Skip to main content
Log in

Linkages between greenness, socioeconomic conditions, air pollution, and public health in China: does income inequality matters?

  • Published:
Air Quality, Atmosphere & Health Aims and scope Submit manuscript

Abstract

The world has witnessed climatic change, innovation, and a transition toward a greener economy and environment in the last few decades. However, the rising economic development has caused human health issues due to rising pollution and poor air quality. The current study analyzes the role of air quality (greenhouse gas, carbon, and nitrogen emissions), forests, health expenditure, and socioeconomic conditions for the rising health issues in the case of China. This study uses quarterly data from 1994Q1 to 2021Q4 and employs various time-series estimating approaches. The Johansen-Fisher cointegration validates that all the variables are cointegrated. Utilizing the three long-run estimators, i.e., fully modified ordinary least square, dynamic ordinary least square, and canonical cointegrating regression, the results asserted that air quality severely affects public health, greenhouse gas emissions, and rising pollution (carbon and nitrogen) levels. Besides, income inequality and socioeconomic condition substantially contributed to health-related issues. However, the forests and health expenditure significantly reduce the health consequences and risks. As a developing and fossil energy-dependent economy, this study provides relevant policy implications for maintaining stable growth and health-related policies in China.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Availability of data and materials

The datasets used during the current study are available from the corresponding or first author on reasonable request.

Notes

  1. GINI index: The Gini index measures the extent to which the distribution of income or consumption among individuals or households within an economy deviates from a perfectly equal distribution. A Gini index of 0 represents perfect equality, while an index of 100 implies perfect inequality.

References

  • Abbas S, Shah MI, Sinha A, Olayinka OA (2022) A Gender Differentiated Analysis of Healthy Life Expectancy in South Asia: The Role of Greenhouse Gas Emission. Evaluation Review 0(0). https://doi.org/10.1177/0193841X221134850

  • Ahmad M, Dai J, Mehmood U, Abou Houran M (2023) Renewable energy transition, resource richness, economic growth, and environmental quality: Assessing the role of financial globalization. Renew Energy 216:111

  • Ali A, Ahmed M, Hassan N (2021) Socioeconomic impact of COVID-19 pandemic: evidence from rural mountain community in Pakistan. J Public Aff 21(4):e2355

    Article  Google Scholar 

  • Aljarallah R (2019) Impact of natural resource rents and institutional quality on human capital: a case study of the United Arab Emirates. Resources 8(3):152

    Article  Google Scholar 

  • Alola AA, Kirikkaleli D (2019) The nexus of environmental quality with renewable consumption, immigration, and healthcare in the US: wavelet and gradual-shift causality approaches. Environ Sci Pollut Res 26:35208–35217. https://doi.org/10.1007/s11356-019-06522-y

    Article  Google Scholar 

  • Anwar MA, Madni GR, Yasin I (2021) Environmental quality, forestation, and health expenditure: a cross-country evidence. Environ Dev Sustain 23:16454–16480. https://doi.org/10.1007/s10668-021-01364-6

    Article  Google Scholar 

  • Anyanwu JC, Erhijakpor AE (2009) Health expenditures and health outcomes in Africa. Afr Dev Rev 21(2):400–433

    Article  Google Scholar 

  • Brouwer AF, Weir MH, Eisenberg MC, Meza R, Eisenberg JN (2017) Dose-response relationships for environmentally mediated infectious disease transmission models. PLoS Comput Biol 13(4):e1005481

    Article  Google Scholar 

  • Brown TT, Martinez-Gutierrez MS, Navab B (2014) The impact of changes in county public health expenditures on general health in the population. Health Econ Policy Law 9(3):251–269

    Article  Google Scholar 

  • Chauhan AJ, Johnston SL (2003) Air pollution and infection in respiratory illness. Br Med Bull 68(1):95–112

    Article  CAS  Google Scholar 

  • Chen X, Shao S, Tian Z, Xie Z, Yin P (2017) Impacts of air pollution and its spatial spillover effect on public health based on China’s big data sample. J Clean Prod 142:915–925

    Article  CAS  Google Scholar 

  • ClimateWatch (2023) Climate Watch. Access date: 1st January, 2023 Available at: https://www.climatewatchdata.org/dataexplorer/historical-emissions

  • Dai J, Ahmed Z, Sinha A, Pata UK, Alvarado R (2023) Sustainable green electricity, technological innovation, and ecological footprint: Does democratic accountability moderate the nexus? Utilities Policy 82:101541

