Abstract
While studies have demonstrated that air pollution can be catastrophic to the population’s health, few empirical studies are found in the economic literature because a considerable proportion of the evidence comes from epidemiological studies. Because of the crucial role of governance in the health community, good governance has been a contentious issue in public sector management in recent years. Therefore, the aim of this study is to examine the effects of air pollution and the role of governance on health outcomes. This study employed the generalized method of moment (GMM) estimation techniques to analyse panel data for 72 developing countries from 2010 to 2017. The empirical results confirm that higher PM2.5 and CO2 levels have a detrimental influence on life expectancy and healthy life expectancy, whereas the role of governance has a positive impact on life expectancy and healthy life expectancy. Furthermore, the findings show governance quality plays a role in moderating the negative effect of PM2.5 on health outcomes. The ongoing rise in air pollution has had a significant impact on the health of developing countries. It appears that governance quality has improved health outcomes. The findings have important policy implications, such that strengthening governance can reduce air pollution emissions in developing countries. However, to reduce the health effects of air pollution, developing countries must implement effective environmental development policies and track the implementation and enforcement of such policies.
Similar content being viewed by others
Data availability
The datasets used and analysed during the current study are available from the corresponding author on reasonable request.
References
Achim MV, Văidean VL & Borlea SN (2019) Corruption and health outcomes within an economic and cultural framework. Eur J Health Econ 1–13. https://doi.org/10.1007/s10198-019-01120-8
Ahamed MM, Mallick SK (2019) Is financial inclusion good for bank stability? International evidence. J Econ Behav Organ 157:403–427. https://doi.org/10.1016/j.jebo.2017.07.027
Ahmad R, Hasan J (2016) Public health expenditure, governance and health outcomes in Malaysia. J Ekonomi Malaysia 50(1):29–40. https://doi.org/10.17576/JEM-2016-5001-03
Ahmad M, Zhao ZY (2018) Empirics on linkages among industrialisation, urbanisation, energy consumption, CO2 emissions and economic growth: a heterogeneous panel study of China. Environ Sci Pollut Res 25(30):30617–30632. https://doi.org/10.1007/s11356-018-3054-3
Ahmad NA, Ismail NW, Ahmad Sidique SF, Mazlan NS (2021a) Air pollution effects on adult mortality rate in developing countries. Environ Sci Pollut Res 28(7):8709–8721. https://doi.org/10.1007/s11356-020-11191-3
Ahmad NA, Ismail NW, Tilde AY, Aliyu AJ (2021) Effects of air pollution and corruption control on life expectancy in middle-income countries. International Journal of Economics and Management 15(2):257–268. Retrieved January 20, 2021, from http://www.ijem.upm.edu.my/vol15no2/7.%20Effects%20of%20Air%20Pollution%20and%20Corruption%20Control.pdf
Akan T, Gündüz Hİ, Vanlı T, Zeren AB, Işık AH, Mashadihasanli T (2022) Why are some countries cleaner than others? New evidence from macroeconomic governance. Environ Dev Sustain 1–57. https://doi.org/10.1007/s10668-022-02298-3
Aliyu AJ, Ismail NW (2016) The effects of air pollution on human mortality: does gender difference matter in African countries? Environ Sci Pollut Res 23(21):21288–21298. https://doi.org/10.1007/s11356-016-7253-5
Alonso-Borrego C, Arellano M (1999) Symmetrically normalized instrumental-variable estimation using panel data. Journal of Business & Economic Statistics 17(1):36. https://doi.org/10.2307/1392237
Anser MK, Hanif I, Vo XV & Alharthi M (2020) The long-run and short-run influence of environmental pollution, energy consumption, and economic activities on health quality in emerging countries. Environ Sci Pollut Res 1–15. https://doi.org/10.1007/s11356-020-09348-1
