Spatial Relationships Between Air Quality Perceptions and Exposures in Southern Chile

An extensive body of research has been noted that many socially deprived communities tend to live in areas characterized by higher levels of outdoor air pollution. Whilst there is an expanding literature documenting this disproportionate distribution, most previous studies have taken place in the Global North, have focused with industrial or vehicle air pollution sources and have tend to ignore the complex interactions between exposures, public perceptions and social factors. In this paper, we investigate the social vulnerability to and risk perceptions of air pollution sourced from domestic heating in two Chilean cities with particularly high levels of PM_2.5 during winter months. To this end, we integrate primary survey data, with geographically detailed estimates of air pollution exposures and area-level characteristics obtained from the Chilean Census. We first examine the spatial distribution of PM_2.5 exposures and air quality perceptions, and subsequently explore relationships between socio-demographic characteristics, air pollution exposure, and health concerns. Our results revel evident spatial patterns of dispersion, with some neighborhoods being more polluted than others. Age and percentage of roofs in poor condition in the participant's census tract are the best predictors of PM_2.5 exposure. We find no correlation between perceived and real levels of contamination. Our multivariate analysis indicates that personal perceptions of air quality are significantly associated with age, gender, family structure, and heating behaviors. Such detailed depictions provide insights into potential meaningful strategies to improve air quality and highlight the need to incorporate measures to better protect older adults.

The impact of perceived air pollution on labour supply: Evidence from China

Air pollution and ageing populations are two of the most important issues facing in the development of all countries around the world, and the resulting debate between air pollution and labour supply has become increasingly intense. This paper uses data from the 2017 China Migrants Dynamic Survey (CMDS data), exploring the impact of perceived air pollution on labour supply of the migrants based on the perspective of the heterogeneity of different groups' sensitivity to air pollution. After overcoming the reverse causality between perceived air pollution and labour supply using an instrumental variables approach, we find that there is a significant negative effect of perceived air pollution on labour supply. At the same time, this negative effect shows some heterogeneity in terms of the presence of susceptible persons in the family, workers' income levels and household registration. Therefore, in the current economic and social development, in addition to improving measured air quality, it is also necessary to focus on improving the perceived air quality of citizens, as well as improving the working environment of the vulnerable groups in the labour market and protecting their basic labour rights and interests, which is of positive significance for the continuation of the demographic dividend and providing impetus for high-quality and sustainable economic development.

Effect of urban air pollution on CRP and coagulation: a study on inpatients with acute exacerbation of chronic obstructive pulmonary disease

PURPOSE

Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is an important event in the course of chronic obstructive pulmonary disease that negatively affects patients' quality of life and leads to higher socioeconomic costs. While previous studies have demonstrated a significant association between urban air pollution and hospitalization for AECOPD, there is a lack of research on the impact of particulate matter (PM) on inflammation and coagulation in AECOPD inpatients. Therefore, this study investigated the association of changes in coagulation function and C-reactive protein (CRP) with PM levels in the days preceding hospitalization.

PATIENTS AND METHODS

We reviewed the medical records of AECOPD patients admitted to Putuo Hospital, Shanghai University of Traditional Chinese Medicine, between March 2017 and September 2019. We analyzed the association of coagulation function and CRP level in AECOPD patients with PM levels in the days before hospitalization. Multivariate unconditional logistic regression analyses were used to evaluate the adjusted odds ratio (OR) and 95% confidence interval (CI) for the association of CRP data with hospitalization day. Kruskal-Wallis tests were used to evaluate mean aerodynamic diameter of ≥ 2.5 μm (PM_2.5) exposure on the day before hospitalization; we assessed its association with changes in prothrombin time (PT) in AECOPD inpatients with different Global Initiative for Chronic Obstructive Lung Disease (GOLD) classes.

RESULTS

The peripheral blood PT of AECOPD patients with PM_2.5 ≥ 25 mg/L on the day before hospitalization were lower than those of patients with PM_2.5 < 25 mg/L (t = 2.052, p = 0.041). Patients with severe GOLD class exposed to greater than 25 mg/L of PM_2.5on the day before hospitalization showed significant differences in PT (F = 9.683, p = 0.008). Peripheral blood CRP levels of AECOPD patients exposed to PM_2.5 ≥ 25 mg/L and PM₁₀ ≥ 50 mg/L on the day before hospitalization were higher than those of patients exposed to PM_2.5 < 25 mg/L and PM₁₀ < 50 mg/L (t = 2.008, p = 0.046; t = 2.637, p = 0.009). Exposure to < 25 mg/L of PM_2.5 on the day before hospitalization was significantly associated with CRP levels (adjusted OR 1.91; 95% CI 1.101, 3.315; p = 0.024).

