Abstract

Air pollution causes severe physical and psychological health complications. Considering China’s continuously-deteriorating air quality, this study aimed to assess the self-reported effects of air pollution on the behavior and physical health of the students of 13 densely populated cities, and their awareness, practices, and perception of air pollution and its associated public health risks. A detailed, closed-ended questionnaire was administered to 2100 students from 54 universities and schools across China. The questionnaire, which had 24 questions, was categorized into four sections. The first two sections were focused on air pollution-associated behavior and psychology, and physical effects; while the final two sections focused on the subjects’ awareness and perceptions, and practices and concerns about air pollution. The respondents reported that long-term exposure to air pollution had significantly affected their psychology and behavior, as well as their physical health. The respondents were aware of the different adverse impacts of air pollution (respiratory infections, allergies, and cardiovascular problems), and hence had adopted different preventive measures, such as the use of respiratory masks and glasses or goggles, regularly drinking water, and consuming rich foods. It was concluded that air pollution and haze had negative physical and psychological effects on the respondents, which led to severe changes in behavior. Proper management, future planning, and implementing strict environmental laws are suggested before this problem worsens and becomes life-threatening.

Highlights

  • Air pollution is of serious concern across the globe, and is fueled by rapid population growth, continuous urbanization, increases in industrialization, continuous rises in energy demand, deforestation, and increases in car density, especially in major cities [1, 2]

  • This study provides better insight for breaching the gap between public health KAP and scientific research than previous studies on this issue, as they were confined to certain places, such as a single city or province

  • The recruited respondents have suffered from different, adverse physical effects, such as respiratory infections or problems, and different types of ENT illnesses, due to haze and air pollution

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Summary

Introduction

Air pollution is of serious concern across the globe, and is fueled by rapid population growth, continuous urbanization, increases in industrialization, continuous rises in energy demand, deforestation, and increases in car density, especially in major cities [1, 2]. This bleak scenario is further worsened through poor environmental management and regulation, use of inefficient technologies (with low production and high environmental deterioration), construction of congested roads, and the inability to strictly implement environmental regulations and laws, as well as a lack of awareness among the population about the serious health and psychological outcomes of pollution. This issue is even more prominent in underdeveloped and developing countries, where it is a serious concern as it adversely affects public health, alters the quality of life, and impacts the economy (by affecting agricultural production, for example) [8, 9]. The physical effects associated with air pollution are widely studied, reported, and reviewed [23,24,25,26,27,28]

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