Perceived Environmental Pollution and Its Impact on Health in China, Japan, and South Korea

  • Received : 2017.03.18
  • Accepted : 2017.04.17
  • Published : 2017.05.31


Objectives: Environmental pollution is a significant global issue. Both objective (scientifically measured) environmental pollution and perceived levels of pollution are important predictors of self-reported health. The purpose of this study was to compare the associations between perceived environmental pollution and health in China, Japan, and South Korea. Methods: Data were obtained from the East Asian Social Survey and the Cross-National Survey Data Sets: Health and Society in East Asia, 2010 (n=7938; China, n=3866; Japan, n=2496; South Korea, n=1576). Results: South Koreans perceived environmental pollution to be the most severe, while Japanese participants perceived environmental pollution to be the least severe. Although the Japanese did not perceive environmental pollution to be very severe, their self-rated physical health was significantly related to perceived environmental pollution, while the analogous relationships were not significant for the Chinese or Korean participants. Better mental health was related to lower levels of perceived air pollution in China, as well as lower levels of perceived all types of pollution in Japan and lower levels of perceived noise pollution in South Korea. Conclusions: Physical and mental health and individual socio-demographic characteristics were associated with levels of perceived environmental pollution, but with different patterns among these three countries.


  1. Konrad-Adenauer-Stiftung. Climate change in Asia [cited 2017 Mar 17]. Available from:
  2. Vadrevu KP, Ohara T, Justice C. Air pollution in Asia. Environ Pollut 2014;195:233-235.
  3. Raaschou-Nielsen O, Beelen R, Wang M, Hoek G, Andersen ZJ, Hoffmann B, et al. Particulate matter air pollution components and risk for lung cancer. Environ Int 2016;87:66-73.
  4. Schultz ES, Hallberg J, Bellander T, Bergstrom A, Bottai M, Chiesa F, et al. Early-life exposure to traffic-related air pollution and lung function in adolescence. Am J Respir Crit Care Med 2016;193(2):171-177.
  5. Goldizen FC, Sly PD, Knibbs LD. Respiratory effects of air pollution on children. Pediatr Pulmonol 2016;51(1):94-108.
  6. Shanley RP, Hayes RB, Cromar KR, Ito K, Gordon T, Ahn J. Particulate air pollution and clinical cardiovascular disease risk factors. Epidemiology 2016;27(2):291-298.
  7. Grabow WO. Waterborne diseases: update on water quality assessment and control. Water SA 1996:22(2):193-202.
  8. Han Y, Yan W. Bimetallic nickel-iron nanoparticles for groundwater decontamination: effect of groundwater constituents on surface deactivation. Water Res 2014;66:149-159.
  9. Holzman DC. Fighting noise pollution: a public health strategy. Environ Health Perspect 2014;122(2):A58.
  10. Tabraiz S, Ahmad S, Shehzadi I, Asif MB. Study of physio-psychological effects on traffic wardens due to traffic noise pollution; exposure-effect relation. J Environ Health Sci Eng 2015;13:30.
  11. Piro FN, Madsen C, Naess O, Nafstad P, Claussen B. A comparison of self reported air pollution problems and GIS-modeled levels of air pollution in people with and without chronic diseases. Environ Health 2008;7:9.
  12. Yen IH, Yelin EH, Katz P, Eisner MD, Blanc PD. Perceived neighborhood problems and quality of life, physical functioning, and depressive symptoms among adults with asthma. Am J Public Health 2006;96(5):873-879.
  13. Beach M. Water, pollution, and public health in China. Lancet 2001;358(9283):735.
  14. Chen J, Chen S, Landry PF. Migration, environmental hazards, and health outcomes in China. Soc Sci Med 2013;80:85-95.
  15. Gao J, Yuan Z, Liu X, Xia X, Huang X, Dong Z. Improving air pollution control policy in China: a perspective based on costbenefit analysis. Sci Total Environ 2016;543(Pt A):307-314.
  16. Guo Y, Zeng H, Zheng R, Li S, Barnett AG, Zhang S, et al. The association between lung cancer incidence and ambient air pollution in China: a spatiotemporal analysis. Environ Res 2016;144(Pt A):60-65.
