IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v36y2021i3p715-728.html
   My bibliography  Save this article

Association of outdoor air pollution with the medical expense of ischemic stroke: The case study of an industrial city in western China

Author

Listed:
  • Siyu Zeng
  • Li luo
  • Fang Chen
  • Yue Li
  • Mei Chen
  • Xiaozhou He

Abstract

Ischemic stroke, the most frequent cause of severe disability, imposes a significant mental and economic burden on patients and their families. There is increasing evidence to indicate that air pollution contributes to the risk of ischemic stroke. This study aimed to examine the correlation between air pollution and the expense imposed by an ischemic stroke. Data were obtained from hospitals and environmental monitoring stations in an industry city, Longspring, in western China. We used a generalized additive model to estimate the associations between the two factors, measured during 2015–2017. Counter‐intuitively, the medical expenses arising from ischemia were negatively associated with the level of air pollution. The corresponding ER for per interquartile range increase of PM2.5, PM10, SO2, and NO2 in lag10 was −0.17% (95% confidence interval (95% CI −0.31%, −0.03%), −0.11% (95% CI −0.2%, −0.02%), −1.04% (95% CI −1.92%, −0.17%) and −0.44% (95% CI −0.66%, −0.22%), respectively (p

Suggested Citation

  • Siyu Zeng & Li luo & Fang Chen & Yue Li & Mei Chen & Xiaozhou He, 2021. "Association of outdoor air pollution with the medical expense of ischemic stroke: The case study of an industrial city in western China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 715-728, May.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:3:p:715-728
    DOI: 10.1002/hpm.3115
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.3115
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.3115?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Burman, Prabir, 1990. "Estimation of generalized additive models," Journal of Multivariate Analysis, Elsevier, vol. 32(2), pages 230-255, February.
    2. Zhang, Junjie & Mu, Quan, 2018. "Air pollution and defensive expenditures: Evidence from particulate-filtering facemasks," Journal of Environmental Economics and Management, Elsevier, vol. 92(C), pages 517-536.
    3. Li Luo & Yuting Dai & Fengyi Zhang & Mei Chen & Fang Chen & Fang Qing, 2020. "Time series analysis of ambient air pollution effects on dynamic stroke mortality," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(1), pages 79-103, January.
    4. Li Luo & Jing Ren & Fengyi Zhang & Wei Zhang & Chunyang Li & Zhixin Qiu & Debin Huang, 2018. "The effects of air pollution on length of hospital stay for adult patients with asthma," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(3), pages 751-767, July.
    5. Daniel Gartner, 2014. "Machine Learning for Early DRG Classification," Lecture Notes in Economics and Mathematical Systems, in: Optimizing Hospital-wide Patient Scheduling, edition 127, chapter 0, pages 9-31, Springer.
    6. Roger D. Peng & Francesca Dominici & Thomas A. Louis, 2006. "Model choice in time series studies of air pollution and mortality," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 169(2), pages 179-203, March.
    7. Yu Hao & Mingyuan Zhao & Zhi‐Nan Lu, 2019. "What is the health cost of haze pollution? Evidence from China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1290-1303, October.
    8. Graham Moon, 1992. "Generalized Additive Models," Journal of the Royal Statistical Society Series C, Royal Statistical Society, vol. 41(1), pages 219-220, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shaobo Zhong & Zhichen Yu & Wei Zhu, 2019. "Study of the Effects of Air Pollutants on Human Health Based on Baidu Indices of Disease Symptoms and Air Quality Monitoring Data in Beijing, China," IJERPH, MDPI, vol. 16(6), pages 1-19, March.
    2. Joacim Rocklöv & Bertil Forsberg, 2010. "The Effect of High Ambient Temperature on the Elderly Population in Three Regions of Sweden," IJERPH, MDPI, vol. 7(6), pages 1-13, June.
