Air Pollution Control and Residents' Weight: Empirical Evidence From China's Action Plan
Nianyu Du1, Lele Liu2, Liangqiang Jiang3
1School of Economics, Qufu Normal University, Rizhao, Shandong Province, China.
Health Economics
|July 7, 2026
Summary
China's Air Pollution Prevention and Control Action Plan significantly reduced overweight risk by promoting exercise and reducing depression. This environmental regulation improves public health outcomes.
Area of Science:
- Environmental Health
- Public Health Policy
- Epidemiology
Background:
- Air pollution poses significant public health risks globally.
- Limited evidence exists on the impact of air pollution control policies on weight-related health outcomes.
- Understanding these effects is crucial for developing effective public health interventions.
Purpose of the Study:
- To investigate the causal effect of the Air Pollution Prevention and Control Action Plan on overweight risk.
- To explore the mechanisms through which the policy influences weight-related outcomes.
- To identify population subgroups most affected by the policy.
Main Methods:
- Utilized a difference-in-differences framework with four waves of China Family Panel Studies (CFPS) data (2010, 2012, 2014, 2016).
- Employed quasi-natural experiment design leveraging the implementation of the Air Pollution Prevention and Control Action Plan.
- Conducted mechanism and heterogeneity analyses to understand policy impacts.
Main Results:
- Implementation of the air pollution policy significantly reduced the risk of overweight among residents.
- The policy's effects were mediated by increased physical exercise frequency and reduced depressive symptoms.
- Impacts were more pronounced in urban populations, young adults, females, and those with lower educational attainment.
Conclusions:
- Environmental regulations, specifically air quality policies, can causally improve population health by reducing overweight risk.
- Interventions should consider physical activity promotion and mental health support alongside environmental improvements.
- Policy design can be optimized by targeting specific demographic groups for greater impact.

