Environmental pollution, trade openness and the health of middle-aged and elderly people: an analysis of threshold effect based on data from 111 prefecture-level cities in China.

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Archives of Public Health Pub Date : 2024-11-05 DOI:10.1186/s13690-024-01429-8
Jin-Dan Zhang, Xiao-Fen Cheng, Yan-Ting He, Lu-Shi Kong, Duo Chen, Yi-Li Zhang, Bei Li
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Abstract

Background: Environmental pollution seriously endangers people's physical and mental health, especially the health of middle-aged and elderly people. Environmental pollution, trade openness, and population health are interconnected. Environmental pollution may have a nonlinear impact on health, and the impact of trade openness on the health effects of environmental pollution may not be a simple strengthening or weakening effect. However, few studies have used threshold effects model to explore the nonlinear mechanisms of environmental pollution's impact on health in China. As a result, this study incorporates trade openness into the research framework on the health effects of environmental pollution, aiming to study the mechanism of environmental pollution on health.

Methods: Using the China Health and Retirement Longitudinal Study (CHARLS) data from 2013 to 2020 and the data of 111 prefecture-level cities in China, we combine two-way fixed-effects models and threshold models to explore the effects of environmental pollution on the health of middle-aged and elderly people and the role of trade openness in the path of environmental pollution affecting health.

Results: Environmental pollution impairs the health of middle-aged and elderly people, and there is a single threshold effect and regional heterogeneity in this negative impact. Trade openness has the effect of first weakening and then strengthening in the inhibitory effect of environmental pollution on health.

Conclusion: The negative impact of environmental pollution on health has regional heterogeneity, and there is a nonlinear relationship between environmental pollution and the health of middle-aged and elderly people. The health effect of environmental pollution is mainly long-term effect, and trade openness has a threshold effect on the impact of environmental pollution on health. Therefore, instead of adopting a one-size-fits-all policy, environmental and economic policies should be customized according to the degree of environmental pollution, trade openness, and regional variations, so as to safeguard the health of middle-aged and elderly individuals through effective environmental governance.

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环境污染、贸易开放度与中老年人健康:基于中国 111 个地级市数据的门槛效应分析。
背景:环境污染严重危害人们的身心健康,尤其是中老年人的健康:环境污染严重危害人们的身心健康,尤其是中老年人的健康。环境污染、贸易开放度和人口健康是相互关联的。环境污染对健康的影响可能是非线性的,贸易开放度对环境污染健康效应的影响也可能不是简单的加强或削弱效应。然而,很少有研究使用门槛效应模型来探讨中国环境污染对健康影响的非线性机制。因此,本研究将贸易开放度纳入环境污染对健康影响的研究框架,旨在研究环境污染对健康的影响机制:方法:利用中国健康与退休纵向研究(CHARLS)2013-2020年的数据和中国111个地级市的数据,结合双向固定效应模型和阈值模型,探讨环境污染对中老年人健康的影响以及贸易开放在环境污染影响健康路径中的作用:结果:环境污染损害了中老年人的健康,这种负面影响存在单一门槛效应和地区异质性。贸易开放度对环境污染对健康的抑制作用具有先减弱后增强的效应:结论:环境污染对健康的负面影响具有区域异质性,环境污染与中老年人健康之间存在非线性关系。环境污染对健康的影响主要是长期影响,而贸易开放度对环境污染对健康的影响具有门槛效应。因此,不应采取 "一刀切 "的政策,而应根据环境污染程度、贸易开放度、地区差异等制定个性化的环境经济政策,通过有效的环境治理保障中老年人的健康。
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来源期刊
Archives of Public Health
Archives of Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
3.00%
发文量
244
审稿时长
16 weeks
期刊介绍: rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.
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