Abstract
With the rapid urbanization and industrialization in China, ozone pollution has become increasingly serious and poses a greater threat to human health. In this study, the spatiotemporal distribution of ozone pollution in China’s cities and urban agglomerations from 2015 to 2019 was analyzed. The health effects and health economic costs of ozone pollution in China were estimated by applying the environmental Benefits Map** and Analysis Program-Community Edition (BenMAP-CE) model. The results are as follows: (1) ozone pollution was more serious in Chinese urban agglomerations from 2015 to 2019; (2) the hot spots of ozone concentration mainly distributed in the North China Plain, expanding from north to south; the cold spots decreased year by year and were located in the northeast, northwest, and southwest of China, shifting from northwest to southwest; (3) the seasonal average of ozone concentration in China was the highest in summer, followed by spring and autumn, and the lowest in winter; (4) the number of all-cause premature deaths of ozone pollution in China increased slowly from 2015 to 2019, and the average of urban agglomerations was significantly higher than cities, with similar spatial distribution characteristics as ozone concentration; (5) the health economic costs of ozone pollution from 2015 to 2019 slowly expanded to surrounding cities with Bei**g, Shanghai, **’an, and Chongqing as the centers of high values, while the low value areas decreased year by year and were mainly concentrated in southwest and northeast China. The health economic costs of ozone pollution at urban agglomerations scale were higher in the eastern coastal regions and lower in the northwest inland regions. Thus, this study presents policy recommendations to provide decision-making reference for realizing the inter-regional prevention and control of ozone pollution.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-19935-z/MediaObjects/11356_2022_19935_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-19935-z/MediaObjects/11356_2022_19935_Fig2_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-19935-z/MediaObjects/11356_2022_19935_Fig3_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-19935-z/MediaObjects/11356_2022_19935_Fig4_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-19935-z/MediaObjects/11356_2022_19935_Fig5_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-19935-z/MediaObjects/11356_2022_19935_Fig6_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-19935-z/MediaObjects/11356_2022_19935_Fig7_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-022-19935-z/MediaObjects/11356_2022_19935_Fig8_HTML.png)
Similar content being viewed by others
References
Akimoto H, Mori Y, Sasaki K, Nakanishi H, Ohizumi T, Itano Y (2015) Analysis of monitoring data of ground-level ozone in Japan for long-term trend during 1990–2010: causes of temporal and spatial variation. Atmospheric Environ 102:302–310
Bell ML, Dominici F, Samet JM (2005) A meta-analysis of time-series studies of ozone and mortality with comparison to the national morbidity, mortality, and air pollution study. Epidemiology 16:436–445
Buteau S, Goldberg MS, Burnett RT, Gasparrini A, Valois MF, Brophy JM, Crouse DL, Hatzopoulou M (2018) Associations between ambient air pollution and daily mortality in a cohort of congestive heart failure: case-crossover and nested case-control analyses using a distributed lag nonlinear model. Environ Int 113:313–324
Cakmak S, Hebbern C, Vanos J, Crouse DL, Burnett R (2016) Ozone exposure and cardiovascular-related mortality in the Canadian Census Health and Environment Cohort (CANCHEC) by spatial synoptic classification zone. Environ Pollut 214:589–599
Chen L, Jiang R, **ang W-N (2016) Surface heat island in Shanghai and its relationship with urban development from 1989 to 2013. Advances Meteorol 2016:1–15
Cooper OR et al. (2014) Global distribution and trends of tropospheric ozone: an observation-based review. Elementa: Science of the Anthropocene 2
Dominguez-Lopez D, Adame JA, Hernandez-Ceballos MA, Vaca F, De la Morena BA, Bolivar JP (2014) Spatial and temporal variation of surface ozone, NO and NO(2) at urban, suburban, rural and industrial sites in the southwest of the Iberian Peninsula. Environ Monit Assess 186:5337–5351
