摘要The Morbidity Costs of Air Pollution through the Lens of Health Spending in China

题目The Morbidity Costs of Air Pollution through the Lens of Health Spending in China


时间2021310日,13:30 — 15:00 (北京时间)


Zoom ID: 931 678 9264 



张欣,现任北京师范大学统计学院副教授,硕士生导师。2017年于北京大学国家发展研究院中国经济研究中心(CCER)获经济学博士学位。研究方向为健康经济学、环境经济学、劳动经济学等。在Proceedings of the National Academy of Sciences of the United States of America (PNAS)Journal of Environmental Economics and ManagementJournal of Population EconomicsHealth Economics、《经济学(季刊)》等期刊发表过论文。作为负责人曾先后主持国家自然科学基金青年项目、中国博士后科学基金面上项目和特别资助项目。研究成果获第八届高等学校科学研究优秀成果奖(人文社会科学)三等奖。


This study offers one of the first causal evidence on the morbidity costs of fine particulates (PM2.5) for all age cohorts in a developing country, using individual-level healthcare spending data from the basic medical insurance program in Wuhan, China. We implement thermal inversion as an instrumental variable to address potential endogeneity in PM2.5 concentrations. Our analysis shows that PM2.5 has a significant impact on medical expenditures in both the short and long term. The instrumental variable estimate suggests that a 10 μg/m3 reduction in monthly average PM2.5 leads to a 2.79% decrease in the value of health spending and a 0.70% decline in the number of hospital visits and pharmacy purchases.The effect is more salient for males, children, and older adults. Moreover, our estimates provide a lower bound of people’s willingness-to-pay, which amounts to 51.85 Chinese yuan per capita per year for a 10 μg/m3 reduction in PM2.5.