The costs,health and economic impact of air pollution control strategies:a systematic review  

作　　者：Siyuan Wang Rong Song Zhiwei Xu Mingsheng Chen Gian Luca Di Tanna Laura Downey Stephen Jan Lei Si 

机构地区：[1]The George Institute for Global Health,Faculty of Medicine and Health,University of New South Wales,Sydney,NSW,Australia [2]Department of Epidemiology and Health Statistics,School of Public Health,Anhui Medical University,Hefei,China [3]School of Medicine and Dentistry,Griffith University,Gold Coast,QLD,Australia [4]School of Health Policy and Management,Nanjing Medical University,Nanjing,China [5]Jiangsu Health Vocational College,Nanjing,China [6]Department of Business Economics,Health and Social Care,University of Applied Sciences and Arts of Southern Switzerland,Lugano,Switzerland [7]School of Health Sciences,Western Sydney University,Campbelltown,NSW,Australia [8]Translational Health Research Institute,Western Sydney University,Penrith,NSW,Australia

出　　处：《Global Health Research and Policy》2024年第1期287-298,共12页全球健康研究与政策(英文)

基　　金：National Natural Science Foundation of China(Grant Number:71874086,72174093).

摘　　要：Background Air pollution poses a significant threat to global public health.While broad mitigation policies exist,an understanding of the economic consequences,both in terms of health benefits and mitigation costs,remains lacking.This study systematically reviewed the existing economic implications of air pollution control strategies worldwide.Methods A predefined search strategy,without limitations on region or study design,was employed to search the PubMed,Scopus,Cochrane Library,Embase,Web of Science,and CEA registry databases for studies from their inception to November 2023 using keywords such as“cost-benefit analyses”,“air pollution”,and“particulate matter”.Focus was placed on studies that specifically considered the health benefits of air pollution control strategies.The evidence was summarized by pollution control strategy and reported using principle economic evaluation measurements such as net benefits and benefit-cost ratios.Results The search yielded 104 studies that met the inclusion criteria.A total of 75,21,and 8 studies assessed the costs and benefits of outdoor,indoor,and mixed control strategies,respectively,of which 54,15,and 3 reported that the benefits of the control strategy exceeded the mitigation costs.Source reduction(n=42)and end-of-pipe treatments(n=15)were the most commonly employed pollution control methodologies.The association between particulate matter(PM)and mortality was the most widely assessed exposure-effect relationship and had the largest health gains(n=42).A total of 32 studies employed a broader benefits framework,examining the impacts of air pollution control strategies on the environment,ecology,and society.Of these,31 studies reported partially or entirely positive economic evidence.However,despite overwhelming evidence in support of these strategies,the studies also highlighted some policy flaws concerning equity,optimization,and uncertainty characterization.Conclusions Nearly 70%of the reviewed studies reported that the economic benefits of implementing ai

关 键 词：Air pollution control Cost–benefit analyses Health co-benefits Economic evaluation 

分 类 号：R73[医药卫生—肿瘤]