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The impact of air pollution on outpatient medical service utilization and expenditure in a clean air city

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  • Zheng, Xiaoting
  • Yang, Lin
  • Liu, Yumeng

Abstract

Although there's increasing research on the health effects of air pollution in China, its direct influence on health-related expenditures, particularly during less severe pollution episodes, is still not well-understood. This study aims to quantify impact of three air pollutants (sulfur dioxide, nitrogen dioxide, and particulate matter) on individual healthcare spending in a city with relatively clean air.

Suggested Citation

  • Zheng, Xiaoting & Yang, Lin & Liu, Yumeng, 2023. "The impact of air pollution on outpatient medical service utilization and expenditure in a clean air city," Social Science & Medicine, Elsevier, vol. 338(C).
    • Handle: RePEc:eee:socmed:v:338:y:2023:i:c:s0277953623006585
    DOI: 10.1016/j.socscimed.2023.116301
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    1. Hanna, Rema & Oliva, Paulina, 2015. "The effect of pollution on labor supply: Evidence from a natural experiment in Mexico City," Journal of Public Economics, Elsevier, vol. 122(C), pages 68-79.
    2. Michael Greenstone & Rema Hanna, 2014. "Environmental Regulations, Air and Water Pollution, and Infant Mortality in India," American Economic Review, American Economic Association, vol. 104(10), pages 3038-3072, October.
    3. Eva Arceo & Rema Hanna & Paulina Oliva, 2016. "Does the Effect of Pollution on Infant Mortality Differ Between Developing and Developed Countries? Evidence from Mexico City," Economic Journal, Royal Economic Society, vol. 126(591), pages 257-280, March.
    4. Koichiro Ito & Shuang Zhang, 2020. "Willingness to Pay for Clean Air: Evidence from Air Purifier Markets in China," Journal of Political Economy, University of Chicago Press, vol. 128(5), pages 1627-1672.
    5. Wang, Chunchao & Lin, Qianqian & Qiu, Yun, 2022. "Productivity loss amid invisible pollution," Journal of Environmental Economics and Management, Elsevier, vol. 112(C).
    6. Cropper, M L, 1981. "Measuring the Benefits from Reduced Morbidity," American Economic Review, American Economic Association, vol. 71(2), pages 235-240, May.
    7. Tom Y. Chang & Joshua Graff Zivin & Tal Gross & Matthew Neidell, 2019. "The Effect of Pollution on Worker Productivity: Evidence from Call Center Workers in China," American Economic Journal: Applied Economics, American Economic Association, vol. 11(1), pages 151-172, January.
    8. Kenneth Y. Chay & Michael Greenstone, 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, President and Fellows of Harvard College, vol. 118(3), pages 1121-1167.
    9. Matthew Neidell, 2009. "Information, Avoidance Behavior, and Health: The Effect of Ozone on Asthma Hospitalizations," Journal of Human Resources, University of Wisconsin Press, vol. 44(2).
    10. Michael Greenstone & Guojun He & Shanjun Li & Eric Yongchen Zou, 2021. "China’s War on Pollution: Evidence from the First 5 Years," Review of Environmental Economics and Policy, University of Chicago Press, vol. 15(2), pages 281-299.
    11. He, Guojun & Liu, Tong & Zhou, Maigeng, 2020. "Straw burning, PM2.5, and death: Evidence from China," Journal of Development Economics, Elsevier, vol. 145(C).
    12. Tanaka, Shinsuke, 2015. "Environmental regulations on air pollution in China and their impact on infant mortality," Journal of Health Economics, Elsevier, vol. 42(C), pages 90-103.
    13. Liao, Liping & Du, Minzhe & Chen, Zhongfei, 2021. "Air pollution, health care use and medical costs: Evidence from China," Energy Economics, Elsevier, vol. 95(C).
    14. 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).
    15. Deschenes, Olivier & Wang, Huixia & Wang, Si & Zhang, Peng, 2020. "The effect of air pollution on body weight and obesity: Evidence from China," Journal of Development Economics, Elsevier, vol. 145(C).
    16. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    17. Michael Greenstone & Guojun He & Shanjun Li & Eric Zou, 2021. "China’s War on Pollution: Evidence from the First Five Years," NBER Working Papers 28467, National Bureau of Economic Research, Inc.
    18. Shuai Chen & Paulina Oliva & Peng Zhang, 2018. "Air Pollution and Mental Health: Evidence from China," NBER Working Papers 24686, National Bureau of Economic Research, Inc.
    19. Janet Currie & Eric A. Hanushek & E. Megan Kahn & Matthew Neidell & Steven G. Rivkin, 2009. "Does Pollution Increase School Absences?," The Review of Economics and Statistics, MIT Press, vol. 91(4), pages 682-694, November.
    20. Kelly C. Bishop & Jonathan D. Ketcham & Nicolai V. Kuminoff, 2018. "Hazed and Confused: The Effect of Air Pollution on Dementia," NBER Working Papers 24970, National Bureau of Economic Research, Inc.
    21. Xia, Fan & Xing, Jianwei & Xu, Jintao & Pan, Xiaochuan, 2022. "The short-term impact of air pollution on medical expenditures: Evidence from Beijing," Journal of Environmental Economics and Management, Elsevier, vol. 114(C).
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    More about this item

    Keywords

    Air quality; Pollutants; Medical expenditure; Outpatient visits;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • 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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