Health status, mental health and air quality: evidence from pensioners in Europe

Giovanis, Eleftherios and Ozdamar, Oznur (2018): Health status, mental health and air quality: evidence from pensioners in Europe. Published in: Environmental Science and Pollution Research

Abstract

Environmental quality is an important determinant of individuals’ well-being and one of the main concerns of the governments is the improvement on air quality and the protection of public health. This is especially the case of sensitive demographic groups, such as the old aged people. However, the question this study attempts to answer is how do individuals value the effects on the environment. The study explores the effects of old and early public pension schemes, as well as the impact of air pollution on health status of retired citizens. The empirical analysis relies on detailed micro-level data derived from the Survey of Health, Ageing and Retirement in Europe (SHARE). As proxies for health, we use the general health status and the Eurod mental health indicator.We examine two air pollutants: the sulphur dioxide (SO2) and ground-level ozone (O3). Next, we calculate the marginal willingness-to-pay (MWTP) which shows how much the people are willing to pay for improvement in air quality. We apply various quantitative techniques and approaches, including the fixed effects ordinary least squares (OLS) and the fixed effects instrumental variables (IV) approach. The last approach is applied to reduce the endogeneity problem coming from possible reverse causality between the air pollution, pensions and the health outcomes. For robustness check, we apply also a structural equation modelling (SEM) which is proper when the outcomes are latent variables. Based on our favoured IV estimates and the health status, we find that the MWTP values for one unit decrease in SO2 and O3 are respectively €221 and €88 per year. The respectiveMWTP values using the Eurod measure are €155 and €68. Overall, improvement of health status implies reduction in health expenditures, and in previous literature, ageing has been traditionally considered the most important determinant. However, this study shows that health lifestyle and socio-economic status, such as education and marital status, are more important, and furthermore, air pollution cannot be ignored in the agenda of policy makers.

• Item Type: MPRA Paper
• Language: English
• Keywords: Air pollution; Early retirements; Health status; Old age pensions; Structural equation modelling
• Subjects: H - Public Economics > H0 - General; H - Public Economics > H0 - General > H00 - General; I - Health, Education, and Welfare > I1 - Health > I10 - General; Q - Agricultural and Natural Resource Economics ; Environmental and Ecological Economics > Q5 - Environmental Economics > Q51 - Valuation of Environmental Effects; Q - Agricultural and Natural Resource Economics ; Environmental and Ecological Economics > Q5 - Environmental Economics > Q53 - Air Pollution ; Water Pollution ; Noise ; Hazardous Waste ; Solid Waste ; Recycling

References

Abelsohn, A. and Stieb, D.M. (2011). Health effects of outdoor air pollution. Approach to counseling patients using the Air Quality Health Index. Canadian Family Physician, Vol. 57, No.8, pp. 881–887.

Alberini, A. and Chiabai, A. (2007). Urban Environmental Health and Sensitive Populations: How Much Are the Italians Willing to Pay to Reduce Their Risk. Regional Science and Urban Economics, Vol. 37, No. 2, pp. 239-258

Ambrey, C., Fleming, C. and Chan, A. (2014). Estimating the cost of air pollution in South East Queensland: An application of the life satisfaction non-market valuation approach. Ecological Economics, Vol. 97, No. 1, pp. 172-181

Analitis, A., Katsouyanni, K., Biggeri, A., Baccini, M., Forsberg, B., Bisanti, L., Kirchmayer, U., Ballester, F., Cadum, E., Goodman, P.G., Hojs, A., Sunyer, J.,Tiittanen, P. and Michelozzi, .P (2008). Effects of cold weather on mortality: results from 15 European cities within the PHEWE project. American Journal of Epidemiology, Vol. 168, No. 12, pp. 1397–1408

Angeles, L. (2010). Children and Life Satisfaction. Journal of Happiness Studies, Vol. 11, No, 4, pp. 523-538

Baetschmann, G., Staub, E.K. and Winkelmann, R. (2015). Consistent Estimation of the Fixed Effects Ordered Logit Model. Journal of the Royal Statistical Society: Series A, Vol. 178, No. 3, pp. 685-703

Banerjee, M., Siddique, S., Dutta, A., Mukherjee, B. and Ranjan, M. (2012). Cooking with biomass increases the risk of depression in pre-menopausal women in India. Social Science and Medicine, Vol. 75, No. 3, pp. 565-572