Fang C, Yu D (2017) Urban agglomeration: an evolving concept of an emerging phenomenon. Landscape and Urban Planning 162:126–136
Gong C, Liao H, Zhang L, Yue X, Dang R, Yang Y (2020) Persistent ozone pollution episodes in North China exacerbated by regional transport. Environ Pollut 265:115056
Hvidtfeldt UA, Sorensen M, Geels C, Ketzel M, Khan J, Tjonneland A, Overvad K, Brandt J, Raaschou-Nielsen O (2019) Long-term residential exposure to PM2.5, PM10, black carbon, NO2, and ozone and mortality in a Danish cohort. Environ Int 123:265–272
Jerrett M, Brook R, White LF, Burnett RT, Yu J, Su J, Seto E, Marshall J, Palmer JR, Rosenberg L, Coogan PF (2017) Ambient ozone and incident diabetes: a prospective analysis in a large cohort of African American women. Environ Int 102:42–47
Jonson JE, Simpson D, Fagerli H, Solberg S (2006) Can we explain the trends in European ozone levels? Atmospheric Chem Phys 6:51–66
Kassomenos PA, Dimitriou K, Paschalidou AK (2013) Human health damage caused by particulate matter PM10 and ozone in urban environments: the case of Athens, Greece. Environ Monit Assess 185:6933–6942
Kavassalis SC, Murphy JG (2017) Understanding ozone-meteorology correlations: a role for dry deposition. Geophys Res Lett 44:2922–2931
Khaniabadi YO, Goudarzi G, Daryanoosh SM, Borgini A, Tittarelli A, De Marco A (2017) Exposure to PM10, NO2, and O3 and impacts on human health. Environ Sci Pollut Res Int 24:2781–2789
Kleanthous S, Vrekoussis M, Mihalopoulos N, Kalabokas P, Lelieveld J (2014) On the temporal and spatial variation of ozone in Cyprus. Sci Total Environ 476-477:677–687
Lee J-T, Kim H, Song H, Hong Y-C, Cho Y-S, Shin S-Y (2002) Air pollution and asthma among children in Seoul, Korea. Epidemiology 13:481–484
Li Y, Shang Y, Zheng C, Ma Z (2018) Estimated acute effects of ozone on mortality in a rural district of Bei**g, China, 2005-2013: a time-stratified case-crossover study. Int J Environ Res Public Health 15:2460–2471
Liang S, Li X, Teng Y, Fu H, Chen L, Mao J, Zhang H, Gao S, Sun Y, Ma Z, Azzi M (2019) Estimation of health and economic benefits based on ozone exposure level with high spatial-temporal resolution by fusing satellite and station observations. Environ Pollut 255:113267
Liu T, Zeng W, Lin H, Rutherford S, **ao J, Li X, Li Z, Qian Z, Feng B, Ma W (2016) Tempo-spatial variations of ambient ozone-mortality associations in the USA: results from the NMMAPS data. Int J Environ Res Public Health 13:851–864
Maji KJ, Ye WF, Arora M, Nagendra SMS (2019) Ozone pollution in Chinese cities: assessment of seasonal variation, health effects and economic burden. Environ Pollut 247:792–801
Malley CS, Henze DK, Kuylenstierna JCI, Vallack HW, Davila Y, Anenberg SC, Turner MC, Ashmore MR (2017) Updated global estimates of respiratory mortality in adults ≥30 years of age attributable to long-term ozone exposure. Environ Health Perspect 125:087021
McLaren J, Williams ID (2015) The impact of communicating information about air pollution events on public health. Sci Total Environ 538:478–491
Miao W, Huang X, Song Y (2017) An economic assessment of the health effects and crop yield losses caused by air pollution in mainland China. J Environ Sci (China) 56:102–113
Monks PS (2005) Gas-phase radical chemistry in the troposphere. Chem Soc Rev 34:376–395
Ng CF, Ueda K, Nitta H, Takeuchi A (2013) Seasonal variation in the acute effects of ozone on premature mortality among elderly Japanese. Environ Monit Assess 185:8767–8776
Pirozzi CS, Jones BE, VanDerslice JA, Zhang Y, III RP, Dean NC (2018): Short-term air pollution and incident pneumonia: a case-crossover study. Annals Am Thoracic Soc, 15, 449-459
Post ES, Grambsch A, Weaver C, Morefield P, Huang J, Leung LY, Nolte CG, Adams P, Liang XZ, Zhu JH, Mahoney H (2012) Variation in estimated ozone-related health impacts of climate change due to modeling choices and assumptions. Environ Health Perspect 120:1559–1564
Quah E, Boon TL (2003) The economic cost of particulate air pollution on health in Singapore. J Asian Econ 14:73–90
