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The impact of air pollution on Hospital admissions: evidence from Italy

Author

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  • Raffaele Lagravinese
  • Lee Habin
  • Francesco Moscone
  • Eliza Tosetti

Abstract

In this paper we examine the relationship between air pollution and hospital admissions for chronic obstructive pulmonary disease in Italy, at province level, over the period 2004- 2009. To this end, we use information on annual mean concentrations of carbon monoxide, nitrogen dioxide, particulate matter, and ozone measured at monitoring station level to build province-level indicators. In our model for hospital admissions, we allow pollution measures to be subject to measurement error and possibly correlated with the error term. By adopting an instrumental variables approach, we find that higher levels of particulate matter and carbon monoxide are associated with higher hospitalisation for children, while ozone has an influence on hospital admissions of the elderly. Other factors that appear to have an important role are the rainfall and the level of education.

Suggested Citation

  • Raffaele Lagravinese & Lee Habin & Francesco Moscone & Eliza Tosetti, 2013. "The impact of air pollution on Hospital admissions: evidence from Italy," Departmental Working Papers of Economics - University 'Roma Tre' 0170, Department of Economics - University Roma Tre.
    • Handle: RePEc:rtr:wpaper:0170
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    Cited by:

    1. Matthew A. Cole & Robert J R Elliott & Bowen Liu, 2020. "The Impact of the Wuhan Covid-19 Lockdown on Air Pollution and Health: A Machine Learning and Augmented Synthetic Control Approach," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 76(4), pages 553-580, August.
    2. Giaccherini, Matilde & Kopinska, Joanna & Palma, Alessandro, 2021. "When particulate matter strikes cities: Social disparities and health costs of air pollution," Journal of Health Economics, Elsevier, vol. 78(C).
    3. Green, Colin P. & Heywood, John S. & Navarro Paniagua, Maria, 2020. "Did the London congestion charge reduce pollution?," Regional Science and Urban Economics, Elsevier, vol. 84(C).
    4. Ziebarth, Nicolas R. & Schmitt, Maike & Karlsson, Martin, 2013. "The Short-Term Population Health Effects of Weather and Pollution: Implications of Climate Change," IZA Discussion Papers 7875, Institute of Labor Economics (IZA).
    5. Daniel L. Mendoza & Cheryl S. Pirozzi & Erik T. Crosman & Theodore G. Liou & Yue Zhang & Jessica J. Cleeves & Stephen C. Bannister & William R. L. Anderegg & Robert Paine III, 2020. "Absentee and Economic Impact of Low-Level Fine Particulate Matter and Ozone Exposure in K-12 Students," Papers 2007.09230, arXiv.org.
    6. Eibich, Peter & Ziebarth, Nicolas, 2014. "Examining the Structure of Spatial Health Effects in Germany Using Hierarchical Bayes Models," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 49, pages 305-320.
    7. Massimo Filippini & Giuliano Masiero & Sandro Steinbach, 2019. "The impact of ambient air pollution on hospital admissions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(6), pages 919-931, August.
    8. Giuliano Masiero & Fabrizio Mazzonna & Michael Santarossa, 2022. "The effect of absolute versus relative temperature on health and the role of social care," Health Economics, John Wiley & Sons, Ltd., vol. 31(6), pages 1228-1248, June.
    9. Tidiane Ly, 2019. "Taxes, traffic jam and spillover in the metropolis," IdEP Economic Papers 1903, USI Università della Svizzera italiana.
    10. Borck, Rainald & Schrauth, Philipp, 2021. "Population density and urban air quality," Regional Science and Urban Economics, Elsevier, vol. 86(C).
    11. Anna Rita Germani & Giorgia Marini & Alessio D’Amato & Alan P. Ker, 2025. "Do environmental crimes contribute to air pollution? Empirical evidence and effects on health," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 42(1), pages 59-89, April.
    12. Chagas, André L.S. & Azzoni, Carlos R. & Almeida, Alexandre N., 2016. "A spatial difference-in-differences analysis of the impact of sugarcane production on respiratory diseases," Regional Science and Urban Economics, Elsevier, vol. 59(C), pages 24-36.
    13. Bondonio, Daniele & Chirico, Paolo & Piacenza, Massimiliano & Robbiano, Simone, 2025. "Urban NO2-pollution and health outcomes: Evidence from a natural experiment in Italy on the simulated benefits of the EU zero-emission-vehicles resolution," Health Policy, Elsevier, vol. 159(C).
    14. Federico Belotti & Joanna Kopinska & Alessandro Palma & Andrea Piano Mortari, 2022. "Health status and the Great Recession. Evidence from electronic health records," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1770-1799, August.
    15. Han, Qing & Liu, Ying & Lu, Zilong, 2020. "Temporary driving restrictions, air pollution, and contemporaneous health: Evidence from China," Regional Science and Urban Economics, Elsevier, vol. 84(C).
    16. Jingmei Li & Shaofei Yu & Zhihua Xu, 2023. "Does environmental pollution weaken the positive effect of government public expenditure on residents’ subjective well-being? A case study in China," Energy & Environment, , vol. 34(4), pages 927-945, June.

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    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling

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