CONCLUSION

Exposure of patients with AECOPD to high PM levels on the day before hospitalization was associated with an increased CRP level and shortened PT. Moreover, PM_2.5 had a greater effect on CRP level and PT than mean aerodynamic diameter of ≥ 10 μm (PM₁₀). AECOPD patients with severe GOLD class were more sensitive to PM_2.5-induced shortening of PT than those with other GOLD classes.

Spatial characteristics and influencing factors of risk perception of haze in China: The case study of publishing online comments about haze news on Sina

Haze has become an important factor to harm people's health. In the face of the harm of haze, people express risk perception behavior through publishing online comments on haze news. To a certain extent, online comments affect the government's decision to deal with haze. However, most of the previous efforts only focused on several cities from a micro perspective whereas the existing research lacks to explore the regional differences of risk perception behavior of the whole country from a macro perspective. The macro perspective of research can help policymakers to formulate strategies of haze control according to local conditions. Therefore, it is important to understand the risk perception behavior of publishing online comments and haze from the macro perspective. In this study, we use quantitative methods to study the spatial-temporal characteristics of online comments and PM_2.5 in 334 cities in China from 2014 to 2018. From the spatial perspective, the spatial characteristics of online comments are quite different from those of PM_2.5 at the city level. It can be seen that the spatial mismatch can affect the government's strategy of haze control according to local conditions. From the perspective of influencing factors, we find that the risk perception behavior of publishing online comments conforms to the theory of environmental risk perception. Firstly, the local social development level is the largest driving force accelerating risk perception behavior. Secondly, information channel also has significantly positive effect on public risk perception behavior. Finally, the harmful degree of haze has the least positive effect on people's risk perception behavior. This gives us enlightenment. The number of online comments does not reflect the harmful degree of haze in different regions. We suggest that online comments should not be the main reference factor for policymakers to make strategies.

Visibility Driven Perception and Regulation of Air Pollution in Hong Kong, 1968–2020

Visibility is a perceptible indicator of air pollution, so it is hardly surprising that it has been used to promote the regulation of air pollutants. In Hong Kong, poor visibility associated with air pollution has been linked with changes in tourist choices and health outcomes. Much research is available to examine the early deterioration of visibility in the city, and especially its relation to particulate sulfate. The period 2004–2012 saw especially poor visibility in Hong Kong and coincided with a time when pollutant levels were high. There is a reasonable correlation (multiple r2 = 0.57) between the monthly hours of low visibility (<8 km) and PM10, NO2, SO2, and O3 concentrations from the late 1990s. Visibility can thus be justified as a route to perceiving air pollution. Over the last decade, visibility has improved and average pollutant concentrations have declined in Hong Kong. The changing health risk from individual pollutants parallels their concentration trends: the risk from NO2 and particulate matter at urban sites has declined, but there have been increases in the health risks from ozone as its concentrations have risen across the region, although this is dominated by concentration increases at more rural sites. Since 2004, the frequency of search terms such as visibility, air pollution, and haze on Google has decreased in line with improved visibility. Despite positive changes to Hong Kong’s air quality, typically, the media representation and public perception see the situation as growing more severe, possibly because attention focuses on the air quality objectives in Hong Kong being less stringent than World Health Organisation guidelines. Policymakers increasingly need to account for the perceptions of stakeholders and acknowledge that these are not necessarily bound to measurements from monitoring networks. Improvements in air quality are hard won, but conveying the nature of such improvements to the public can be an additional struggle.

The self-reported behaviour of Iiyiyiu Aschii Cree and the worry about pollution from industrial and hydroelectric development in northern Quebec, Canada

Worry is influenced by environmental pollution and affects individual health and well-being; however, little is known about this association in Indigenous communities. Using logistic regression models, we examined self-reported responses among Cree adults to the question "Are you worried about the pollution of the environment (land, water or air) in Iiyiyiu Aschii?" to assess if increased worry was associated with proximity to industrial and hydroelectric development, whether increased worry was associated with self-reported behavioural changes of water consumption type in the community or bush, and days spent on-the-land. Proximity to multiple industrial and hydroelectric development sites was associated with increased worry about pollution. Notably, the decreased consumption of tap water in the community was significantly associated with increased worry, but time-on-the land was not. Overall, our study provides new findings concerning development in a Cree territory in northern Quebec, Canada, and the worry about pollution's association with self-reported behavioural changes.