Apte JS, Brauer M, Cohen AJ, Ezzati M, Pope III CA (2018) Ambient PM2.5 reduces global and regional life expectancy. Environ Sci Technol Lett 5(9):546–551. https://doi.org/10.1021/acs.estlett.8b00360
Arellano M, Bond S (1991) Some tests of specification for panel data: Monte Carlo evidence and an application to employment equations. Rev Econ Stud 58(2):277–297. https://doi.org/10.2307/2297968
Arellano M, Bover O (1995) Another look at the instrumental variable estimation of error-components models. J Econ 68(1):29–51. https://doi.org/10.1016/0304-4076(94)01642-D
Balakrishnan K, Dey S, Gupta T, Dhaliwal RS, Brauer M, Cohen A J, ..., & Sabde Y (2019). The impact of air pollution on deaths, disease burden, and life expectancy across the states of India: the Global Burden of Disease Study 2017. Lancet Planet Health 3(1):e26-e39. https://doi.org/10.1016/S2542-5196(18)30261-4
Balan F (2016) Environmental quality and its human health effects: a causal analysis for the EU-25. Int J Appl Econ 13(1):57–71
Bali TG, Brown SJ, Caglayan MO (2014) Macroeconomic risk and hedge fund returns. J Financ Econ 114(1):1–19. https://doi.org/10.1016/j.jfineco.2014.06.008
Baltagi BH (2013) Panel data forecasting. Handb Econ Forecast 2:995–1024. https://doi.org/10.1016/B978-0-444-62731-5.00018-X
Bardi U, Pierini V (2013) Declining trends of healthy life years expectancy (hlye) in europe. Retrieved January 20, 2021, from https://arxiv.org/pdf/1311.3799.pdf
Batniji, R., Khatib, L., Cammett, M., Sweet, J., Basu, S., Jamal, A., ... & Giacaman, R. (2014). Governance and health in the Arab world. The Lancet, 383(9914), 343–355. https://doi.org/10.1016/S0140-6736(13)62185-6
Bayat R, Ashrafi K, Motlagh MS, Hassanvand MS, Daroudi R, Fink G, Künzli N (2019) Health impact and related cost of ambient air pollution in Tehran. Environ Res 176:108547. https://doi.org/10.1016/j.envres.2019.108547
Beltrán-Sánchez H, Soneji S, Crimmins EM (2015) Past, present, and future of healthy life expectancy. Cold Spring Harb Perspect Med 5(11):a025957
Bennett J E, Tamura-Wicks H, Parks RM, Burnett RT, Pope III CA, Bechle MJ, ..., & Ezzati M (2019). Particulate matter air pollution and national and county life expectancy loss in the USA: a spatiotemporal analysis. PLoS Med 16(7):e1002856. https://doi.org/10.1371/journal.pmed.1002856
Biadgilign S, Ayenew HY, Shumetie A, Chitekwe S, Tolla A, Haile D, ..., & Gebre B (2019). Good governance, public health expenditures, urbanisation and child undernutrition Nexus in Ethiopia: an ecological analysis. BMC Health Serv Res 19(1):1-10https://doi.org/10.1186/s12913-018-3822-2
Blundell R, Bond S (1998) Initial conditions and moment restrictions in dynamic panel data models. J Econ 87(1):115–143. https://doi.org/10.1016/S0304-4076(98)00009-8
Boogaard H, Walker K, Cohen AJ (2019) Air pollution: the emergence of a major global health risk factor. Int Health 11(6):417–421. https://doi.org/10.1093/inthealth/ihz078
Brown JS, Gordon T, Price O, Asgharian B (2013) Thoracic and respirable particle definitions for human health risk assessment. Part Fibre Toxicol 10(1):12. https://doi.org/10.1186/1743-8977-10-12
Chatterjee P (2016) India takes steps to curb air pollution World Health Organization. Bullet World Health Organ 94(7):487
Chen CC, Chen PS, Yang CY (2019) Relationship between fine particulate air pollution exposure and human adult life expectancy in Taiwan. J Toxicol Environ Health A 82(14):826–832. https://doi.org/10.1080/15287394.2019.1658386
Collier P & Venables AJ (2007). Rethinking trade preferences to help diversify African exports. Policy Insight, 2. https://doi.org/10.1111/j.1467-9701.2007.01042.x
Cutler D, Deaton A, Lleras-Muney A (2006) The determinants of mortality. J Econ Perspect 20(3):97–120
