Health Effects Of Air Pollution Research Articles

County level study of the interaction effect of PM2.5 and climate sustainability on mortality in China.

PM2.5 and climate change are two major public health concerns, with majority of the research on their interaction focused on the synergistic effect, particularly for extreme events such as hot or cold temperatures. The climate sustainability index (CLS) was introduced to comprehensively explore the impact of climate change and the interactive effect on human health with air pollution. In this study, a county-level panel data in China was collected and used. The generalized additive model (GAM) and geographically and temporally weighted regression (GTWR) was used to explore the interactive and spatial effect on mortality between CLS and PM2.5. Individually, when CLS is higher than 150 or lower than 50, the mortality is higher. Moreover, when PM2.5 is more than 35 μg/m3, the influence on mortality is significantly increased as PM2.5 concentration rises; when PM2.5 is above 70 μg/m3, the trend is sharp. A nonlinear antagonistic effect between CLS and PM2.5 was found in this study, proving that the combined adverse health effects of climate change and air pollution, especially when CLS was lower (below 100) and PM2.5 was higher (above 35 μg/m3), the antagonistic effect was much stronger. From a spatial perspective, the impact of CLS and PM2.5 on mortality varies in different geographical regions. A negative and positive influence of CLS and PM2.5 was found in east China, especially in the northeastern and northern regions, -which were heavily polluted. This study illustrated that climate sustainability, at certain level, could mitigate the adverse health influence of air pollution, and provided a new perspective on health risk mitigation from pollution reduction and climate adaptation.

Outdoor air pollution and respiratory health.

The need to address the impact of air pollution on health is reinforced by recent scientific evidence and the 2021 WHO Air Quality Guidelines (AQG). Air pollution is an avoidable risk factor causing a high burden for society with elevated deaths, health disorders, disabilities and huge socio-economic costs, especially in low- and middle-income countries. We have evaluated recent evidence from international reports, systematic reviews and official websites of international agencies. Growing evidence shows a causal relationship between air pollution exposure and acute lower respiratory infections, chronic obstructive pulmonary disease, asthma and lung cancer. Exposure to air pollution in both the short- and long-term has a serious impact on respiratory health. Harmful effects occur even at very low pollutant concentration levels, and there are no detectable thresholds below which exposure may be considered safe. The adverse respiratory health effects of air pollutants, even at low levels, are confirmed by recent epidemiological studies. Scientific respiratory societies and patient associations, along with other stakeholders in the health sector, should increase their engagement and advocacy to raise awareness of clean air policies and the latest WHO AQG.

Assessment of the state of the environment of the Russian Far East

Environmental monitoring is a long-term assessment of pollutant levels that helps assess pollution levels and provide information on trends in environmental quality. In addition, the environmental monitoring system supports research by providing scientists with the information they need to conduct long-term studies of the effects of various atmospheric exposures on the population and an overall assessment of the health effects of air pollution. The dynamics and structure of pollutant emissions has changed significantly in recent years. It was revealed that the gross volume of emissions into the atmosphere in 2021 decreased by 0.3% compared to the level of 2015 and amounted to 1592 thousand tons. Emissions from stationary sources in 2021 amounted to 1275.2 thousand tons, increased by 43.7% compared to 2015. The structure of emissions was dominated by CO, the emissions of which amounted to 413 thousand tons (increased by 31.8% since 2015). During the year, there was an increase in emissions of solid substances (by 44%), sulfur dioxide (by 55%), nitrogen oxides (by 56.6%), VOCs (by 77.2%).

A Comprehensive Review of Atmospheric Air Pollutants Assessment Around Landfill Sites

Air pollutants generated as a result of operations of landfill sites pose a threat not only the environment but also to human life. This work focuses on comprehensive review of atmospheric air pollutants around landfill sites with a view of identifying areas where future studies can be conducted. Environmental and health effects of air pollutants within the vicinity of landfill sites and the ways of minimizing the level of the air pollutants were presented. Previous works carried out by scholars for the past two decades were critically examined. Mathematical models for prediction of gaseous pollutants for landfill sites and assessment of human health risk due of inhalation of poisonous gases from landfill sites were discussed. Amongst conclusions made were: (1) Further studies on health impacts of particulate matters (PMs) within the vicinity of landfill sites should focus on low-income countries (LIC) especially in Nigeria which has been perceived as the capital poverty of the world. (2) Developing countries have not been practicing Circular Municipal Solid Waste Management System (CMSW) due to some militating factors hence further works should look into how the militating factors can be surmounted and provide way forward for the implementation of CMSW in developing countries. (3) More works still need to be conducted especially in temperate region to mechanistically explain the positive correlation between PMs and Coronavirus disease. (4) Future works should dive into the cost and economic implications of assessing atmospheric air pollutants within the vicinity of landfill sites for policy making decisions.

