Air pollution in China is
causing significantly negative health
effect. The issue is fueled by China’s transition to an aging society with a
climbing population of elders characterized by great physiological and social vulnerability. Despite the existing investigation on
the health effect of air pollution, evidence in China is lack based on the
empirical ground, particularly for the elderly. In this study, I examine how
air pollution level affects the hospital visits of the elderly in China.
Combining data from China Health and Retirement longitudinal Study (CHARLS) and city-level Air Quality Index (AQI) of 2011
and 2013, we conduct individual random effect Probit and fixed-effect Logistic
model to eliminate endogeneity from sorting problems and harvesting issues.
Results show that increasing air pollution level resulted in negative health
effects on the elders, and significantly
raised their hospital visits. These effects are more serious for males, aged
individuals, low-educated, smoker, and the poor people. The findings indicate
the potential benefit of air pollution reduction and provide policy
implications for both environmental regulation and health service management.
References
[1]
Rohde, R.A. and Muller, R.A. (2015) Air Pollution in China: Mapping of Concentrations and Sources. PLoS ONE, 10, e0135749.
https://doi.org/10.1371/journal.pone.0135749
[2]
Gerking, S. and Stanley, L.R. (1986) An Economic Analysis of Air Pollution and Health: The Case of St. Louis. The Review of Economics and Statistics, 68, 115-121.
https://doi.org/10.2307/1924934
https://www.jstor.org/stable/1924934
[3]
Harrington, W. and Portney, P.R. (1987) Valuing the Benefits of Health and Safety Regulation. Journal of Urban Economics, 22, 101-112.
https://doi.org/10.1016/0094-1190(87)90052-0
[4]
Greenstone, M. and Hanna, R. (2011) Environmental Regulations, Air and Water Pollution, and Infant Mortality in India. American Economic Review, 104, 3038-3072.
https://doi.org/10.1257/aer.104.10.3038
[5]
Tanaka, S. (2015) Environmental Regulations on Air Pollution in China and Their Impact on Infant Mortality. Journal of Health Economics, 42, 90-103.
https://doi.org/10.1016/j.jhealeco.2015.02.004
[6]
Chay, K.Y. and Greenstone, M. (2003) The Impact of Air Pollution on Infant Mortality: Evidence from Geographic Variation in Pollution Shocks Induced by a Recession. The Quarterly Journal of Economics, 118, 1121-1167.
https://doi.org/10.1162/00335530360698513
[7]
Arceo, E., Hanna, R. and Oliva, P. (2015) Does the Effect of Pollution on Infant Mortality Differ between Developing and Developed Countries? Evidence from Mexico City. The Economic Journal, 126, 257-280.
https://doi.org/10.1111/ecoj.12273
[8]
Moretti, E. and Neidell, M. (2011) Pollution, Health, and Avoidance Behavior: Evidence from the Ports of Los Angeles. The Journal of Human Resources, 46, 154-175.
https://doi.org/10.3368/jhr.46.1.154
https://www.jstor.org/stable/25764807
[9]
Ebenstein, A., Fan, M. and Greenstone, M. (2015) Growth, Pollution, and Life Expectancy: China from 1991-2012. American Economic Review, 105, 226-231.
https://doi.org/10.1257/aer.p20151094
[10]
Zhang, D., Liu, J. and Li, B. (2014) Tackling Air Pollution in China—What Do We Learn from the Great Smoke of 1950s in London. Sustainability, 6, 5322-5338.
https://doi.org/10.3390/su6085322
[11]
Wang, X., Dickinson, R.E., Su, L., Zhou, C. and Wang, K. (2018) PM2.5 Pollution in China and How It Has Been Exacerbated by Terrain and Meteorological Conditions. Bulletin of the American Meteorological Society, 99, 105-119.
https://doi.org/10.1175/BAMS-D-16-0301.1
[12]
Wooldridge, J.M. (2013) Introductory Econometrics: A Modern Approach. 5th Edition, South-Western, Mason, OH.
[13]
He, G., Fan, M. and Zhou, M. (2016) The Effect of Air Pollution on Mortality in China: Evidence from the 2008 Beijing Olympic Games. Journal of Environmental Economics and Management, 79, 18-39. https://doi.org/10.1016/j.jeem.2016.04.004
[14]
Hanna, R. and Oliva, P. (2015) The Effect of Pollution on Labor Supply: Evidence from a Natural Experiment in Mexico City. Journal of Public Economics, 122, 68-79. https://doi.org/10.1016/j.jpubeco.2014.10.004
[15]
Griliches, Z. and Hausaman, J. (1986) Errors in Variables in Panel Data. Journal of Econometrics, 31, 93-118. https://doi.org/10.1016/0304-4076(86)90058-8
[16]
Schlenker, W. and Walker, W.R. (2015) Airports, Air Pollution, and Contemporaneous Health. The Review of Economic Studies, 83, 768-809.
https://doi.org/10.1093/restud/rdv043
[17]
Pope, C.A., Ezzati, M. and Dockery, D.W. (2009) Fine-Particulate Air Pollution and Life Expectancy in the United States. The New England Journal of Medicine, 360, 376-386. https://doi.org/10.1056/NEJMsa0805646