Air pollution-related disease and economic burden in China, 1990–2050: A modelling study based on Global burden of disease

作者：Dachuang Zhou, Yang Yang, Zhenping Zhao, Kejia Zhou, Di Zhang, Wenxi Tang, Maigeng Zhou · 发表于：Environment International · 年份：2025 · DOI：10.1016/j.envint.2025.109300 · 被引用次数：19 · 研究领域：Air Quality and Health Impacts、Energy and Environment Impacts、Climate Change and Health Impacts

• Tremendous health and economic benefits are promised by implementing air pollution control measures. • Household air pollution burdens declined from 1990 to 2021 due to the adoption of clean energy. • Ambient particulate matter became the top burden contributor in 2021, heavily affecting northern provinces. • The elderly is most impacted, requiring targeted protections and healthcare interventions. • Air pollution control contributes to the prevention and cost reduction of stroke, COPD, and diabetes. The disease burden of air pollution (AP) has been well-documented, yet few studies have explored its economic burden. Retrieving disease burden data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021, this study constructed a cost-of-illness (COI) model to estimate China’s economic burden of AP in 1990 and 2021 and to identify national and provincial differences, then, an age-period-cohort (APC) model was adopted to estimate trends to 2050. Results demonstrated a serious load of AP, emphasizing the necessity for intervention. Nationwide, 2021 witnessed a decline in the disease burden compared to 1990, while economic burden increased during the same period. Evidence has shown that the significant reduction in the disease and economic burden of household air pollution from solid fuels (HAP) was attributed to the adoption of clean energy, offering insights into air pollution control for low- and middle-income countries (LMICs). While ambient particulat...