Agricultural Non-point Source Pollution and Health of the Elderly in Rural China

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2022 Oct 14

PMID 36240140

Authors

Ying Wang

Hang Xiong

Chao Chen

Affiliations

Soon will be listed here.

Abstract

Large input and high loss of chemical fertilizer are the major causes of agricultural non-point source pollution in China. Employing fertilizer loss and micro-health data, this paper analyzes the effects of chemical fertilizer loss on the health of rural elderly and the medical cost in China. Results of the difference-in-differences (DID) method indicate that one kg/ha increase in fertilizer loss alters a key medical disability index (Activities of Daily Living) by 0.0147 (0.2 percent changes) and the number of diseases by 0.0057 for rural residents of 65 and older. This is equivalent to CNY 316 million (USD 45 million) at national medical cost. Furthermore, the age of onset is younger in regions with higher fertilizer loss. One kg/ha increase of fertilizer loss advances the age of onset by 0.267 year, which will cause long-term effect on public health. Our results are robust to a variety of robustness checks.

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References

Gorman Ng M, Stjernberg E, Koehoorn M, Demers P, Winters M, Davies H . Fertilizer use and self-reported respiratory and dermal symptoms among tree planters. J Occup Environ Hyg. 2012; 10(1):36-45. DOI: 10.1080/15459624.2012.740994. View

Weeks W, Kazis L, Shen Y, Cong Z, Ren X, Miller D . Differences in health-related quality of life in rural and urban veterans. Am J Public Health. 2004; 94(10):1762-7. PMC: 1448531. DOI: 10.2105/ajph.94.10.1762. View

Dai B . The old age health security in rural China: where to go?. Int J Equity Health. 2015; 14:119. PMC: 4632370. DOI: 10.1186/s12939-015-0224-5. View

Kristensen P, Andersen A, Irgens L, Bye A, Vagstad N . Testicular cancer and parental use of fertilizers in agriculture. Cancer Epidemiol Biomarkers Prev. 1996; 5(1):3-9. View

Sacks J, Stanek L, Luben T, Johns D, Buckley B, Brown J . Particulate matter-induced health effects: who is susceptible?. Environ Health Perspect. 2010; 119(4):446-54. PMC: 3080924. DOI: 10.1289/ehp.1002255. View

Speechley M, Tinetti M . Falls and injuries in frail and vigorous community elderly persons. J Am Geriatr Soc. 1991; 39(1):46-52. DOI: 10.1111/j.1532-5415.1991.tb05905.x. View

Johnson R, Wolinsky F . The structure of health status among older adults: disease, disability, functional limitation, and perceived health. J Health Soc Behav. 1993; 34(2):105-21. View

Smith A, Bates M, Goeden H, Hertz-Picciotto I, Duggan H, Wood R . Cancer risks from arsenic in drinking water. Environ Health Perspect. 1992; 97:259-67. PMC: 1519547. DOI: 10.1289/ehp.9297259. View

Monti A, Doulazmi M, Nguyen-Michel V, Pautas E, Mariani J, Kinugawa K . Clinical characteristics of sleep apnea in middle-old and oldest-old inpatients: symptoms and comorbidities. Sleep Med. 2021; 82:179-185. DOI: 10.1016/j.sleep.2021.04.017. View

10.

Wong C, Lai H, Tsang H, Thach T, Neil Thomas G, Lam K . Satellite-Based Estimates of Long-Term Exposure to Fine Particles and Association with Mortality in Elderly Hong Kong Residents. Environ Health Perspect. 2015; 123(11):1167-72. PMC: 4629733. DOI: 10.1289/ehp.1408264. View

11.

Forman D . Are nitrates a significant risk factor in human cancer?. Cancer Surv. 1989; 8(2):443-58. View

12.

Rockwood K, Stadnyk K, Macknight C, McDowell I, Hebert R, Hogan D . A brief clinical instrument to classify frailty in elderly people. Lancet. 1999; 353(9148):205-6. DOI: 10.1016/S0140-6736(98)04402-X. View

13.

Fan A, Steinberg V . Health implications of nitrate and nitrite in drinking water: an update on methemoglobinemia occurrence and reproductive and developmental toxicity. Regul Toxicol Pharmacol. 1996; 23(1 Pt 1):35-43. DOI: 10.1006/rtph.1996.0006. View

14.

Nganchamung T, Robson M, Siriwong W . Association between blood cholinesterase activity, organophosphate pesticide residues on hands, and health effects among chili farmers in Ubon Ratchathani Province, northeastern Thailand. Rocz Panstw Zakl Hig. 2017; 68(2):175-183. View

15.

Huang L, Zhu Y, Wang Q, Zhu A, Liu Z, Wang Y . Assessment of the effects of straw burning bans in China: Emissions, air quality, and health impacts. Sci Total Environ. 2021; 789:147935. DOI: 10.1016/j.scitotenv.2021.147935. View

16.

Manassaram D, Backer L, Moll D . A review of nitrates in drinking water: maternal exposure and adverse reproductive and developmental outcomes. Environ Health Perspect. 2006; 114(3):320-7. PMC: 1392223. DOI: 10.1289/ehp.8407. View

17.

Winograd C . Targeting strategies: an overview of criteria and outcomes. J Am Geriatr Soc. 1991; 39(9 Pt 2):25S-35S. DOI: 10.1111/j.1532-5415.1991.tb05930.x. View

18.

Tuttle L, Meng Q, Moya J, Johns D . Consideration of age-related changes in behavior trends in older adults in assessing risks of environmental exposures. J Aging Health. 2012; 25(2):243-73. DOI: 10.1177/0898264312468032. View

19.

Cohen G, Gerber Y . Air Pollution and Successful Aging: Recent Evidence and New Perspectives. Curr Environ Health Rep. 2017; 4(1):1-11. DOI: 10.1007/s40572-017-0127-2. View

20.

Bahadoran Z, Ghasemi A, Mirmiran P, Azizi F, Hadaegh F . Nitrate-nitrite-nitrosamines exposure and the risk of type 1 diabetes: A review of current data. World J Diabetes. 2016; 7(18):433-440. PMC: 5065663. DOI: 10.4239/wjd.v7.i18.433. View