Bentler, P.M. (1990). Comparative Fit Indexes in Structural Models. Psychological Bulletin, Vol. 107, No. 2, pp. 238-246

Bloemen, H., Hochguertel, S., Zweerink, J. (2013). The Causal Effect of Retirement on Mortality: Evidence from Targeted Incentives to Retire Early. IZA DP No. 7570, Bonn, Germany

Bollen, A.K. and Pearl, J. (2013). Eight myths about causality and structural equation models. in S.L. Morgan (Ed.), Handbook of Causal Analysis for Social Research, Chapter 15, pp. 301-328, Springer

Bourne, P. (2007). Using the biopsychosocial model to evaluate the wellbeing of the Jamaican elderly. West Indian Medical Journal, Vol. 56, No. 3, pp. 39-40

Bourne, P. (2008). Health Determinants: Using Secondary Data to Model Predictors of Well-being of Jamaicans. West Indian Medical Journal, Vol. 57, No. 5, pp. 476–481

Braga, A.L.F., Zanobetti, A. and Schwartz, J. (2002). The effect of weather on respiratory and cardiovascular deaths in 12 U.S. cities. Environmental Health Perspectives, Vol. 110, No. 9, pp. 859–863

Buck, L.G.M., Sundaram, R., Schisterman, E.F., Sweeney, A.M., Lynch, C.D., Gore-Langton, R.E., Maisog, J., Kim, S., Chen, Z. and Barr, D.B. (2013). Persistent Environmental Pollutants and Couple Fecundity. Environmental Health Perspectives, Vol. 121, No. 2, pp. 231-236

Burt, E., Orris, P. and Buchanan, S. (2013). Scientific Evidence of Health Effects from Coal Use in Energy Generation Health Care Research Collaborative

Butland, B., Jebb, S., Kopelman, P., McPherson, K., Thomas, S., Mardell, J. and Parry, V. (2007). Foresight Tackling Obesities: Future Choices – Project Report. Government Office for Science, London

Carson, R. (2000). Contingent Valuation: A User’s Guide. Environmental Science and Technology, Vol. 34, No. 8, pp. 1413-1418

Chay, K. and Greenstone, M. (2003). Air Quality, Infant Mortality, and the Clean Air Act of 1970, NBER Working Paper No. 10053, Cambridge, MA

Chay, K.Y. and Greenstone, M. (2005). Does Air Quality Matter? Evidence from the Housing Market. Journal of Political Economy, Vol. 1132, pp. 376-424

Chen, R., Kan, H., Chen, B., Huang, W., Bai, Z., Song, G. and Pan, G. (2015). Association of Particulate Air Pollution with Daily Mortality. The China Air Pollution and Health Effects Study. American Journal of Epidemiology, Vol. 175, No. 11, pp. 1173-1181

Chipperfield, T., O’Brien, R., Bolderson, T., Eidinow, E., Shafner, l. and Butland, B. (2007). Qualitative Modelling of Policy Options Foresight Tackling Obesities: Future Choices. Government Office for Science, London

Chongvilaivan, A. and Powdthavee, N. (2012). Do Different Work Characteristics Have Different Distributional Impacts on Job Satisfaction? A Study of Slope Heterogeneity in Workers. Well-Being. British Journal of Industrial Relations, Vol. 52, No, 3, pp. 426-444

Coe, B. and Zamarro, G. (2011). Retirement Effects on Health in Europe. Journal of Health Economics 30: 77-86

Conley T. (1999). GMM estimation with cross sectional dependence. Journal of Econometrics, Vol. 92, No. 1, pp. 1–45

Correia, W.A., Pope III, A.C., Dockery, D., Wang, Y., Ezzati, M. and Dominici, F. (2013). Effect of Air Pollution Control on Life Expectancy in the United States: An Analysis of 545 U.S. Counties for the Period from 2000 to 2007. Epidemiology, Vol. 24, No. 1, pp. 23-31

Croper, M.L. and Oates, W.E. (1992). Environmental Economics: A Survey. Journal of Economic Literature, Vol. 302, pp. 675-740

Deaton, A. (2008). Income, health, and well-being around the world: Evidence from the Gallup World Poll. Journal of Economic Perspectives, Vol. 22, No. 2, pp. 53-72

Delfino, R.J., Murphy-Moulton, A.M. and Becklake, M.R. (1998). Emergency room visits for respiratory illnesses among the elderly in Montreal: association with low level ozone exposure. Environmental Research, Section A, Vol. 76, No. 2, pp. 67-77