  • Das K, Behera RL, Paital B (2022). Socioeconomic impact of COVID-19. In COVID-19 in the Environment (pp. 153-190). Elsevier

  • Dickey DA, Fuller WA (1979) Distribution of the estimators for autoregressive time series with a unit root. J Am Stat Assoc 74(366a):427–431

    Article  Google Scholar 

  • Eckelman MJ, Sherman JD (2018) Estimated global disease burden from US health care sector greenhouse gas emissions. Am J Public Health 108(S2):S120–S122

    Article  Google Scholar 

  • Elgar FJ, Stefaniak A, Wohl MJ (2020) The trouble with trust: time-series analysis of social capital, income inequality, and COVID-19 deaths in 84 countries. Soc Sci Med 263:113365

    Article  Google Scholar 

  • Elliott G, Rothenberg TJ, Stock JH (1992) Efficient tests for an autoregressive unit root. Econometrica 64(4):813–836

    Article  Google Scholar 

  • Ellis BJ, Boyce WT, Belsky J, Bakermans-Kranenburg MJ, Van IJzendoorn MH (2011) Differential susceptibility to the environment: an evolutionary–neurodevelopmental theory. Dev Psychopathol 23(1):7–28

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Farooq MU, Shahzad U, Sarwar S, ZaiJun L (2019) The impact of carbon emission and forest activities on health outcomes: empirical evidence from China. Environ Sci Pollut Res 26(13):12894–12906

    Article  CAS  Google Scholar 

  • Gani A (2022) Natural resource effect on child health outcomes in a multifactor health production model in developing countries. Int J Soc Econ 49(6):801–817

    Article  Google Scholar 

  • Granger CWJ (1969) Investigating Causal Relations by Econometric Models and Cross-spectral Methods. Econometrica 37(3):424–438. https://doi.org/10.2307/1912791

    Article  Google Scholar 

  • Guo H, Yang Y, Pan C, Xu S, Yan N, Lei Q (2022) Study on the impact of income gap on health level of rural residents in China. Int J Environ Res Public Health 19(13):7590

    Article  Google Scholar 

  • Gururaja BL, Ranjitha N (2022) Socioeconomic impact of COVID-19 on the informal sector in India. Contemp Soc Sci 17(2):173–190

    Article  Google Scholar 

  • Hao Y, Liu J, Lu ZN, Shi R, Wu H (2021) Impact of income inequality and fiscal decentralization on public health: evidence from China. Econ Model 94:934–944

    Article  Google Scholar 

  • Iqbal W, Tang YM, Chau KY, Irfan M, Mohsin M (2021) Nexus between air pollution and NCOV-2019 in China: application of negative binomial regression analysis. Process Saf Environ Prot 150:557–565

    Article  CAS  Google Scholar 

  • Jakovljevic M, Timofeyev Y, Ekkert NV, Fedorova JV, Skvirskaya G, Bolevich S, Reshetnikov VA (2019) The impact of health expenditures on public health in BRICS nations. J Sport Health Sci 8(6):516

    Article  Google Scholar 

  • Jarque CM, Bera AK (1987) A test for normality of observations and regression residuals. Int Stat Rev 55:163–172

    Article  Google Scholar 

  • Kasioumi M, Stengos T (2022) The effect of pollution on the spread of COVID-19 in Europe. Econ Disasters Clim Change 6(1):129–140

    Article  Google Scholar 

  • Khan SAR, Sharif A, Golpîra H, Kumar A (2019) A green ideology in Asian emerging economies: from environmental policy and sustainable development. Sustain Dev 27(6):1063–1075

    Article  Google Scholar 

  • Kirikkaleli D, Adebayo TS, Khan Z, Ali S (2021) Does globalization matter for ecological footprint in Turkey? Evidence from dual adjustment approach. Environ Sci Pollut Res 28:14009–14017. https://doi.org/10.1007/s11356-020-11654-7

    Article  Google Scholar 

  • Kofi Boachie M, Ramu K, Põlajeva T (2018) Public health expenditures and health outcomes: new evidence from Ghana. Economies 6(4):58

    Article  Google Scholar 

  • Laurent O, Bard D, Filleul L, Segala C (2007) Effect of socioeconomic status on the relationship between atmospheric pollution and mortality. J Epidemiol Community Health 61(8):665–675

