Freeman Spogli Institute for International Studies Center for Health Policy/Center for Primary Care and Outcomes Research Stanford University


CHP/PCOR Publications


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Air Pollution and Medical Care Use by Older Americans: A Cross-Area Analysis

Journal Article

Authors
Victor R. Fuchs - Stanford University
SR Frank

Published by
Health Affairs, Vol. 21 no. 6, page(s) 207-214
November-December, 2002


The case for reduction of air pollution has been predicated primarily on the frequently observed relationship between pollution and mortality and morbidity. Because pollution control usually involves costs, a rational public policy will weigh the benefits against the costs. This study investigates another potential benefit from pollution reduction: namely, decreased use of medical care. We find a strong relationship between particulate matter and inpatient and outpatient care at ages 65-84 across 183 metropolitan statistical areas (MSAs). The relationship is statistically significant at a very high level of confidence even after the region and population size of the areas, education, real income, racial composition, use of cigarettes, and obesity are controlled for.

Topics: Health policy