Dash DP, Behera SR, Rao DT, Sethi N, Loganathan N (2020) Governance, urbanisation, and pollution: a cross-country analysis of global south region. Cogent Econ Finance 8(1):1742023. https://doi.org/10.1080/23322039.2020.1742023
De Keijzer C, Agis D, Ambrós A, Arévalo G, Baldasano JM, Bande S ... & Ghigo S (2017) The association of air pollution and greenness with mortality and life expectancy in Spain: a small-area study. Environ Int 99:170–176. https://doi.org/10.1016/j.envint.2016.11.009
Doucouliagos H, Hennessy J & Mallick D (2019). Health aid, governance and infant mortality. IZA Discussion Papers 12166, Institute of Labor Economics (IZA)
Ebenstein A, Fan M, Greenstone M, He G, Yin P, Zhou M (2015) Growth, pollution, and life expectancy: China from 1991–2012. Am Econ Rev 105(5):226–231. https://doi.org/10.1257/aer.p20151094
Fann N, Kim SY, Olives C, Sheppard L (2017) Estimated changes in life expectancy and adult mortality resulting from declining PM 2.5 exposures in the contiguous United States: 1980–2010. Environ Health Perspect 125(9):097003. https://doi.org/10.1289/EHP507
Farag M, Nandakumar AK, Wallack S, Hodgkin D, Gaumer G, Erbil C (2013) Health expenditures, health outcomes and the role of good governance. Int J Health Care Finance Econ 13(1):33–52. https://doi.org/10.1007/s10754-012-9120-3
Fotourehchi Z (2015) Health effects of air pollution: an empirical analysis for developing countries. Atmos Pollut Res 30:1–6. https://doi.org/10.1016/j.apr.2015.08.011
Fuller R, Sandilya K, Hanrahan D (2019) Pollution and health metrics: global, regional, and country analysis. Global Alliance on Health and Pollution. Retrieved February 6, 2021, from https://gahp.net/wpcontent/uploads/2019/12/PollutionandHealthMetrics-final-12_18_2019.pdf
Gangadharan L, Valenzuela MR (2001) Interrelationships between income, health and the environment: extending the Environmental Kuznets Curve hypothesis. Ecol Econ 36(3):513–531. https://doi.org/10.1016/S0921-8009(00)00250-0
Grigoli F, Kapsoli J (2018) Waste not, want not: the efficiency of health expenditure in emerging and developing economies. Rev Dev Econ 22(1):384–403. https://doi.org/10.5089/9781484364260.001
Gupta MS (2000).Corruption and the provision of health care and education services. Int Monet Fund. https://doi.org/10.5089/9781451853926.001
Gurung A, Son J-Y, Bell ML (2017) Particulate matter and risk of hospital admission in the Kathmandu Valley, Nepal: a case-crossover study. Am J Epidemiol 186(5):573–580. https://doi.org/10.1093/aje/kwx135
Hadei M, Hopke PK, Nazari SSH, Yarahmadi M, Shahsavani A, Alipour MR (2017) Estimation of mortality and hospital admissions attributed to criteria air pollutants in Tehran metropolis, Iran (2013–2016). Aerosol Air Qual Res 17(10):2474–2481. https://doi.org/10.4209/aaqr.2017.04.0128
Hendryx M, Luo J, Chojenta C, Byles JE (2019) Air pollution exposures from multiple point sources and risk of incident chronic obstructive pulmonary disease (COPD) and asthma. Environ Res 179:108783. https://doi.org/10.1016/j.envres.2019.108783
Hill TD, Jorgenson AK, Ore P, Balistreri KS, Clark B (2019) Air quality and life expectancy in the United States: an analysis of the moderating effect of income inequality. SSM Populat Health 7:100346. https://doi.org/10.1016/j.ssmph.2018.100346
Ibrahim MH, Law SH (2016) Institutional quality and CO2 emission–trade relations: evidence from Sub-Saharan Africa. S Afr J Econ 84(2):323–340. https://doi.org/10.1111/saje.12095
Jagger C (2015) Trends in life expectancy and healthy life expectancy. Future of an ageing population: evidence review. Foresight Government Office for Science, London Retrieved February 10, 2021, from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/464275/gs-15-13-future-ageing-trends-life-expectancy-er12.pdf
Jagger C, Robine JM (2011) Healthy life expectancy. International handbook of adult mortality. Springer, Dordrecht, pp 551–568
