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Effects of urbanization on air and health

                  Where  IndustryShareᵢₜ represents the percentage   income, employment, or other pathways that we control
                contribution of industrial activities to the city’s GDP.  for in our specification.
                  The validity of our IV approach depends on two key
                assumptions: relevance  and the exclusion restriction.   4. Results
                The relevance condition requires that industrial share
                significantly affects PM2.5 levels, which we test through   4.1. Urbanization and air pollution
                first-stage F-statistics. The exclusion restriction requires   Table  1  presents  the  descriptive  statistics  of the
                that  industrial  share  affects  health  outcomes  only   variables included in the model and Table 2 presents
                through PM2.5, not through other channels.          regression  results  for  the  effect  of  urbanization
                  We provide theoretical justification for the exclusion   on  PM2.5  concentrations  across  different  model
                restriction  by arguing that,  conditional  on overall   specifications.  The results consistently demonstrate
                economic  development  (GDP per capita), city and   a  positive  and  statistically  significant  relationship
                year  fixed  effects,  and  other  controls,  the  specific   between urbanization rates and PM2.5 levels across all
                composition of economic output between industry and   specifications.
                services should not directly influence respiratory health   Column 1 shows a simple OLS regression without
                outcomes.  Industrial  composition  primarily  affects   controls  or  fixed  effects,  yielding  a  coefficient  of
                health through pollution emissions, rather than through   0.542, indicating that each percentage point increase in

                 Table 1. Descriptive statistics for key variables
                 Variable                              Mean           Standard deviation          Min           Max
                 PM2.5 (μg/m )                         33.45                 6.58                 23.4          48.3
                          3
                 Urbanization rate (%)                 70.18                11.82                 51.8          91.0
                 Respiratory disease rate (per 1000)   145.28               16.97                116.9          178.7
                 Population (thousands)                2722.0               3141.8                350           8950
                 Population density (persons/km )      2648.7               1579.3                945           6121
                                          2
                 GDP per capita (million VND)          82.63                15.21                 65.0          124.3
                 Industrial output (trillion VND)      485.15               324.72                290           1342
                 Industry share (%)                    27.85                 9.36                 15.0          46.2
                 Policy implementation (binary)         0.38                 0.49                  0             1
                 Abbreviations: GDP: Gross domestic product; PM2.5: Fine particulate matter.

                 Table 2. Effect of urbanization on PM2.5 levels
                 Variable                  (1) OLS        (2) OLS with controls      (3) FE        (4) FE with controls
                 Urbanization rate         0.542***            0.496***             0.384***           0.357***
                                           (0.032)              (0.041)              (0.048)            (0.052)
                 GDP per capita                                 0.076*                                  0.103**
                                                                (0.041)                                 (0.045)
                 Policy implementation                         −1.623**                                −1.495**
                                                                (0.724)                                 (0.638)
                 Constant                   −4.526              −7.842               6.872               1.953
                                           (3.481)              (4.135)              (5.237)            (4.926)
                 Year fixed effects          No                  Yes                  No                  Yes
                 City fixed effects          No                   No                  Yes                 Yes
                 Observations                100                 100                  100                 100
                 R-squared                  0.741                0.762               0.824               0.847
                 Notes: Robust standard errors in parentheses. *p<0.1, **p<0.05, ***p<0.01.
                 Abbreviations: FE: Fixed effects; GDP: Gross domestic product; OLS: Ordinary least squares.



                Volume 22 Issue 3 (2025)                       203                           doi: 10.36922/AJWEP025130088
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