  17. Dong GH, Zhang P, Sun B, Zhang L, Chen X, Ma N, et al. Longterm exposure to ambient air pollution and respiratory disease mortality in Shenyang, China: a 12-year populationbased retrospective cohort study. Respiration 2012;84(5):360-368.
  18. Li L, Zhou Q. Atmospheric mercury pollution in typical cities of China and its influences on human health. Asian J Ecotoxicol 2014;9(5):832-842 (Chinese).
  19. Han MH, Yi HJ, Kim YS, Kim YS. Effect of seasonal and monthly variation in weather and air pollution factors on stroke incidence in Seoul, Korea. Stroke 2015;46(4):927-935.
  20. Tomita A, Nakura Y, Ishikawa T. Review of coastal management policy in Japan. J Coast Conserv 2015;19(4):393-404.
  21. Coulibaly S, Minami H, Abe M, Hasei T, Sera N, Yamamoto S, et al. Seasonal fluctuations in air pollution in Dazaifu, Japan, and effect of long-range transport from mainland East Asia. Biol Pharm Bull 2015;38(9):1395-1403.
  22. Yamazaki S, Nitta H, Murakami Y, Fukuhara S. Association between ambient air pollution and health-related quality of life in Japan: ecological study. Int J Environ Health Res 2005;15(5):383-391.
  23. Yorifuji T, Kashima S, Doi H. Outdoor air pollution and term low birth weight in Japan. Environ Int 2015;74:106-111.
  24. Kim KH, Sul KH, Szulejko JE, Chambers SD, Feng X, Lee MH. Progress in the reduction of carbon monoxide levels in major urban areas in Korea. Environ Pollut 2015;207:420-428.
  25. Han ZX, Lei ZH, Zhang CL, Xiong W, Gan ZL, Hu P, et al. Noise monitoring and adverse health effects in residents in different functional areas of Luzhou, China. Asia Pac J Public Health 2015;27(2 Suppl):93S-99S.
  26. Ha EH, Lee JT, Kim H, Hong YC, Lee BE, Park HS, et al. Infant susceptibility of mortality to air pollution in Seoul, South Korea. Pediatrics 2003;111(2):284-290.
  27. Lee JT, Kim H, Song H, Hong YC, Cho YS, Shin SY, et al. Air pollution and asthma among children in Seoul, Korea. Epidemiology 2002;13(4):481-484.
  28. Leem JH, Kim ST, Kim HC. Public-health impact of outdoor air pollution for 2(nd) air pollution management policy in Seoul metropolitan area, Korea. Ann Occup Environ Med 2015;27:7.
  29. Ha J. Applying policy and health effects of air pollution in South Korea: focus on ambient air quality standards. Environ Health Toxicol 2014;29:e2014011.
  30. Klæboe R, Kolbenstvedt M, Clench-Aas J, Bartonova A. Oslo traffic study - part 1: an integrated approach to assess the combined effects of noise and air pollution on annoyance. Atmos Environ 2000;34(27): 4727-4736.
  31. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996;34(3):220-233.
  32. Ware JE, Kosinski M, Turner-Bowker DM, Gandek B; Quality-Metric Incorporated. How to score version 2 of the SF-12 Health Survey (with a supplement documenting version 1). Lincoln: QualityMetric Inc.; 2002.
  33. McDowell I. Measuring health: a guide to rating scales and questionnaires. Oxford: Oxford University Press; 2006, p. 666-670.
  34. World Health Organization. Global Health Observatory (GHO) data: exposure to ambient air pollution [cited 2017 Mar 17]. Available from:
  35. Kim HS, Chung YS, Yoon MB. An analysis on the impact of large-scale transports of dust pollution on air quality in East Asia as observed in central Korea in 2014. Air Qual Atmos Health 2016;9(1):83-93.
  36. Ministry of the Environment Government of Japan. Japanese environmental pollution experience; 2016 [cited 2017 Mar 17]. Available from:
  37. Osofsky HJ, Osofsky JD, Hansel TC. Deepwater horizon oil spill: mental health effects on residents in heavily affected areas. Disaster Med Public Health Prep 2011;5(4):280-286.
  38. Tzivian L, Winkler A, Dlugaj M, Schikowski T, Vossoughi M, Fuks K, et al. Effect of long-term outdoor air pollution and noise on cognitive and psychological functions in adults. Int J Hyg Environ Health 2015;218(1):1-11.
  39. Claeson AS, Liden E, Nordin M, Nordin S. The role of perceived pollution and health risk perception in annoyance and health symptoms: a population-based study of odorous air pollution. Int Arch Occup Environ Health 2013;86(3):367-374.
  40. World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks; 2009 [cited 2017 Mar 17]. Available from: