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唐山市大气PM2.5引起居民健康危害的经济学评价
引用本文:么艳鑫,王颖,佟俊旺.唐山市大气PM2.5引起居民健康危害的经济学评价[J].现代预防医学,2021,0(4):623-627.
作者姓名:么艳鑫  王颖  佟俊旺
作者单位:1. 华北理工大学公共卫生学院,河北省煤矿卫生与安全实验室,河北 唐山 063210;2. 华北理工大学附属医院内分泌科
摘    要:目的 了解唐山市PM2.5污染对唐山市市区人口造成的健康危害,估算由于PM2.5造成的健康经济损失。方法 收集唐山市2013—2017年基本社会人口资料与大气PM2.5浓度。选择循环系统疾病住院等为健康效应终点,选用适当的暴露-反应关系,采取疾病成本法与支付意愿法相结合的方法评估PM2.5造成的健康效应的经济损失。结果 2013—2017年PM2.5污染造成的经济损失呈现逐年下降的趋势,其中2013年最高,为6.57亿元,占当年GDP的0.27%,2017年最低,为2.97亿元,占当年GDP的0.13%。结论 唐山PM2.5污染造成的健康损失呈现逐年下降的趋势,但数字仍然非常可观,需要进一步加强对PM2.5污染的监控与治理。

关 键 词:细颗粒物  疾病成本法  人力资本法  健康风险  经济评价

Economic evaluation of health hazard caused by PM2.5 pollution in Tangshan
YAO Yan-xin,WANG Ying,TONG Jun-wang.Economic evaluation of health hazard caused by PM2.5 pollution in Tangshan[J].Modern Preventive Medicine,2021,0(4):623-627.
Authors:YAO Yan-xin  WANG Ying  TONG Jun-wang
Affiliation:*School of Public Health, North China University of Technology, Tangshan, Hebei 063210, China
Abstract:To investigate the health hazard and estimate the economic losses caused by PM2.5 in Tangshan. Methods The basic social demographic data and PM2.5 concentration of Tangshan from 2013 to 2017 were collected. The circulatory system diseases and hospitalization were selected as the end point of health effect. With the use of appropriate exposure-response functions, the economic loss of health effects caused by PM2.5 was assessed by a combination of the cost of illness approach and the willingness to pay method. Results From 2013 to 2017, the economic loss caused by PM2.5 pollution showed a downward trend year by year, with the highest in 2013 reaching 657 million yuan, accounting for 0.27% of the GDP that year and the lowest in 2017 reaching 297 million yuan, accounting for 0.13% of the GDP that year. Conclusion The health losses caused by PM2.5 pollution in Tangshan has been decreasing yearly, but the total sums are still considerable. It is necessary to further strengthen the monitoring and control of PM2.5 pollution.
Keywords:Fine particular matter  Cost of illness approach  Willingness to pay method  Health effect  Economic evaluation
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