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Hung and Nghiem

                urbanization rate associates with a 0.542 μg/m  increase   associates with higher PM2.5  levels.  This  finding  is
                                                        3
                in PM2.5 Column 2 adds basic controls and year fixed   consistent  with  Vietnam  remaining  on the ascending
                effects,  slightly  reducing  the  coefficient  to  0.496  but   portion  of the  environmental  Kuznets  curve,  where
                maintaining high statistical significance.          industrialization  and increased consumption outpace
                  Most  importantly,  columns  3  and  4  present  fixed-  environmental improvements.
                effect  specifications  that  control  for  unobserved   The policy implementation variable shows a negative
                time-invariant  city  characteristics.  In our preferred   coefficient  (−1.495,  significant  at  5%),  suggesting
                specification with fixed effects and full controls (column   that  cities  implementing  air  quality  measures  after
                4), a 1%point increase in urbanization rate associates   2017  experienced  PM2.5  reductions  of  approximately
                with  a  0.357  μg/m   increase  in  PM2.5  concentration.   1.5 μg/m  relative to cities without such policies. While
                                                                            3
                                 3
                This estimate is somewhat lower than the OLS results,   statistically  significant,  this  reduction  represents  only
                suggesting  that  unobserved  city  characteristics  were   about 4 – 5% of average PM2.5 levels, indicating modest
                creating some upward bias in the simple correlation.  policy effectiveness to date.
                  The fixed-effect estimate represents the within-city   We  also  examined  urbanization  effects  on  other
                relationship  over  time  – as individual  cities  become   pollutants where data permitted. For the subset of five cities
                more urbanized, their pollution levels increase by   with consistent NO2 monitoring, urbanization showed
                approximately  0.36  μg/m  per percentage  point of   a  positive  and  significant  association  (approximately
                                        3
                urbanization. Given that our sample cities experienced   0.15 ppb increase per percentage point of urbanization,
                urbanization  increases ranging from 5 to 15% points   p<0.05). Similarly, urbanization demonstrated positive
                over the study period, this implies pollution increases of   associations with SO2 levels, though estimates were less
                2 – 5 μg/m  attributable to urbanization alone.     precise due to inconsistent monitoring coverage.
                         3
                  Control  variables  provide  additional  insights  into
                pollution determinants.  GDP per capita enters with a   4.2. Air pollution and health outcomes
                positive coefficient (0.103, significant at 5%), indicating   Table 3 presents results from our IV analysis of PM2.5
                that  economic  growth, holding urbanization  constant,   effects  on  respiratory  disease  rates,  comparing  OLS

                 Table 3. Effect of PM2.5 on respiratory disease rates (IV estimation)
                 Variable                        (1) OLS          (2) First stage      (3) 2SLS           (4) FE-IV
                                                2.980***                               2.567***           2.315***
                 PM2.5
                                                 (0.092)                                (0.203)            (0.271)
                 Industry share                                    0.378***
                                                                    (0.035)
                 Urbanization rate               0.124*            0.312***             0.057               0.042
                                                 (0.068)            (0.051)             (0.074)            (0.083)
                 GDP per capita                   0.103*            0.097**              0.068              0.052
                                                 (0.058)            (0.044)             (0.063)            (0.068)
                 Policy implementation           −0.742            −1.547**             −0.125             −0.095
                                                 (0.821)            (0.631)             (0.889)            (0.912)
                 Constant                       32.158***           −5.924            41.376***           48.243***
                                                 (5.793)            (4.024)             (6.875)            (7.321)
                 Year fixed effects                Yes                Yes                Yes                Yes
                 City fixed effects                No                 No                 No                 Yes
                 Observations                     100                 100                100                100
                 R-squared                        0.914              0.839              0.918               0.934
                 First-stage F-statistic                                                117.83              92.47
                 Notes: Robust standard errors in parentheses. *p <0.1, **p <0.05, ***p <0.01.
                 Abbreviations: FE: Fixed effects; GDP: Gross domestic product; IV: Instrumental variable; OLS: Ordinary least squares;
                 2SLS: Two-stage least squares.



                Volume 22 Issue 3 (2025)                       204                           doi: 10.36922/AJWEP025130088
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