Investigation of Short-Term Health Effects of Air Pollution in Türkiye with E-Nabız Sensor Data

Investigation of Short-Term Health Effects of Air Pollution in Türkiye with E-Nabız Sensor Data

Short-term air pollution and temperature exposure and changes in the extracellular microRNA profile of Normative Aging Study (NAS) participants

BackgroundWhile the health effects of air pollution and temperature are widely studied, the molecular effects are poorly understood. Extracellular microRNAs (ex-miRNAs) have the potential to serve as diagnostic or prognostic biomarkers and/or to act as intercellular signaling molecules that mediate the effects of environmental exposures on health outcomes. MethodsWe examined the relationship between short-term exposure to air pollution and ambient temperature and the ex-miRNA profiles of participants in the Normative Aging Study (NAS) from 1999 to 2015. Our exposures were defined as same-day, two-day, three-day, one-week, two-week, and three-week moving averages of PM2.5, NO2, O3, and temperature which were derived from high-resolution spatio-temporal models. The ex-miRNA profiles of the subjects were obtained during follow-up visits. We analyzed the data using a longitudinal quantile regression model adjusted for individual covariates, batch effects, and time trends. We adjusted for multiple comparisons using a false discovery rate (FDR) correction. Ex-miRNAs that were significantly associated with exposures were further investigated using pathway analyses. ResultsWe found that all the examined exposures were associated with changes in ex-miRNA profiles in our study, particularly PM2.5 which was responsible for most of the statistically significant results. We found 110 statistically significant exposure-outcome relationships that revealed associations with the levels of 52 unique ex-miRNAs. Pathway analyses showed these ex-miRNAs have been linked to target mRNAs, genes, and biological mechanisms that could affect virtually every organ system, and as such may be linked to multiple clinical disease presentations such as cardiovascular disease, respiratory disease, and neurological disease. ConclusionsAir pollution and temperature exposures were significantly associated with alterations in the ex-miRNA profiles of NAS subjects with possible biological consequences.

Assessment of health impact of the surface ozone on a population residing at Agadir city (Morocco) using the AirQ+ model

Several epidemiological and toxicological studies have shown that exposure to surface ozone increases deaths and illnesses. Deteriorating air quality could lead to health concerns in emerging countries such as Morocco. The aim of the present study was to investigate the long-term impact of ozone on the health of Agadir residents by using the AirQ+ model. The exposure reference values in 2016 were the daily and yearly average concentrations. Two monitoring stations provided the average ozone concentration per hour. The yearly total of maximum 8-hour ozone levels over 35 ppb was used to forecast probable long-term health impacts. As a health indicator, specific mortality for respiratory disorders was considered. According to the health impact assessment, the yearly cumulative incidence was estimated to 419.5 per 100,000 population. A reduction in ozone concentrations to less than 100 μg/m3 might prevent 13 deaths per year (95% CI: 5–22), with an estimated attributable proportion of 0.73% (95% CI: 0.26–1.24). AirQ+ can be used as a public health tool to assess the health risks of air pollution, providing policymakers with a basis for implementing air quality management strategies to decrease air pollution's health effect.

Numerical assessment of mechanical ventilation filtration

The improvements in living standards and air-conditioning have widely been applied, however, the health effects of indoor air pollution have been increasing, especially in the last three years with the coronavirus. To get clean air through the building, filtration is one of the most efficient strategies to optimize indoor air quality. In this regard, a comparative study was done in a classroom at ENTPE laboratory to emphasize filtration’s importance and to test the efficiency of analyzed type PM10_50. The results highlighted allows us to see the impact of control strategy on the efficiency of filtration (air conditions and ventilation systems performances). The numerical feedback has also been analyzed and the results allowed us to find an efficient filter and draw recommendations for their use.