Deschenes, O. and Greenstone, M. (2011). Climate change, mortality, and adaptation: evidence from annual fluctuations in weather in the US. American Economic Journal: Applied Economics, Vol. 3, No. 4, pp. 152-185

Driscoll, D.M. (1971). Base lines for measuring adverse effects of air pollution: some evidence for weather effects on mortality. Environmental Research, Vol. 4, No. 3, pp. 233–242

Dockery, D., Pope, C.A., Xiping, X., Spengler, J., Ware, J., Fay, M., Ferris, B. and Speizer, F. (1993). An association between air pollution and mortality in six U.S. cities New England Journal of Medicine, Vol. 329, No. 24, pp. 1753-1759

Dolan, P., Peasgood, T. and White, M. (2008). Do we really know what makes us happy? A review of the economic literature on the factors associated with subjective well-being. Journal of Economic Psychology, Vol. 29, pp. 94-122

Easterlin, R.A. (2003). Building a better theory of well-being. Prepared for presentation at the conference Paradoxes of Happiness in Economics, University of Milano-Bicocca, March 21-23

EEA (2015). Air quality in Europe — 2015 report. EEA Report No 5/2015. European Environmental Agency, Denmark, https://www.eea.europa.eu/publications/air-quality-in-europe-2015/at_download/file

Ellis, F.P., Nelson, F. and Pincus, L. (1975). Mortality during heat wave in New York City, July 1972 and August and September 1973. Environmental Research, Vol. 10, No. 1, pp. 1–13

Ferreira, S., Akay, A., Brereton, F., Cuñado, J., Martinsson, P., Moro, M. and Ningal, T.F. (2013). Life Satisfaction and Air Quality in Europe. Ecological Economics, Vol. 8, pp. 1-10

Ferrer-i-Carbonell, A. and Frijters, P. (2004). How Important is Methodology for the Estimates of the Determinants of Happiness? Economic Journal, Vol. 114, pp. 641-659

Fleurbaey, M. (2009). Beyond GDP: The quest for a measure of social welfare, Journal of Economic Literature, Vol. 47, pp. 1029-1075

Franke, R. and Nielson, G. (1980). Smooth Interpolation of Large Sets of Scattered Data. International Journal for Numerical Methods in Engineering, Vol. 15, No. 11, pp. 1691-1704

Frey, B.S., Luechinger, S. and Stutzer, A. (2009). The Life Satisfaction Approach to Environmental Valuation. IZA Discussion Paper Series No. 4478. Bonn, Germany

Gerking, S. and Stanley, R.L. (1986). An economic analysis of air pollution and health: the case of St. Louis. The Review of Economics and Statistics, Vol. 68, No. 1, pp. 115-121

Giovanis, E. (2014). Relationship between well-being and recycling rates: evidence from life satisfaction approach in Britain. Journal of Environmental Economics and Policy, Vol. 3, No. 2, pp. 201-214

Giovanis, E. and Ozdamar, O. (2016). The impact of air pollution on health problems in Britain. International Journal of Sustainable Economy, Vol. 8, No. 2, pp. 163-186

Grossman, M. (1970). The Demand for Health: A Theoretical and Empirical Investigation. Ph.D. dissertation, Columbia University

Guerra, M., Ferri, C., Llibre, J., Prina, M.A. and Prince, M. (2015). Psychometric properties of EURO-D, a geriatric depression scale: a cross-cultural validation study. BMC Psychiatry, Vol. 15, pp. 12

Hamer, M., Stamatakis, E. and Batty, D.G. (2010). Objectively assessed second-hand smoke exposure and mental health in adults: cross-sectional and prospective evidence from the Scottish health survey. Archives of General Psychiatry, Vol. 67, No. 8, pp. 850-855

Hambleton, I.R., Clarke, K., Broome, H.L., Fraser, H.S., Brathwaite, F., Hennis, A.J. (2005). Historical and current predictors of self-reported health status among elderly persons in Barbados. Revista Panamericana de Salud Pública, Vol. 17, No. 5/6, pp. 342-352

Hu, L.T. and Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, Vol. 6, No. 1, pp. 1-55

Hutchinson, G., Simeon, D.T., Bain, B.C., Wyatt, G.E., Tucker, M.B. and LeFranc, E. (2004). Social and health determinants of wellbeing and life satisfaction in Jamaica. International Journal of Social Psychiatry, Vol. 50, pp. 43-53