    Article  Google Scholar 

  • Lelieveld J, Klingmüller K, Pozzer A, Burnett RT, Haines A, Ramanathan V (2019) Effects of fossil fuel and total anthropogenic emission removal on public health and climate. Proc Natl Acad Sci 116(15):7192–7197

    Article  CAS  Google Scholar 

  • Liang S, Zhong Q (2023) Reducing environmental impacts through socioeconomic transitions: critical review and prospects. Front Environ Sci Eng 17(2):1–20

    Article  Google Scholar 

  • Lu ZN, Chen H, Hao Y, Wang J, Song X, Mok TM (2017) The dynamic relationship between environmental pollution, economic development and public health: evidence from China. J Clean Prod 166:134–147

    Article  Google Scholar 

  • Lyatuu I, Loss G, Farnham A, Winkler MS, Fink G (2021) Short-term effects of national-level natural resource rents on life expectancy: a cross-country panel data analysis. PLoS ONE 16(5):e0252336

    Article  CAS  Google Scholar 

  • Majeed MT, Ozturk I (2020) Environmental degradation and population health outcomes: a global panel data analysis. Environ Sci Pollut Res 27(13):15901–15911

    Article  Google Scholar 

  • Marques G, Ferreira CR, Pitarma R (2019) Indoor air quality assessment using a CO2 monitoring system based on internet of things. J Med Syst 43(3):1–10

    Article  Google Scholar 

  • McDonald AJ, Jat ML, Craufurd P, Hellin J, Hung NV, Keil A, Kishore A, Kumar V, McCarty JL, Pearson P, Samaddar A (2020) Indian agriculture, air pollution, and public health in the age of COVID. World Dev 135:105064

    Article  CAS  Google Scholar 

  • McKay A (2023) Deforestation linked to respiratory health. Nat Ecol Evol 7(6):794. https://doi.org/10.1038/s41559-023-02065-1

    Article  Google Scholar 

  • Murado MA, Vázquez JA (2007) The notion of hormesis and the dose–response theory: a unified approach. J Theor Biol 244(3):489–499

    Article  CAS  Google Scholar 

  • Naiyer S, Abbas SS (2022) Effect of greenhouse gases on human health. In: Greenhouse gases: sources, sinks and mitigation. Springer, Singapore, pp 85–106

  • Nchofoung TN, Achuo ED, Asongu SA (2021) Resource rents and inclusive human development in developing countries. Resour Policy 74:102382

    Article  Google Scholar 

  • Noumba I, Noula AG, Nguea SM (2022) Do globalization and resource rents matter for human well-being? Evidence from African countries. International Economics 170:49–65

    Article  Google Scholar 

  • Padovan MG (2017) Material particulado de carbono nos compartimentos de tecidos de macrófagos alveolares e de superfície pulmonar de residentes de São Paulo, Brasil (Doctoral dissertation, Universidade de São Paulo)

  • Park JY (1992) Canonical cointegrating regressions. Econometrica 60(1):119–143

    Article  Google Scholar 

  • Park SY, Zhao G (2010) An estimation of US gasoline demand: a smooth time-varying cointegration approach. Energy Econ 32(1):110–120

    Article  Google Scholar 

  • Pedroni P (2000) Fully modified OLS for heterogenous cointegrated panels. Non-stationary panels, panel cointegration and dynamic panels. In: Baltagi BH (ed) Advances in econometrics. Amsterdam, pp 93–130

  • Poh CW, Tan R (1997) Performance of Johansen’s cointegration test. In: East Asian Economic Issues: Volume III, pp 402–414

  • PRS Group (2023) The International Country Risk Guide (ICRG). Access date: 1st January, 2023 Available at: https://www.prsgroup.com/explore-our-products/icrg/

  • Qin L, Kirikkaleli D, Hou Y, Miao X, Tufail M (2021) Carbon neutrality target for G7 economies: examining the role of environmental policy, green innovation and composite risk index. J Environ Manage 295:113119. https://doi.org/10.1016/j.jenvman.2021.113119

    Article  Google Scholar 

  • Railaite R, Ciutiene R (2020) The impact of public health expenditure on health component of human capital. Inžinerinė Ekonomika 31(3):371–379

    Google Scholar 

  • Rhodes W, Chase M (1967) Generalized susceptibility theory I. Theories of hypochromism. Rev Mod Phys 39(2):348