Air pollution and pregnancy outcomes in Dhaka, Bangladesh

• Air quality in Dhaka city remains in ‘unhealthy’ to ‘extremely unhealthy’ state for two third of the year • There is an alarming increase in the number of ‘unhealthy’ to ‘extremely unhealthy’ air days • Low birth weight (LBW) increases from 20.6% to 36.0% for the lowest and highest category air pollution exposure. • Percent preterm births (PTB) shows a linear increase from 9% to 15.2% between lowest and highest category of air pollution exposure • Female fetuses are at higher risk of LBW and male fetuses are more prone to PTB • For every 10,000 Air Quality Index (AQI) value increase in cumulative exposure, the rate of increase in LBW and PTB is 4% and 2% respectively • Second trimester could be potentially the most vulnerable period of pregnancy due to ambient air pollution Air pollution, one of the biggest environmental risks to health, is a severe problem in Bangladesh. The Lancet ‘Commission on Pollution and Health’ emphasized on the importance of research on health effects of ambient air pollution. This study explored the negative health impact of air pollution on pregnancy outcomes - preterm births (PTB) and low birth weight (LBW). The study assessed air quality in terms Air Quality Index (AQI) and, quantified the association with LBW and PTB. Pregnancy outcome data was collected from the Maternal and Child Health Training Institute in Dhaka, and the AQI data from the Clean Air and Sustainable Environment project of Department of Environment. A total 3,206 birth outcome records were assessed within the period from 2014 to 2017. Air pollution situation is quite alarming in Dhaka city, at ‘Unhealthy’ to ‘Extremely Unhealthy’ levels for two thirds of the year. An increase in the prevalence of LBW and PTB was found with increasing cumulative air pollution exposure. LBW increased from 20.6% to 36.0% and PTB increased from 9% to 15.2% respectively between the lowest and highest category AQI value exposure. For every 10,000 AQI value increase in cumulative exposure, LBW and PTB increased by 4% and 2%, respectively. There is significant gender differentiated impact on LBW and PTB due to air pollution where female fetuses are at higher risk of LBW and males are more prone to PTB. Air pollution exposure during the second trimester increased LBW and PTB more compared to first and third trimesters; suggesting it potentially the most vulnerable period of pregnancy. Proper interventions to reduce air pollution levels need to be urgently implemented.

Health effects of outdoor air pollutants

One of the most common causes of death and sickness worldwide is cardiovascular disease. A growing body of research suggests that exposure to air pollution increases the risk of cardiovascular disease. Especially children, the elderly, pregnant women, and those from lower socioeconomic backgrounds are more susceptible to the impacts of air pollution. This study aims to explore the health effects of pollutants on the cardiovascular system and respiratory systems. This study follows a literature study method. The study found that exposure to outdoor air pollution is related to immediate and chronic health consequences, from mild physiologic abnormalities to death, especially from respiratory and cardiovascular illnesses. Chemical air pollutants harm patients, especially with chronic respiratory and cardiac disorders, but also asthmatic youngsters. Short-term exposure worsens chronic diseases, and increases symptoms, medical care needs, and mortality, while long-term, repetitive exposure enhances the cumulative risk of these diseases and death. Keywords:Air pollutants, Cardiovascular system, Respiratory system.

Emissions of VOCs and SVOCs from polyvinyl chloride building materials: Contribution to indoor odor and inhalation health risks

Volatile organic compounds (VOCs) and semi-volatile organic compounds (SVOCs) emitted from indoor building materials may cause indoor air pollution and adverse health effects to residents. However, limited information is available on the odor and health risks of VOCs and SVOCs emissions from polyvinyl chloride (PVC) materials, which are widely used for interior decoration. In this study, the concentration of VOCs and SVOCs emitted from PVC wallpaper and flooring were tested by the emission chamber method and micro-chamber method. Hazards of PVC building materials to people in terms of odor contribution and inhalation health risks were then illustrated. Results showed that 14 VOCs (including four alkanes, one aromatic, and nine oxygenated compounds) and 4 SVOCs (including methyl hexadecanoate, di(2-ethylhexyl) phthalate (DEHP), bis(2-ethylhexyl) adipate (DOA), and di-2-ethylhexyl terephthalate (DOTP)) were detected in the PVC wallpaper and flooring sample emissions. Triethyl phosphate (55.3%) was the main VOC emitted from PVC wallpaper materials, while cyclohexanone (22.4%), n-butyl acetate (21.6%), and 4-methyl-2-pentanone (12.7%) were major VOCs emitted from PVC flooring materials. DOA (1.76 mg/m3) and methyl hexadecanoate (13.0 mg/m3) were the SVOCs with the highest emission concentrations in PVC flooring and wallpaper, respectively. The dominant substances causing odor pollution from PVC wallpaper and flooring were methyl hexadecanoate and cyclohexanone, and cyclohexanone and n-butyl acetate, respectively. The health risk results indicated that the carcinogenic risks (R) of DEHP were below the acceptable level, and the non-carcinogenic effects (HQ) of 2-ethyl-1-hexanol and cyclohexanone were much greater than the acceptable level (HQ = 1) and should be given special attention.