Jones AM, Labeaga JM (2003) Individual heterogeneity and censoring in panel data estimates of tobacco expenditure. J Appl Economet 18(2):157–177
Kaufmann D, Kraay A, & Mastruzzi M (2009).Governance matters VIII: aggregate and individual governance indicators 1996-2008. The World Bank. https://doi.org/10.1596/1813-9450-4978
Kim S, Wang J (2019) Does quality of government matter in public health?: comparing the role of quality and quantity of government at the National Level. Sustainability 11(11):3229. https://doi.org/10.3390/su11113229
Kim D, Chen Z, Zhou LF, Huang SX (2018) Air pollutants and early origins of respiratory diseases. Chronic Dis Transl Med 4(2):75–94. https://doi.org/10.1016/j.cdtm.2018.03.003
Lelieveld J, Pozzer A, Pöschl U, Fnais M, Haines A & Münzel T (2020). Loss of life expectancy from air pollution compared to other risk factors: a worldwide perspective. Cardiovasc Res. https://doi.org/10.1093/cvr/cvaa025
Lemos MC, Agrawal A (2006) Environmental governance. Annu Rev Environ Resour 31(1):297–325
Levi M (2006) Presidential address: why we need a new theory of government. Perspect Polit 4(1):5–19. https://doi.org/10.1017/S1537592706060038
Li S, Zhang J, Ma Y (2015) Financial development, environmental quality and economic growth. Sustainability 7(7):9395–9416. https://doi.org/10.3390/su7079395
Lisciandra M, Migliardo C (2017) An empirical study of the impact of corruption on environmental performance: evidence from panel data. Environ Resource Econ 68(2):297–318. https://doi.org/10.1007/s10640-016-0019-1
Mannucci PM, Franchini M (2017) Health effects of ambient air pollution in developing countries. Int J Environ Res Public Health 14(9):1048. https://doi.org/10.3390/ijerph14091048
McMillan M, Rodrik D, Sepulveda C (2017). Structural change, fundamentals and growth: a framework and case studies (No. w23378). National Bureau of Economic Research. Retrieved February 7, 2021, from https://www.nber.org/system/files/working_papers/w23378/w23378.pdf
Mhango CT, Chirwa GC (2018) Government health expenditure and health outcomes in Malawi: does governance matter? J Public Adm Dev Altern (JPADA) 3(1–1):1–14
Murukutla N, Negi NS, Puri P, Mullin S, Onyon L (2017) Online media coverage of air pollution risks and current policies in India: a content analysis. WHO S-E Asia J Public Health 6(2):41–50
Pena MSB, Rollins A (2017) Environmental exposures and cardiovascular disease: a challenge for health and development in low-and middle-income countries. Cardiol Clin 35(1):71–86. https://doi.org/10.1016/j.ccl.2016.09.001
Qi J, Ruan Z, Qian Z, Yin P, Yang Y, Acharya BK ... & Lin H. (2020) Potential gains in life expectancy by attaining daily ambient fine particulate matter pollution standards in mainland China: a modeling study based on nationwide data. PLoS Med 17(1):e1003027. https://doi.org/10.1371/journal.pmed.1003027
Quibria MG (2015) Governance in developing Asia concepts measurements determinants and a paradox. In Governance in Developing Asia. Edward Elgar Publishing, Camberley, pp 17–48
Roodman D (2009) A note on the theme of too many instruments. Oxford Bull Econ Stat 71(1):135–158. https://doi.org/10.1111/j.1468-0084.2008.00542.x
Schwartz JD, Wang Y, Kloog I, Yitshak-Sade MA, Dominici F, Zanobetti A (2018) Estimating the effects of PM2.5 on life expectancy using causal modeling methods. Environ Health Perspect 126(12):127002. https://doi.org/10.1289/EHP3130
Sirag A, Nor NM, Abdullah NMR, Abd Ghani J (2017) Public health financing and infant mortality: does governance quality matter? Public Finance Manag 17(4):341–370
Stiefel MC, Perla RJ, Zell BL (2010) A healthy bottom line: healthy life expectancy as an outcome measure for health improvement efforts. Milbank Q 88(1):30–53. https://doi.org/10.1111/j.1468-0009.2010.00588.x
