Exploring the Spatiotemporal Evolution and Socioeconomic Determinants of PM2.5 Distribution and Its Hierarchical Management Policies in 366 Chinese Cities

The association between pulmonary tuberculosis recurrence and exposure to fine particulate matter and residential greenness: A population-based retrospective study

Background and objective

To assess the association of pulmonary tuberculosis (PTB) recurrence with fine particulate matter (PM2.5) and residential greenness using a population-based retrospective study design.

Methods

All incident PTB patients, registered in Tuberculosis Information Management System (TBIMS) from 2015 to 2019 in Quzhou City, China, were included. The data on PM2.5 exposure was extracted from the China High Air Pollutants dataset and the level of greenness was estimated using the Normalized Difference Vegetation Index (NDVI) values around the patient's residence. The Cox proportional hazards models were used to quantify the risk of PTB recurrence.

Results

6732 Eligible PTB incident patients were included in the study with a mean age of 56.86 years and a median follow-up time of 750 days. Recurrence was observed in 554 patients (8.2 %). Exposure to NDVI was observed to be negatively associated with PTB recurrence (HR: 0.86, 95 % CI: 0.75-0.98 per 0.1-unit increase). The strength of the association between higher PM2.5 and the risk of PTB recurrence was greater than that of lower PM2.5 concentrations in both low and high NDVI groups (HR:6.62 and 4.35, p-interaction <0.001).

Conclusions

Our findings suggest that higher PM2.5 exposure might increase the risk of PTB recurrence, while residential greenness might have a protective effect. Like other chronic respiratory diseases, prevention and control of PTB will also benefit from comprehensive environmental management.

Accountability analysis of health benefits related to National Action Plan on Air Pollution Prevention and Control in China

China is one of the largest producers and consumers of coal in the world. The National Action Plan on Air Pollution Prevention and Control in China (2013-2017) particularly aimed to reduce emissions from coal combustion. Here, we show whether the acute health effects of PM2.5 changed from 2013 to 2018 and factors that might account for any observed changes in the Beijing-Tianjin-Hebei (BTH) and the surrounding areas where there were major reductions in PM2.5 concentrations. We used a two-stage analysis strategy, with a quasi-Poisson regression model and a random effects meta-analysis, to assess the effects of PM2.5 on mortality in the 47 counties of BTH. We found that the mean daily PM2.5 levels and the SO42- component ratio dramatically decreased in the study period, which was likely related to the control of coal emissions. Subsequently, the acute effects of PM2.5 were significantly decreased for total and circulatory mortality. A 10 μg/m3 increase in PM2.5 concentrations was associated with a 0.16% (95% CI: 0.08, 0.24%) and 0.02% (95% CI: -0.09, 0.13%) increase in mortality from 2013 to 2015 and from 2016 to 2018, respectively. The changes in air pollution sources or PM2.5 components appeared to have played a core role in reducing the health effects. The air pollution control measures implemented recently targeting coal emissions taken in China may have resulted in significant health benefits.

Spatiotemporal characteristic analysis of PM2.5 in central China and modeling of driving factors based on MGWR: a case study of Henan Province

Since the start of the twenty-first century, China's economy has grown at a high or moderate rate, and air pollution has become increasingly severe. The study was conducted using data from remote sensing observations between 1998 and 2019, employing the standard deviation ellipse model and spatial autocorrelation analysis, to explore the spatiotemporal distribution characteristics of PM2.5 in Henan Province. Additionally, a multiscale geographically weighted regression model (MGWR) was applied to explore the impact of 12 driving factors (e.g., mean surface temperature and CO2 emissions) on PM2.5 concentration. The research revealed that (1) Over a period of 22 years, the yearly mean PM2.5 concentrations in Henan Province demonstrated a trend resembling the shape of the letter "M", and the general trend observed in Henan Province demonstrated that the spatial center of gravity of PM2.5 concentrations shifted toward the north. (2) Distinct spatial clustering patterns of PM2.5 were observed in Henan Province, with the northern region showing a primary concentration of spatial hot spots, while the western and southern areas were predominantly characterized as cold spots. (3) MGWR is more effective than GWR in unveiling the spatial heterogeneity of influencing factors at various scales, thereby making it a more appropriate approach for investigating the driving mechanisms behind PM2.5 concentration. (4) The results acquired from the MGWR model indicate that there are varying degrees of spatial heterogeneity in the effects of various factors on PM2.5 concentration. To summarize the above conclusions, the management of the atmospheric environment in Henan Province still has a long way to go, and the formulation of relevant policies should be adapted to local conditions, taking into account the spatial scale effect of the impact of different influencing factors on PM2.5.