    Article  CAS  Google Scholar 

  • Statistica (2023) China: health expenditure. Accessed on September 17, 2022. Available at: https://www.statista.com/statistics/279400/health-expenditures-in-china/

  • Tallarida RJ, Jacob LS (2012) The dose—response relation in pharmacology. Springer Science & Business Media

    Google Scholar 

  • Tan X, Liu Y, Dong H et al (2022) The health consequences of greenhouse gas emissions: a potential pathway. Environ Geochem Health 44:2955–2974. https://doi.org/10.1007/s10653-021-01142-3

    Article  CAS  Google Scholar 

  • Teng ZL, Guo C, Zhao Q, Mubarik MS (2023) Antecedents of green process innovation adoption: An AHP analysis of China’s gas sector. Resources Policy 85:103959

  • Ting S, Zang W, Chen C, Chen D (2022) Income distribution and health: what do we know from Chinese data? PLoS ONE 17(1):e0263008

    Article  Google Scholar 

  • Valkenburg PM, Peter J (2013) The differential susceptibility to media effects model. J Commun 63(2):221–243

    Article  Google Scholar 

  • White RH, Cote I, Zeise L, Fox M, Dominici F, Burke TA, White PD, Hattis DB, Samet JM (2009) State-of-the-science workshop report: issues and approaches in low-dose–response extrapolation for environmental health risk assessment. Environ Health Perspect 117(2):283–287

    Article  Google Scholar 

  • WHO (2021) WHO Results Report 2020-2021. World Health Organization. Accessed on September 17, 2022. Available at: https://www.who.int/about/accountability/results/who-results-report-2020-2021

  • World Bank (2023) World development Indicators. Access date: 1st January, 2023 Available at: https://databank.worldbank.org/source/world-development-indicators#

  • World Health Organization (2012) Social and environmental determinants of health and health inequalities in Europe: Fact sheet. Accessed on September 17, 2022. Available at: https://www.who.int/europe/news/item/16-02-2022-who-launches-fact-sheet-series-on-environmental-health-inequalities-in-europe

  • Yamanaka H, Kishimoto M, Nishijima N, Yamashita K, Matsushima J, O’Brien J, Blachley T, Eliot M, Margolin Z, Dave SS, Tanaka Y (2023) Socioeconomic impact of treatment with biological disease–modifying antirheumatic drugs in Japanese patients with rheumatoid arthritis. Modern Rheumatology roac160. https://doi.org/10.1093/mr/roac160

  • Zaman K (2022) Environmental cost of deforestation in Brazil’s Amazon rainforest: controlling biocapacity deficit and renewable wastes for conserving forest resources. For Ecol Manage 504:119854

    Article  Google Scholar 

  • Zhang Z, Zhang C (2023) Revisiting the importance of forest rents, oil rents, green growth in economic performance of China: employing time series methods. Resour Policy 80:103140

    Article  Google Scholar 

  • Zhang Z, Zhang G, Su B (2022) The spatial impacts of air pollution and socioeconomic status on public health: empirical evidence from China. Socioecon Plan Sci 83:101167

    Article  Google Scholar 

  • Zuo S, Zhu M, Xu Z, Oláh J, Lakner Z (2022) The dynamic impact of natural resource rents, financial development, and technological innovations on environmental quality: empirical evidence from BRI economies. Int J Environ Res Public Health 19(1):130

    Article  Google Scholar 

Download references

Funding

This work was supported by Shandong Social Science Planning and Research Project: Research on the comprehensive allocation level measurement and optimization strategy of urban innovation factors in Shandong Province under the digital economy (22DGLJ23).

Author information

Authors and Affiliations

Authors

Contributions

Mengyao Hu: writing draft, conclusion, data, analysis, software, and discussion; Irum Shahzadi: analysis, concept, idea, and revision; Syed Ali Raza: discussion, results, policies, and editing; Xiuhong Niu: supervision, results, implications, literature, revision, and editing.

Corresponding author

Correspondence to Xiuhong Niu.

Ethics declarations

Ethical approval

Ethical approval is not applicable as the data is obtained from different databases, and no questionnaires for animals or humans are used.

Consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hu, M., Shahzadi, I., Raza, S.A. et al. Linkages between greenness, socioeconomic conditions, air pollution, and public health in China: does income inequality matters?. Air Qual Atmos Health 17, 125–138 (2024). https://doi.org/10.1007/s11869-023-01432-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11869-023-01432-y

Keywords

Navigation