Temperature modifies the association between air pollution and respiratory disease hospital admissions in an industrial area of South Africa: The Vaal Triangle Air Pollution Priority Area

Background: Epidemiological studies reported independent effects of air pollution and temperature on health, yet these twoexposures are often treated as separate risk factors. Few studies investigated temperature effect modification on the health effects ofair pollution in Africa and none examined the effects of black carbon on respiratory disease (RD) hospitalisations. The aim of this studywas to determine whether the association between RD hospitalisations and air pollution in the Vaal Triangle Air Pollution Priority Areawas modified by apparent temperature (Tapp) during January 2013 to February 2020. Methods: RD admission data (ICD10 J00-J99) were obtained from two hospitals located in Vanderbijlpark and Vereeniging. AmbientPM10, PM2.5, BC, NO2, SO2 and O3, temperature and relative humidity data were obtained from six monitoring stations. A case-crossover epidemiological study design was applied. Lag0-1 was investigated, i.e. the average air pollutant level on the day and the day before hospitalisation. Models were adjusted for public holidays and Tapp. Effect modification was investigated by stratifying days into low, moderate and high Tapp days. Susceptibility by age and sex was investigated. Results: Of the 43 386 hospital admissions, 50.9% (n=22 092) were women and 51.4% (n=22 304) were 0-14-year olds. Air pollutantsexceeded the daily WHO air quality guidelines generally on more than 50% of the days. In general, moderate Tapp worsened the effects of PM2.5, PM10, SO2 and BC, whilst the effects of NO2 and O3 were most pronounced on days with high Tapp. The elderly and females were more vulnerable to air pollution, especially on days with moderate Tapp. Conclusions: These results indicate that the risk of RD hospitalisation due to ambient air pollution exposure is different on low,moderate and high Tapp days in Vanderbijlpark and Vereeniging.

Characteristics of Air Pollutants Emission and Its Impacts on Public Health of Chengdu, Western China

Pollution caused by PM2.5 and O3 are common environmental problems which can easily affect human health. Chengdu is a major central city in Western China, and there is little research on the regional emissions and health effects of air pollution in Chengdu. According to the Multi-resolution Emissions Inventory of the Chinese Model, 2017 (MEIC v1.3), this study compiled the air pollutant emission inventory of Chengdu. The results show that the pollutant emission of Chengdu is generally higher in winter than in summer. The southeast area of Chengdu is the key area where emissions of residential and industrial sectors are dominant. Through air quality simulation with a Weather Research and Forecasting model, coupled with the Community Multiscale Air Quality (WRF-CMAQ), the health effects of PM2.5 and O3 in winter and summer in Chengdu of 2017 were investigated. The primary pollutant in winter is PM2.5 and O3 in summer. PM2.5 pollution accounted for 351 deaths in January and July 2017, and O3 pollution accounted for 328 deaths in the same period. There were 276 deaths in rural areas and 413 in urban areas. In January and July 2017, the health economic loss caused by PM2.5 accounted for 0.0974% of the gross regional product (GDP) of Chengdu in 2017, and the health economic loss caused by O3 accounted for 0.0910%.

Association between PM1 Exposure and Lung Function in Children and Adolescents: A Systematic Review and Meta-Analysis.