Modeling spatial-temporal variability of PM2.5 concentrations in Belt and Road Initiative (BRI) region via functional adaptive density approach

The rapid development of the Belt and Road Initiative (BRI) has led to severe air pollution dominated by PM2.5 concentrations which can cause a profound negative impact on human health and economic activity. This problem poses a critical environmental challenge to efficiently handling large-scale spatial-temporal PM2.5 data in this extended region. Functional data analysis (FDA) technique offers powerful tools that have the potential to enhance the analysis of spatial distributions and temporal dynamic changes in high-dimensional pollution data. However, modeling the spatial-temporal variability of PM2.5 concentrations by FDA remains unrevealed in the BRI region. To address this research gap, our study aimed to achieve two main objectives: first, to model the spatial-temporal dynamic variability of PM2.5 in 125 BRI nations (1998-2021), and second, to identify the underlying clusters behind the variations. We employed the recently developed functional adaptive density peak (FADP) clustering approach to solve the current problem. The proposed method is based on the joint use of functional principal components (FPCs) and functional cluster analyses. The main results are as follows: (i) The first three FPCs almost captured 99% of the total variations involving all valuable information on PM2.5 concentrations. (ii) PM2.5 pollution was highly concentrated in the developing countries (Pakistan, Bangladesh, and Nigeria) and the developed countries (Arabian Gulf countries: Qatar, United Arab Emirates, Bahrain, Saudi Arabia, Oman), and the least developed countries (Yemen and Chad). (iii) Three optimal clusters were identified and thus classified the PM2.5 into three distinct degrees of pollution: severe, moderate, and light. (iv) Cluster 1 had a severe pollution effect degree with a high rate of change, and it covered the Arabian Peninsula countries, African countries (Cameroon, Egypt, Gambia, Mali, Mauritania, Nigeria, Sudan, Senegal, Chad), Bangladesh, and Pakistan. (v) About 62 BRI countries belonged to cluster 2 showing a light pollution degree with annul average of less than 20 [Formula: see text]; this pointed out that the PM2.5 concentration remains stable in the cluster 2-related countries. The findings of this research would benefit governments and policymakers in preventing and controlling PM2.5 pollution exposure in BRI. Furthermore, this research could pay attention to sustainable development goals and the vision of the Green BRI policy.

Causal Associations of Air Pollution With Cardiovascular Disease and Respiratory Diseases Among Elder Diabetic Patients

Extensive researches have linked air pollutants with cardiovascular disease (CVD) and respiratory diseases (RD), however, there is limited evidence on causal effects of air pollutants on morbidity of CVD or RD with comorbidities, particularly diabetes mellitus in elder patients. We included hospital admissions for CVD or RD among elder (≥65 years) diabetic patients between 2014 and 2019 in Beijing. A time-stratified case-crossover design based on negative-control exposure was used to assess causal associations of short-term exposure to air pollutants with CVD and RD among diabetic patients with the maximum lag of 7 days. A random forest regression model was used to calculate the contribution magnitude of air pollutants. A total of 493,046 hospital admissions were recorded. Per 10 μg/m3 uptick in PM1, PM2.5, PM10, SO2, NO2, O3, and 1 mg/m3 in CO was associated with 0.29 (0.05, 0.53), 0.14 (0.02, 0.26), 0.06 (0.00, 0.12), 0.36 (0.01, 0.70), 0.21 (0.02, 0.40), -0.08 (-0.25, 0.09), and 4.59 (0.56, 8.61) causal effect estimator for admission of CVD among diabetic patients, corresponding to 0.12 (0.05, 0.18), 0.09 (0.05, 0.13), 0.05, 0.23 (0.06, 0.41), 0.10 (0.02, 0.19), -0.04 (-0.06, -0.01), and 3.91(1.81, 6.01) causal effect estimator for RD among diabetic patients. The effect of gaseous pollutants was higher than particulate pollutants in random forest model. Short-term exposure to air pollution was causally associated with increased admission of CVD and RD among elder diabetic patients. Gaseous pollutants had a greater contribution to CVD and RD among elder diabetic patients.

What drives the spatio-temporal distribution and spillover of air quality in China’s three urban agglomerations? Evidence from a two-stage approach

Beijing-Tianjin-Hebei urban agglomeration (BTH), Yangtze River Delta (YRD), and Pearl River Delta (PRD) are the most important economic hinterlands in China, offering high levels of economic development. In 2020, their proportion of China’s total GDP reached 39.28%. Over the 5 years of 2014–2018, the annual maximum air quality index (AQI) of the three major urban agglomerations was greater than 100, thus maintaining a grade III light pollution (100 &lt; AQI &lt; 200) in Chinese air standards. This research thus uses a two-stage empirical analysis method to explore the spatial-temporal dispersal physiognomies and spillover effects of air quality in these three major urban agglomerations. In the first stage, the Kriging interpolation method regionally estimates and displays the air quality monitoring sampling data. The results show that the air quality of these three major urban agglomerations is generally good from 2014 to 2018, the area of good air is gradually expanding, the AQI value is constantly decreasing, the air pollution of YRD is shifting from southeast to northwest, and the air pollution of PRD is increasing. The dyeing industry shows a trend of concentration from northwest to south-central. In the second stage, Moran’s I and Spatial Durbin Model (SDM) explore the spatial autocorrelation and spillover effects of air quality related variables. The results show that Moran’s I values in the spatial autocorrelation analysis all pass the significance test. Moreover, public transport, per capita GDP, science and technology expenditure, and the vegetation index all have a significant influence on the spatial dispersal of air quality in the three urban agglomerations, among which the direct effect of public transport and the indirect effect and total effect of the vegetation index are the most significant. Therefore, the China’s three major urban agglomerations (TMUA) ought to adjust the industrial structure, regional coordinated development, and clean technology innovation.