Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
Air pollution and the burden of long-term care: Evidence from China
Ist Teil von
Health economics, 2024-06, Vol.33 (6), p.1241-1265
Ort / Verlag
England: Wiley Periodicals Inc
Erscheinungsjahr
2024
Link zum Volltext
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
We examine the causal effects of PM
exposure on the burden of long-term care (LTC) by matching a satellite-based PM
(particulate matter smaller than 2.5 micrometers (μm) in diameter) dataset with a nationally representative longitudinal study in China from 2011 to 2018. We find significant adverse effects of PM
exposure-instrumented by thermal inversions-on the LTC burden. A 10 μg/m
increase in annual PM
exposure increases average monthly hours of LTC and the associated financial costs by 28 h and CNY 452, respectively. The effects are greater for those who had never smoked nor experienced severe PM
pollution (annual average PM
> 35 μg/m
) in the previous 5 years. We also find that as PM
increases, chronic diseases, particularly cardiovascular diseases, could lead to a higher likelihood of LTC dependency but reduce the total hours and costs of LTC provision. Finally, we find that PM
reduces the total years of LTC need, suggesting that PM
increases LTC costs by increasing the severity of LTC dependency, rather than the duration of LTC need. Our findings can assist policymakers in planning for LTC provisions and clean air policies.