New evidence on the impact of sustained exposure to air pollution on life expectancy from China's Huai River Policy

Proc Natl Acad Sci U S A. 2017 Sep 26;114(39):10384-10389. doi: 10.1073/pnas.1616784114. Epub 2017 Sep 11.

Abstract

This paper finds that a 10-μg/m3 increase in airborne particulate matter [particulate matter smaller than 10 μm (PM10)] reduces life expectancy by 0.64 years (95% confidence interval = 0.21-1.07). This estimate is derived from quasiexperimental variation in PM10 generated by China's Huai River Policy, which provides free or heavily subsidized coal for indoor heating during the winter to cities north of the Huai River but not to those to the south. The findings are derived from a regression discontinuity design based on distance from the Huai River, and they are robust to using parametric and nonparametric estimation methods, different kernel types and bandwidth sizes, and adjustment for a rich set of demographic and behavioral covariates. Furthermore, the shorter lifespans are almost entirely caused by elevated rates of cardiorespiratory mortality, suggesting that PM10 is the causal factor. The estimates imply that bringing all of China into compliance with its Class I standards for PM10 would save 3.7 billion life-years.

Keywords: China; Huai River; airborne particulate matter; life expectancy; regression discontinuity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Air Pollutants / adverse effects*
  • Air Pollution / adverse effects*
  • Cardiovascular Diseases / chemically induced*
  • Cardiovascular Diseases / mortality
  • China
  • Coal / analysis
  • Environmental Exposure / adverse effects*
  • Environmental Monitoring / methods
  • Humans
  • Life Expectancy / trends*
  • Particulate Matter / adverse effects*

Substances

  • Air Pollutants
  • Coal
  • Particulate Matter