Jin-Lee, Y., Young, W.L., Ji, Y., Yang, C., Soo, K., Young, C.S. and Dong, C.S. (2011). Evaluating the PM Damage Cost Due to Urban Air Pollution and Vehicle Emissions in Seoul, Korea. Journal of Environmental Management. Vol. 92, No. 3, pp. 603-609

Kapteyn, A., Lee, J. and Zamarro, G. (2013). Does Retirement Induced through Social Security Pension Eligibility Influence Subjective Well-being?’ A Cross-Country Comparison. Working Paper WP 2013-301. Michigan Retirement Research Center University of Michigan

Kahneman, D., Krueger, A., Schkade, D., Schwarz, N. and Stone, A. (2006). Would you be happier if you were richer? A focusing illusion. Science, Vol. 312, No. 5782, pp. 1908–1910

Kopelman, P. (2007). Health Risks Associated with Overweight and Obesity. Short Science Review. Foresight Tackling Obesities: Future Choices. Obesity Reviews, Vol. 8, No. s1, pp. 13–17

Krupnick, A., Alberini, A., Cropper, M., Simon, N., O’Brien, B., Goeree, R. and Heintzelman, M. (2002). Age, Health and the Willingness to Pay for Mortality Risk Reductions: A Contingent Valuation Survey of Ontario Residents. The Journal of Risk and Uncertainty, Vol. 24, No. 2., pp. 161-186

Lee, B.J., Kim, B. and Lee, K. (2014). Air Pollution Exposure and Cardiovascular Disease. Toxicology Research, Vol. 30, No. 2, pp. 71–75

Lelieveld, J., Evans, S.J., Fnais, M., Giannadaki, D. and Pozzer, A. (2015). The Contribution of Outdoor Air Pollution Sources to Premature Mortality on a Global Scale. Nature, Vol. 525, No. 7569, pp. 367-371

Li, F., Liu, Y., Lü, J., Liang, L., Harmer, P. (2015). Ambient Air Pollution in China Poses a Multifaceted Health Threat to Outdoor Physical Activity. Journal of Epidemiology & Community Health, Vol. 69, No. 3, pp. 201-204

Lim, Y.H., Kim, H., Kim, J.H., Bae, S., Park, H.Y. and Hong, Y.C. (2012). Air pollution and symptoms of depression in elderly adults. Environmental Health Perspectives, Vol. 120, No. 7, pp. 1023-1028

Luechinger, S. (2009). Valuing Air Quality Using the Life Satisfaction Approach. The Economic Journal, Vol. 119, No. 536, pp. 482-515

Luechinger, S. and Raschky, P. (2009). Valuing flood disasters using the life satisfaction approach, Journal of Public Economics, Vol. 93, pp. 620-633

MacKerron, G. and Mourato, S. (2009). Life satisfaction and air quality in London. Ecological Economics, Vol. 685, pp. 1441-1453

Mahmud, M. (2009). On the Contingent Valuation of Mortality Risk Reduction in Developing Countries. Applied Economics, Vol. 41, No. 2, pp. 171-181

McConnell, R., Berhane, K., Yao, L., Jerrett, M., Lurmann, F., Gilliland, F., Künzli, N., Gauderman, J., Avol, E., Thomas, D. and Peters, J. (2006). Traffic, susceptibility, and childhood asthma. Archives of Environmental Health, Vol. 114, No. 5, pp.766–772

Mehta, J.A., Kubzansky, L.D., Coull, B.A., Kloog, I., Koutrakis, P., Sparrow, D., Spiro, A., Vokonas, P. and Schwartz, J. (2015). Associations between air pollution and perceived stress: the Veterans Administration Normative Aging Study. Environmental Health, Vol. 14, pp. 10

Meijer, C., Wouterse, B., Polder, J., Koopmanscha, M. (2013). The effect of population aging on health expenditure growth: a critical review. European Journal of Ageing, Vol. 10, No. 4, pp. 353-361

O’Neill, M.S., Loomis, D. and Borja-Aburto, V.H. (2004). Ozone, area social conditions and mortality in Mexico City Environmental Research, Vol. 94, No. 3, pp. 234–242

Oosterlee, A., Drijver, M., Lebret, E. and Brunekreef, B. (1996). Chronic respiratory symptoms in children and adults living along streets with high traffic density. Occupation and Environmental Medicine, Vol. 53, No. 4, pp. 241-247

