Contentslistsavailableat ScienceDirect
Energy Policy
journal homepage: www.elsevier.com/locate/enpol
Impactsofresidentialenergyconsumptiononthehealthburdenof
householdairpollution:Evidencefrom135countries
QiangWang
a,b
,Mei-PoKwan
c,d
,KanZhou
e
,JieFan
e,
⁎
,YafeiWang
e
,DongshengZhan
f
a
State Key Laboratory for Subtropical Mountain Ecology of the Ministry of Science and Technology and Fujian Province, Fujian Normal University, Fuzhou 35007, PR
China
b
School of Geographical Sciences, Fujian Normal University, Fuzhou 35007, PR China
c
Department of Geography and Geographic Information Science, University of Illinois at Urbana-Champaign, Urbana, IL 61820, USA
d
Department of Human Geography and Spatial Planning, Utrecht University, the Netherlands
e
Institute of Geographic Sciences and Natural Resources Research, Key Laboratory of Regional Sustainable Development Modeling, Chinese Academy of Sciences, Beijing
100191, PR China
f
College of Economics and Management, Zhejiang University of Technology, Hangzhou 310023, PR China
ARTICLEINFO
Keywords:
Burdenfromhouseholdairpollution
Residential energy consumption
Energy transition
Spatial regression models
ABSTRACT
Knowledge about the links between burden from household air pollution (B-HAP) and residential energy con-
sumption(REC)isessentialforoptimizingresidentialenergysupplymixandimprovingthequalityofindoorair
worldwide. However, the literature on this topic from a perspective of energy transition is still lacking. This
studyinvestigatestherelationshipbetweenthevariationintheB-HAPandthestructuraltransitionofRECusing
cross-sectionaldataof135countriesduring1990–2015.TheresultsindicatethatcountrieswithhighB-HAPare
clusteredinAfricaandAsia,whicharemainlymiddle-andlow-incomecountries.Meanwhile,withthestructural
transition of REC, the global B-HAP has exhibited a decreasing trend. Moreover, the findings show that re-
sidential electricity use has a greater impact on B-HAP reduction than other household fuels. Although the
impacts of liquefied petroleum gas usage changed considerably during the study period, its contribution to
reducing the B-HAP remains highly significant, while household natural gas use exhibited a significant and
stableeffectonB-HAPreduction.Incontrast,solidbiomassuseshowedanincreasinglyadverseimpactontheB-
HAP, and the impact of coal use on the B-HAP became statistically significant since 2010, with an increasing
trend.
1. Introduction
Associations between long-term exposure to air pollution and in-
creased mortality have been extensively studied in scientific research
(Lelieveldetal.,2015;JiandZhao,2015;Evansetal.,1984;Kolokotsa
andSantamouris,2015;Liuetal.,2018;Chenetal.,2017;Lottetal.,
2017;Raoetal.,2017;Yuetal.,2018).TheWorldHealthOrganization
(WHO)estimatedthat7.3millionpeopleworldwidedieannuallydueto
airpollution,andapproximately60%ofthesedeathsareattributableto
household exposure to smoke from dirty cookstoves and fuels (WHO,
2018).Inasense,householdairpollution(HAP),whichisgeneratedby
household fuel combustion in and around the home, has become the
world's leading environmental health risk. Since residential energy
consumption (REC) is the major source of HAP, it has considerable
impacts on mortality and morbidity in important ways. Along with
increasing population and major improvement in life quality, global
REC increased by over 33.7% during 1990–2015. Meanwhile, as the
dramaticincreaseinhouseholdswithaccesstoelectricity,naturalgas,
liquefiedpetroleumgas(LPG),andotherfuelswithlessornopollution,
the death rate from HAP dramatically decreased from 63.68 to 38.72
per100,000peopleduringtheperiod(IHME, 2015).Despitesuchim-
provement in household air quality, approximately 3.1 billion people
worldwide still rely on polluting energy sources for cooking, heating,
andlighting(WHO,2018),andtheglobalhealthriskfromRECpersists
foralongtime,especiallyfordevelopingcountries.
However, any policy or strategy that aims at reducing the health
riskattributabletoHAPrequiresabetterunderstandingoftheimpacts
of REC on the burden from HAP (B-HAP). Biomass (wood, crop re-
sidues,andanimaldung)andsolidfossilfuels(coalandcoke)burned
inside poorly ventilated spaces with thermally inefficient stoves has
beensuggestedastheprimarycauseofchronicobstructivepulmonary
disease, high blood pressure and lung cancer in adults, pneumonia in
https://doi.org/10.1016/j.enpol.2018.12.037
Received28August2018;Receivedinrevisedform19December2018;Accepted21December2018
⁎
Corresponding author.
E-mail address: fanj@igsnrr.ac.cn (J.Fan).
Energy Policy 128 (2019) 284–295
0301-4215/ © 2019 Elsevier Ltd. All rights reserved.
T