The detrimental effects of PM2.5 and PM10 (particulate matter less than 2.5 or 10 μm) on human respiratory system, including lung function, have been widely assessed. However, the associations between PM1 (particulate matter of less than 1 μm) and lung function in children and adolescents are less explored, and current evidence is inconsistent. We conducted a meta-analysis of the literature on the association between PM1 and lung function in children and adolescents to fill this gap. With no date or language constraints, we used a combination of MeSH (Medical Subject Headings) terms and free text to search PubMed, EMBASE and Web of Science databases through, 1 October 2022 for "PM1 exposure" and "lung function". A total of 6420 relevant studies were identified through our initial search, and seven studies were included in our study. In this meta-analysis, the fixed effect and random effects statistical models were used to estimate the synthesized effects of the seven included studies. For every 10 μg/m3 increase in short-term PM1 exposure, forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF) and maximal mid-expiratory flow (MMEF) decreased by 31.82 mL (95% CI: 20.18, 43.45), 32.28 mL (95% CI: 16.73, 48.91), 36.85 mL/s (95% CI: 15.33, 58.38) and 34.51 mL/s (95% CI: 19.61, 49.41), respectively. For each 10 μg/m3 increase in long-term PM1 exposure, FVC, FEV1, PEF and MMEF decreased by 102.34 mL (95% CI: 49.30, 155.38), 75.17 mL (95% CI: 39.61, 110.73), 119.01 mL/s (95% CI: 72.14, 165.88) and 44.94 mL/s (95% CI: 4.70, 85.18), respectively. Our study provides further scientific evidence for the harmful effects of PM1 exposure on lung function in children and adolescents, indicating that exposure to PM1 is detrimental to pulmonary health. To reduce the adverse health effects of air pollution on children and adolescents, effective preventive measures should be taken.

An innovative passive sampler to reveal the high contribution of biomass burning to black carbon over Indo-China Peninsula: Radiocarbon constraints

Black carbon (BC) is an important component of the brown clouds, contributing to climate and health effects of air pollution. In this work, we developed a new method for measuring BC concentrations and its radiocarbon isotope (14C) using quartz wool disk passive air samplers (Pas-QW). A field calibration study was conducted at two sampling sites (Guangzhou and Yantai), using an improved thermal/optical method to measure BC. Uptake profiles of Pas-QW were linear over the 77 days that the samplers were deployed, and the average sampling rate of BC measured was 1.1 ± 0.2 m3/day. The method was found to be reproducible with coefficients of variation as low as 17% for BC measured in ambient passive samples. Furthermore, passive sampling was carried out at six sites in the Indo-China Peninsula (ICP) from January to April and June to September of 2016. The high BC concentrations and the high fraction of modern carbon (fM) values emphasizes that ICP is still dominated by biomass burning emissions (residential cooking and agricultural burning), both in dry and wet seasons. This study provides a proof concept and methodology for the application of Pas-QW to cost-effectively expand measurements of BC at the global scale.

Meta analysis of health effects of ambient air pollution exposure in low- and middle-income countries

It is well established that exposure to ambient air pollution affects human health. A majority of literature concentrated on health effects of air pollution in high income countries. Only fewer studies analyzing health effects of air pollution in Low- and Middle-Income Countries (LMICs) are available. To bridge this gap in literature, this study investigated short term and long-term health impacts of ambient air pollutants focussed in LMICs. We evaluated Total Non-accidental mortality, Respiratory Mortality, Stroke Mortality, Cardio-vascular Mortality, Chronic Obstructive Pulmonary Disease (COPD), Ischemic Heart Disease (IHD) and Lung Cancer Mortality in LMICs particularly. Random Effects Model was utilised to derive overall risk estimate. Relative Risk (RR) estimates per 10 μg/m3 was used as input for model. Subgroup and Sensitivity Analysis by Design and Country was conducted. A total of 152 studies were included for quantitative analysis. We found positive associations between pollutants and Total Non-accidental mortality for PM10 ((RR:1.0043–1.0036), p < 0.0001), NO2 (RR:1.0222 (1.0111–1.0336), p < 0.0001), SO2 (RR:1.0107 – (1.0073–1.0140), p < 0.0001), O3 (RR: 1.0038 (1.0023–1.0053), p < 0.0001) and PM2.5 (RR: 1.0048 (1.0037–1.0059), p < 0.0001) for every 10 μg/m3 increase. We found positive association between Long-term exposure to PM10 and Total Non-accidental mortality (RR: 1.0430 (1.0278–1.0583), p < 0.0001) We also found statistically significant positive associations between pollutants and Cardiorespiratory and Cardiovascular morbidity. The positive associations persisted when analysed amongst sub-groups. However, the high heterogeneity amongst studies persisted even after performing sub-group analysis. The study has found statistically significant positive associations between short-term and long-term exposure to Ambient air pollution with various health-outcome combinations.