Integrated Human Exposure to Air Pollution

Air pollution is one of the major environmental health problems that people face nowadays, affecting everyone in the world [...].

Influence of Air Quality on Pro-environmental Behavior of Chinese Residents: From the Perspective of Spatial Distance

Although environmental issues have attracted public attention, there are still many people unwilling to make behavioral changes to solve the problem, which makes promoting pro-environmental behavior become an interesting research topic. This study discusses the influence of air quality on the pro-environmental behavior of Chinese residents from the perspective of spatial distance, providing a theoretical basis and practical application for improving pro-environmental behavior. Through three experiments, this study reveals that air pollution within the local spatial distance could make residents more willing to conduct pro-environmental behavior. In addition, we also find that air pollution within local spatial distance would stimulate residents' environmental affection and promote them to conduct pro-environmental behavior. That is, environmental affection plays a mediating role in the interactive effect of air quality and spatial distance on pro-environmental behavior.

Risk Perception of Air Pollution: A Systematic Review Focused on Particulate Matter Exposure

The adverse health effects of exposure to air pollutants, notably to particulate matter (PM), are well-known, as well as the association with measured or estimated concentration levels. The role of perception can be relevant in exploring effects and pollution control actions. The purpose of this study was to explore studies that analyse people’s perception, together with the measurement of air pollution, in order to elucidate the relationship between them. We conducted a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. In March 2020, PubMed, EMBASE, and Scopus databases were explored in an attempt to search for studies published from 2000 to 2020. The review included 38 studies, most of which were conducted in China (n = 13) and the United States (n = 11) and published over the last four years (n = 26). Three studies were multicenter investigations, while five articles were based on a national-level survey. The air quality (AQ) was assessed by monitoring stations (n = 24) or dispersion models (n = 7). Many studies were population questionnaire-based, air monitoring and time-series studies, and web-based investigations. A direct association between exposure and perception emerged in 20 studies. This systematic review has shown that most of the studies establish a relationship between risk perception measurement. A broad spectrum of concepts and notions related to perception also emerged, which is undoubtedly an indicator of the wealth of available knowledge and is promising for future research.

Assessing the Influence of Socioeconomic Status and Air Pollution Levels on the Public Perception of Local Air Quality in a Mexico-US Border City

Air pollution in developing countries is a growing concern. It is associated with urbanization and social and economic structures. The understanding of how social factors can influence the perception and the potential impact of air pollution have not been addressed sufficiently. This paper addresses the social vulnerability and exposure to PM₁₀ association and its influence on the air quality perception of residents in Mexicali, a Mexico–US border city. This study used individual variables and population census data, as well as statistical and spatial analyses. A cluster of socially vulnerable populations with high exposure to coarse particulate matter (PM₁₀) was found in the city’s peripheral areas. The spatial distribution of the local perception of air quality varied by the exposure zones of the estimated PM₁₀ concentrations. Respondents living in very high exposure areas perceive air quality as “poor,” contrarily to a worse perception in areas of intermediate and lower exposure to PM₁₀. Proximity to stationary sources of pollution was associated with a poor perception of air quality. Results also indicate that low household income and poor air quality perceived at the place of residence negatively influences the perceived changes in the air quality over time. The knowledge of chronic health effects related to air pollution was scarce in the sampled population, especially in the areas with very high exposure and high social vulnerability. These findings can serve as a support in local air quality management.

Evaluating the Impact of Air Pollution on China’s Inbound Tourism: A Gravity Model Approach

China’s inbound tourism grew very slowly in recent years. This study modelled China’s inbound tourism based on a gravity model with province-level inbound tourist arrivals data from 13 countries of origin between 2010 and 2016. It was found that air pollution in tourist destinations and origin regions both had significant negative impacts on China’s inbound tourism. On average, if the concentration of particulate matter with a diameter of 2.5 micrometers or less (PM 2.5 ) in China and foreign countries increased by 1 μ g/m 3 , inbound tourist arrivals would decline by approximately 1.7% and 3.8%, respectively. The effect of pollution in destination regions is explained by the importance of clean air as a favored characteristic of tourist attractions. The effect of pollution in tourist origin countries is explained by more awareness of and concern about air pollution by potential tourists if they live in more polluted countries. Further analysis showed that the impact of air pollution in destination regions was larger for tourists coming from more polluted and Asian countries, and visiting less polluted and more popular destinations. This study has a clear policy implication: improving air quality can be considered as a straightforward and effective way to promote inbound tourism in China. If air quality in China can be substantially improved in the future, inbound tourist arrivals have the potential to rise by at least tens of millions of person-times.