    3. Sheng, Di, 2021. "Emission Trading System and Air Quality: Evidence from China," 2021 Annual Meeting, August 1-3, Austin, Texas 314071, Agricultural and Applied Economics Association.
    4. Xiaoying Liu & Jere R. Behrman & Emily Hannum & Fan Wang & Qingguo Zhao, 2022. "Same environment, stratified impacts? Air pollution, extreme temperatures, and birth weight in south China," Papers 2204.00219, arXiv.org.
    5. Wu, Xianhua & Deng, Huai & Huang, Yuxiang & Guo, Ji, 2022. "Air pollution, migration costs, and urban residents’ welfare: A spatial general equilibrium analysis from China," Structural Change and Economic Dynamics, Elsevier, vol. 63(C), pages 396-409.
    6. Fan, Maoyong & He, Guojun & Zhou, Maigeng, 2020. "The winter choke: Coal-Fired heating, air pollution, and mortality in China," Journal of Health Economics, Elsevier, vol. 71(C).
    7. Chi Wang & Giovanni Parmigiani & Francesca Dominici, 2012. "Bayesian Effect Estimation Accounting for Adjustment Uncertainty," Biometrics, The International Biometric Society, vol. 68(3), pages 661-671, September.
    8. Jamie Hansen-Lewis & Michelle Marcus, 2025. "Targeting Distributional Impacts in the Presence of Behavioral Responses: Lessons from Maritime Emissions Regulation," NBER Chapters, in: Environmental and Energy Policy and the Economy, volume 7, National Bureau of Economic Research, Inc.
    9. He, Xiaobo & Luo, Zijun & Zhang, Junjie, 2022. "The impact of air pollution on movie theater admissions," Journal of Environmental Economics and Management, Elsevier, vol. 112(C).
    10. Yunquan Zhang & Chuanhua Yu & Jin Yang & Lan Zhang & Fangfang Cui, 2017. "Diurnal Temperature Range in Relation to Daily Mortality and Years of Life Lost in Wuhan, China," IJERPH, MDPI, vol. 14(8), pages 1-11, August.
    11. Robert J. R. Elliott & Ingmar Schumacher & Cees Withagen, 2020. "Suggestions for a Covid-19 Post-Pandemic Research Agenda in Environmental Economics," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 76(4), pages 1187-1213, August.
    12. Ju, Heng & Tang, Yao & Zhang, Meilan, 2024. "Air Pollution's Grip: Drug Cost and Its Heterogeneity in China," MPRA Paper 121154, University Library of Munich, Germany.
    13. Shihe Fu & V. Brian Viard, 2022. "A mayors perspective on tackling air pollution," Chapters, in: Charles K.Y. Leung (ed.), Handbook of Real Estate and Macroeconomics, chapter 16, pages 413-437, Edward Elgar Publishing.
    14. Colmer, Jonathan & Lin, Dajun & Liu, Siying & Shimshack, Jay, 2021. "Why are pollution damages lower in developed countries? Insights from high-Income, high-particulate matter Hong Kong," Journal of Health Economics, Elsevier, vol. 79(C).
    15. Du,Xinming & Maruyama Rentschler,Jun Erik & Russ,Jason Daniel, 2023. "People's Unequal Exposure to Air Pollution : Evidence for the World's Coal-FiredPower Plants," Policy Research Working Paper Series 10400, The World Bank.
    16. Wang, Qian & Wang, Jun & Gao, Feng, 2021. "Who is more important, parents or children? Economic and environmental factors and health insurance purchase," The North American Journal of Economics and Finance, Elsevier, vol. 58(C).
    17. Zhao, Xiaolei & Zhao, Ziyao & Mao, Yumeng & Li, Xuemei, 2024. "The role of air pollution in electric vehicle adoption: Evidence from China," Transport Policy, Elsevier, vol. 154(C), pages 26-39.
    18. Zhang Hao & Qi Chenyue, 2021. "Impact of environmental and health consciousness on ecological consumption intention: The moderating effects of haze and self‐competence," Journal of Consumer Affairs, Wiley Blackwell, vol. 55(4), pages 1292-1305, December.
    19. Liu, Xiaoou & Rahman, Tauhidur & Wang, Xiangrui, 2024. "The effect of urban air pollution on small businesses: Evidence from Beijing," Energy Economics, Elsevier, vol. 139(C).
    20. Liu, Wei & Zhao, Zhihui & Wen, Zhao & Cheng, Shixiong, 2022. "Environmental regulation and OFDI: Evidence from Chinese listed firms," Economic Analysis and Policy, Elsevier, vol. 75(C), pages 191-208.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:36:y:2021:i:3:p:715-728. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.