Measuring the urban-rural and spatiotemporal heterogeneity of the drivers of PM-attributed health burdens in China from 2008 to 2021 using high-resolution dataset.

J Environ Manage

Institute of Strategic Planning, Chinese Academy of Environmental Planning, Beijing, 100041, China; The Center for Beautiful China, Chinese Academy of Environmental Planning, Beijing, 100041, China. Electronic address:

Published: November 2023

Urbanization has been considered a driver of PM pollution and the attributed health burden. This study systematically measured the spatiotemporal and urban-rural heterogeneity of PM-attributed health burden drivers, including income, population, baseline mortality rate, and PM level. The results reveal the significantly positive contribution of disposable income and the periodical and urban-rural differentiation of population contribution to PM-attributed health burden. The difference in driver performance due to socioeconomic development and urbanization stages might be an important determinant for different or even opposite results of previous studies. Policymaking for mitigating PM-attributed health risk could incorporate the re-assessment and driver determination for PM-attributed health burden into the construction and development plan from the overall urbanization perspective. The urbanization-perspective driver decomposition could be synergized with the flow analysis, equality evaluation, and policy benefit estimation to achieve further direction-determining and quantitative assessment of the urban-rural PM health risk management strategies.

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http://dx.doi.org/10.1016/j.jenvman.2023.118940DOI Listing

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Article Synopsis
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  • Despite a 36.7% decline in deaths attributable to PM, total disability-adjusted life-years (DALYs) rose by 31% to 8.9 million in 2019, with men experiencing higher mortality rates than women.
  • The findings highlight the need for targeted global health policies to address PM pollution, considering differences in gender and regional health disparities for better resource allocation and equity in healthcare access.
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