Sultana N, Rahman MM, Khanam R (2022) Environmental Kuznets curve and causal links between environmental degradation and selected socioeconomic indicators in Bangladesh. Environ Dev Sustain 24(4):5426–5450. https://doi.org/10.1007/s10668-021-01665-w
Urhie E, Afolabi A, Afolabi A, Matthew O, Osabohien R, Ewetan O (2020) Economic growth, air pollution and health outcomes in Nigeria: a moderated mediation model. Cogent Soc Sci 6(1):1719570. https://doi.org/10.1080/23311886.2020.1719570
Wang Z, Zhang B, Wang B (2018) The moderating role of corruption between economic growth and CO2 emissions: evidence from BRICS economies. Energy 148:506–513. https://doi.org/10.1016/j.energy.2018.01.167.10.1016/S2542-5196(18)30277-8
Wang Q, Wang J, Zhou J, Ban J, Li T (2019) Estimation of PM2· 5-associated disease burden in China in 2020 and 2030 using population and air quality scenarios: a modelling study. Lancet Planet Health 3(2):e71–e80. https://doi.org/10.1016/S2542-5196(18)30277-8
Wen M, Gu D (2012) Air pollution shortens life expectancy and health expectancy for older adults: the case of China. J Gerontol A: Biomed Sci Med Sci 67(11):1219–1229. https://doi.org/10.1093/gerona/gls094
Windmeijer F (2006) GMM for panel count data models. University of Bristol Economics Working Paper, (06–591). https://doi.org/10.2139/ssrn.936579
Witvliet MI, Kunst AE, Arah OA, Stronks K (2013) Sick regimes and sick people: a multilevel investigation of the population health consequences of perceived national corruption. Trop Med Int Health 18(10):1240–1247. https://doi.org/10.1111/tmi.12177
Wu Z, Chen X, Li G, Tian L, Wang Z, Xiong X, Yang C, Zhou Z, Pan X (2020) The impact of air pollution on attributable risks and economic costs of hospitalization for mental disorders. Retrieved January 18, 2021, from https://www.iza.org/publications/dp/12986/the-impact-of-air-pollution-on-attributable-risks-and-economic-costs-of-hospitalization-for-mental-disorders
Yap J, Ng Y, Yeo KK, Sahlén A, Lam CSP, Lee V, Ma S (2019) Particulate air pollution on cardiovascular mortality in the tropics: impact on the elderly. Environ Health 18(1):34. https://doi.org/10.1186/s12940-019-0476-4
Yu W, Guo Y, Shi L, Li S (2020) The association between long-term exposure to low-level PM2. 5 and mortality in the state of Queensland, Australia: a modelling study with the difference-in-differences approach. PLoS Med 17(6):e1003141. https://doi.org/10.1371/journal.pmed.1003141
Zafar MW, Saud S, Hou F (2019) The impact of globalization and financial development on environmental quality: evidence from selected countries in the Organization for Economic Co-operation and Development (OECD). Environ Sci Pollut Res 26(13):13246–13262. https://doi.org/10.1007/s11356-019-04761-7
Author information
Authors and Affiliations
Contributions
The study’s design and model specifications were made by Nor Asma Ahmad and Normaz Wana Ismail. Nor Asma Ahmad and Normaz Wana Ismail prepared the materials, collected the data, and analysed the results. Nor Asma Ahmad wrote the first version of the text, which was reviewed by Normaz Wana Ismail, Shaufique Fahmi Ahmad Sidique, and Nur Syazwani Mazlan. The final manuscript was read and accepted by Nor Asma Ahmad, Normaz Wana Ismail, Shaufique Fahmi Ahmad Sidique, and Nur Syazwani Mazlan.
Corresponding author
Ethics declarations
Ethics approval
Not applicable.
Consent to participate
Not applicable.
Consent for publication
Not applicable.
Competing interests
The authors declare no competing interests.
Additional information
Responsible Editor: Eyup Dogan
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Appendix
Appendix
Appendix Table 4
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ahmad, N.A., Ismail, N.W., Sidique, S.F.A. et al. Air pollution, governance quality, and health outcomes: evidence from developing countries. Environ Sci Pollut Res 30, 41060–41072 (2023). https://doi.org/10.1007/s11356-023-25183-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11356-023-25183-6