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Energy consumption, air pollution, and public health in China: based
on the Two-Stage Dynamic Undesirable DEA model
Hang Lin
1
&Huangxin Chen
1
&Lin Zhang
1
&Youjia Luo
1
&Yi Shi
1
&Wenjie Zou
1
Received: 31 December 2020 /Accepted: 7 April 2021
#Springer Nature B.V. 2021
Abstract
The rapid development of China’s economy has largely relied on energyconsumption, which has caused serious air pollution and
affected public health, and economic development, energy consumption, air pollution, and public health have nowadays become
the focus of academic attention. However, the previous literature failed to consider undesirable output when constructing the
Dynamic Network DEA model to study the efficiencies of energy consumption, air pollution, and public health. As a result, past
studies did not employ those three issues in a structure to effectively reflect and solve the problems. Therefore, this paper
constructs the Two-Stage Dynamic Undesirable DEA model and puts energy consumption, air pollution, and public health into
the same framework in order to fill the gap in the literature. Findings show that the production consumption efficiency stage is
better than the health protection stage, and that the efficiency values of variables vary significantly in different regions. The
efficiency of tumor and tuberculosis is the lowest, with oil consumption and birthrate efficiencies are the best, followed by coal,
nitrogen oxide (NO
x
), and dust efficiencies. Coal efficiency exhibits a fluctuating downward trend, whereas the efficiencies of
electricity, air pollutants, tuberculosis, and tumor tend to fluctuate upwards during the research period. In consideration of the
varying performances of different regions in the two stages, we put forward suggestions based on these findings to improve the
efficiencies of energy, environment, and public health in China.
Keywords Energy efficiency .Pollution efficiency .Health efficiency .Two-Stage Dynamic Undesirable DEA model
Introduction
Ever since the Industrial Revolution, energy has increasingly
become an important driving force for global economic and
social progress, but excessive energy consumption also aggra-
vates the emissions of pollutants, causing bad air quality and
threatening public health. The World Health Organization
(WHO) and United Nations Environment Program (UNEP)
since the 1980s have established an air pollution monitoring
networkcovering35citiesindevelopingcountriesandmore
than 50 cities in developed countries to help solve the issues
caused by air pollution.
China’s rapid economic development in the new millenni-
um has led to increasing energy consumption. In 2017, do-
mestic per capita energy consumption reached 3235 kg (stan-
dard coal) compared to 2000 kg (standard coal) in 2005. The
country’s energy consumption is dominated by coal, oil, and
electricity, which easily produce an immense amount of air
pollutants such as carbon monoxide, sulfur dioxide (SO
2
), and
dust. These air pollutants are prone to enter the human body
through the respiratory system and further increase the risk of
major diseases such as tumor and tuberculosis. According to
the China Health and Health Statistics Yearbook, from 2013
to 2018 the number of emergency cases of tuberculosis and
tumors in China increased by 32.8% and 72.8%, respectively.
In addition, China’s national average number of hospital visits
of residents (time) rose from 5.38 in 2013 to 6.23 in 2019.
H.L. and H.C. contributed equally to this work and should be considered
as co-first authors.
*Wenjie Zou
fjgt263@fjnu.edu.cn
Hang Lin
lh15394412625@163.com
Huangxin Chen
qbx20180005@yjs.fjnu.edu.cn
Lin Zhang
Zhanglin_Daniel@163.com
Youjia Luo
tmppchristina@163.com
Yi Shi
shiyi580231@163.com
1
School of Economics, Fujian Normal University,
Fuzhou 350108, China
https://doi.org/10.1007/s11869-021-01025-7
/ Published online: 24 April 2021
Air Quality, Atmosphere & Health (2021) 14:1349–1364
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