Urban/rural differences in air pollution impacts on deaths in Scotland: A comparison study on different pollution data sources

The long-term air pollution health effects can be estimated by utilizing geographical and temporal contrasts in air pollution and disease risk across n contiguous small areas, where one main challenge lies in the assessment of the exposure of air pollution for each small area. In this paper, we study the air pollution health effects in Scotland, by using either the gridded concentrations from a dispersion model or the predictions from the proposed fusion model which combines both monitoring observations and gridded concentrations to obtain a better estimation. In addition, we consider using the population-weighted air pollution exposure and also investigate the potential different effects for urban and rural areas. The results show that both the particulate matter with a diameter of 10μm or less (PM10) and nitrogen dioxide (NO2) were significantly associated with all-cause deaths in either rural or urban areas in Scotland, regardless of the types of exposures used, and the estimated impacts were similar from using either population-weighted or un-weighted exposures. Another finding is that the adverse effects of pollutants in rural areas seem to be more harmful to human health than those in urban areas. Finally, it is shown that the exposures estimated from our proposed fusion model tended to give slightly larger adverse effects than those from using gridded concentrations.

Efficacy of Mask Wearing in Preventing the Deleterious Health Effects of the Ionic Components of PM2.5-Possibility Seen in Allergic Patients

Mask wearing can protect health care workers. However, its efficacy in avoiding the health effects of air pollution is not well studied. Recently, we evaluated the relationship between air pollution and health status or peak expiratory flow rate (PEFR). At the beginning of that study, about 20% of people were wearing masks. However, in the same period one year later, most people were wearing masks because of the COVID-19 pandemic. Therefore, in this study, we examined the relationship between mask wearing, concentration of ionic components of PM2.5, respiratory symptoms, and PEFR. Seventy-two patients in Fukuoka City with asthma and allergic diseases measured PEFR daily and recorded respiratory symptoms and mask wearing in a diary. We measured the ionic components of PM2.5 in Fukuoka City and examined the relationships between patient measurements, mask wearing, and air pollution. Univariate analysis showed that, in 2020, but not in 2021, some ionic components of PM2.5, i.e., Cl−, NO3−, Na+, and Mg2+, were significantly correlated with the frequency of cough and nasal symptoms and a decrease in PEFR. Some ionic components of PM2.5 may increase the frequency of respiratory symptoms and decrease PEFR in patients with allergic diseases; however, this tendency is not seen when masks are used. The use of masks may be one of the factors that attenuate the effects of PM2.5 ionic components.

Resuspension of particles deposited by nano-enabled consumer sprays: The role of product type, flooring material, and resuspension force.

With the development of nanotechnology, an increasing number of nano-enabled consumer products are introduced into the market. The release, deposition, and resuspension of particles from such products could be an important contributor to indoor air pollution and adverse health effects. Our study tested the spray and resuspension of seven nano-enabled consumer products and investigated how flooring material and resuspension force affected the resuspension of particles from these products. Results show that resuspension rates can range from 10-4 to 5 × 10-1 h-1 , depending on the product, flooring material (e.g., carpet and vinyl), and resuspension force (e.g., a walking adult and a moving child; the latter was simulated by a robotic sampler). The resuspension rate from the carpet was statistically significantly higher than that from vinyl flooring, while the resuspension rate by the adult was statiscally significantly higher than that by the robot. In addition, the interaction of investigated factors also played a role in particle resuspension rate. For a subgroup of products based on copper (Cu), silver (Ag), and zinc (Zn) nanomaterials, the resuspension rate reached as high 5 × 10-1 h-1 , rates higher than those reported in existing studies with house dust or Arizona Road Dust.

Impacts of Social Inequality, Air Pollution, Rural-Urban Divides, and Insufficient Green Space on Residents' Health in China: Insight from Chinese General Social Survey Data Analysis.

Attention to physical and mental health is becoming more intensive. In China, factors and mechanisms are now a focus of research. We used dynamic air quality monitoring data and the Chinese General Social Survey (CGSS) to assess the spatial differences and the coupling between subjective and objective air pollution. In addition, a logistic model was used to explore the impact mechanisms of social inequality, air pollution, food safety, and lack of green space on health. The results show that (1) the impact of subjective and objective air pollution on the health level of the population is significant; (2) income inequality, air pollution, food pollution, and travel behavior significantly affect the residents' health; and (3) environmental health has a significant differentiation mechanism between urban and rural areas. The negative health effects of air pollution and insufficient green space are more significant in cities; food pollution is more likely in rural areas. In terms of socioeconomic inequality, gender, family size, travel, and physical exercise had no significant effect on rural health. Health improvement was higher in the low-income group than in the high-income group. The adverse effect of travel behavior on environmental pollution is conducive to improving health. Therefore, social equality, strictly controlled environmental pollution, exercise, and travel can help narrow the gap between rich and poor, promote urban-rural health equity, and improve human health.