Ostro, B., Broadwin, R., Green, S., Feng, W.Y. and Lipsett, M. (2006). Fine particulate air pollution and mortality in nine California counties: results from CALFINE. Environmental Health Perspectives, Vol. 114, No.1, pp. 29-33

Ozdamar, O. and Giovanis, E. (2016). The Causal Effects of Income Support and Housing Benefits on Mental Well-Being: An Application of a Bayesian Network. Metroeconomica: International Review of Economics, Vol.68, No. 3, pp. 398-424

Parson, E.A. (2003). Protecting the Ozone Layer: Science and Strategy. Protecting the Ozone Layer: Science and Strategy (pp. 1–396).Oxford University Press

Pearl, J. (2012). The Causal Foundations of Structural Equation Modeling. R. H. Hoyle (Ed.)., Handbook of Structural Equation Modeling. New York: Guilford Press, (2012). Chapter 5, pp. 68-91

Persinger, M.A. (1980). The Weather Matrix and Human Behaviour, Praeger Publishers Inc., New York

Pischke, J.F. (2011). Money and Happiness: Evidence from the Industry Wage Structure. Discussion Paper No. 5705, IZA. Bonn, Germany

Power, M.C., Kioumourtzoglou, M.A., Hart, J.E., Okereke, O.I., Laden, F. and Weisskopf, M.G. (2015). The relation between past exposure to fine particulate air pollution and prevalent anxiety: observational cohort study. British medical Journal, 350:h1111 doi: 10.1136/bmj.h1111

Prince, M., Reischies, F. and Beekman, A. T. F. et al. (1999). Development of the EURO-D scale - a European Union initiative to compare symptoms depression in 14 European centres. British Journal of Psychiatry, Vol. 174, pp. 330-338

Rohwedder, S. and Willis, R.J. (2010). Mental Retirement. Journal of Economic Perspectives, Vol. 24, No. 1, pp. 119-138

Shima, M., Nitta, Y., and Adachi, M. (2003). Traffic-related air pollution and respiratory symptoms in children living along trunk roads in Chiba Prefecture, Japan. Journal of Epidemiology, Vol. 13, No. 2, pp. 108-119

Smith, V.K. and Huang, J.C. (1995). Can Markets Value Air Quality? A Meta-Analysis of Hedonic Property Value Models. Journal of Political Economy, Vol. 1031, pp. 209-227

Smith, J.P. and Kington, R. (1997). Demographic and economic correlates of health in old age. Demography 34: 159-170

Stiglitz, J.E., Sen, A. and Fitoussi, J.P. (2009). Commission on the Measurement of Economic Performance and Social Progress, http://www.stiglitz-sen-fitoussi.fr/documents/rapport_anglais.pdf

Szyszkowicz, M., Willey, J.B., Grafstein, E., Rowe, B.H. and Colman, I. (2010). Air pollution and emergency department visits for suicide attempts in Vancouver, Canada. Environmental Health Insights, Vol. 4, pp. 79-86

Tietenberg, T. and Lewis, L. (2009). Environmental & natural resource economics. Boston: Pearson Addison-Wesley

van Praag, B. and Ferrer-i-Carbonell A (2004). Happiness Quantified: A Satisfaction Calculus Approach. Oxford University Press

Van Vliet, P., Knape, M., De Hartog, J., Janssen, N., Hassema, H. and Brunekreef, B. (1997). Motor vehicle exhaust and chronic respiratory symptoms in children living near freeways. Environmental Research, Vol. 74, No. 2, pp. 122–132

Veenhoven, R. (1993). Happiness in nations, subjective appreciation of in 56 nations 1946-1992. Rotterdam, Netherlands: Erasmus University

Wang, H. and Mullahy, J. (2006). Willingness to Pay for Reducing Fatal Risk by Improving Air Quality: A Contingent Valuation Study in Chongqing, China. Science of the Total Environment, Vol. 367, pp. 50-57

Welsch, H. and Kuhling, J. (2009). Using happiness data for environmental valuation: Issues and applications. Journal of Economic Surveys, Vol. 23, No. 2, pp. 385–406

WHO (2014). http://apps.who.int/iris/bitstream/handle

Wilhelm, M. and Ritz, B. (2003). Residential proximity to traffic and adverse birth outcomes in Los Angeles County, California, 1994–1996. Environmental Health Perspectives, Vol. 111, No. 2, pp. 207-216.