Ruan Z, Qian ZM, Guo Y, Zhou J, Yang Y, Acharya BK, Guo S, Zheng Y, Cummings-Vaughn LA, Rigdon SE, Vaughn MG, Chen X, Wu F, Lin H (2019) Ambient fine particulate matter and ozone higher than certain thresholds associated with myopia in the elderly aged 50 years and above. Environ Res 177:108581
Shang Y, Sun Z, Cao J, Wang X, Zhong L, Bi X, Li H, Liu W, Zhu T, Huang W (2013) Systematic review of Chinese studies of short-term exposure to air pollution and daily mortality. Environ Int 54:100–111
Sicard P, Khaniabadi YO, Perez S, Gualtieri M, De Marco A (2019) Effect of O3, PM10 and PM2.5 on cardiovascular and respiratory diseases in cities of France, Iran and Italy. Environ Sci Pollut Res Int 26:32645–32665
Silva RA, Adelman Z, Fry MM, West JJ (2016) The impact of individual anthropogenic emissions sectors on the global burden of human mortality due to ambient air pollution. Environ Health Perspect 124:1776–1784
Stockfelt L, Andersson EM, Molnar P, Rosengren A, Wilhelmsen L, Sallsten G, Barregard L (2015) Long term effects of residential NO(x) exposure on total and cause-specific mortality and incidence of myocardial infarction in a Swedish cohort. Environ Res 142:197–206
Sun Q, Wang W, Chen C, Ban J, Xu D, Zhu P, He MZ, Li T (2018) Acute effect of multiple ozone metrics on mortality by season in 34 Chinese counties in 2013-2015. J Intern Med 283:481–488
Wang XJ, Zhang W, Li Y, Yang KZ, Bai M (2006) Air quality improvement estimation and assessment using contingent valuation method, a case study in Bei**g. Environ Monitor Assessment 120:153–168
Wang M et al (2014) Long-term exposure to elemental constituents of particulate matter and cardiovascular mortality in 19 European cohorts: results from the ESCAPE and TRANSPHORM projects. Environ Int 66:97–106
Wang N, Lyu X, Deng X, Huang X, Jiang F, Ding A (2019) Aggravating O3 pollution due to NOx emission control in eastern China. Sci Total Environ 677:732–744
Wilson RC, Fleming ZL, Monks PS, Clain G, Henne S, Konovalov IB, Szopa S, Menut L (2012) Have primary emission reduction measures reduced ozone across Europe? An analysis of European rural background ozone trends 1996–2005. Atmospheric Chem Phys 12:437–454
Yan M, Liu Z, Liu X, Duan H, Li T (2013) Meta-analysis of the Chinese studies of the association between ambient ozone and mortality. Chemosphere 93:899–905
Yang C, Yang H, Guo S, Wang Z, Xu X, Duan X, Kan H (2012) Alternative ozone metrics and daily mortality in Suzhou: the China Air Pollution and Health Effects Study (CAPES). Sci Total Environ 426:83–89
Yin H, Pizzol M, Xu L (2017a) External costs of PM2.5 pollution in Bei**g, China: uncertainty analysis of multiple health impacts and costs. Environ Pollut 226:356–369
Yin P, Chen R, Wang L, Meng X, Liu C, Niu Y, Lin Z, Liu Y, Liu J, Qi J, You J, Zhou M, Kan H (2017b) Ambient ozone pollution and daily mortality: a nationwide study in 272 Chinese cities. Environ Health Perspect 125:117006
Zhang Y, Huang W, London SJ, Song G, Chen G, Jiang L, Zhao N, Chen B, Kan H (2006) Ozone and daily mortality in Shanghai, China. Environ Health Perspect 114:1227–1232
Data availability
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Funding
This research was funded by the “The Program of National Natural Science Foundation of China” (no. 41971178)
Author information
Authors and Affiliations
Contributions
ZD interpreted the data, reviewed the literature, and was the major contributor in writing the manuscript. GY contributed in the research article in collecting data from different sources and analyzing the data. Reviewing the final manuscript was done by ZD and HX.
Corresponding author
Ethics declarations
Ethics approval and consent to participate
Not applicable.
Consent for publication
Not applicable.
Competing interests
The authors declare no competing interests.
Additional information
Responsible Editor: Gerhard Lammel
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Zheng, D., Huang, X. & Guo, Y. Spatiotemporal variation of ozone pollution and health effects in China. Environ Sci Pollut Res 29, 57808–57822 (2022). https://doi.org/10.1007/s11356-022-19935-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11356-022-19935-z