Ozone exposure and health risks of different age structures in major urban agglomerations in People's Republic of China from 2013 to 2018.

Abstract

High concentration of surface ozone (O3) will cause health risks to people. In order to analyze the spatiotemporal characteristics of O3 and assess O3 exposure and health risks for different age groups in China, we applied multiple methods including standard deviation ellipse, spatial autocorrelation, and exposure-response functions. Results show that O3 concentrations increased in 64.5% of areas in China from 2013 to 2018. The central plain urban agglomeration (CPU), Beijing-Tianjin-Hebei (BTH), and Yangtze River Delta (YRD) witnessed the greatest incremental rates of O3 by 16.7%, 14.3%, and 13.1%. Spatially, the trend of O3 shows a significant positive autocorrelation, and high trend values primarily in central and east China. The proportion of the total population exposed to high O3 (above 160μg/m3) increased annually. Compared to 2013, the proportion of the young, adult, and old populations exposed to high O3 increased to different extents in 2018 by 26.8%, 29.6%, and 27.2%, respectively. The extent of population exposure risk areas in China expanded in size, particularly in north and east China. The total premature respiratory mortalities attributable to long-term O3 exposure in six urban agglomerations were about 177,000 in 2018 which has increased by 16.4% compared to that in 2013. Among different age groups, old people are more vulnerable to O3 pollution, so we need to strengthen their relevant health protection of them.