5 Nov
2025
Macro-level indicators of household and ambient air pollution mortality risk: global evidence
Household and ambient air pollution (HAAP), a major global health risk, is linked to a lower quality of life and is responsible for over six million premature annual deaths globally. We investigate country-level socioeconomic, environmental, energy, and health determinants of HAAP mortality rates, using regression analyses and global GIS mapping of predicted probabilities on high HAAP mortality risk. While related studies are predominantly country-specific based on micro-level factors, our study provides global evidence (n=150 countries) based on a broad range of macro-level indicators. Our findings reveal that rural access to clean cooking fuels and technology, as well as greater healthcare expenditure are critical for reducing HAAP deaths, whereas rurality and energy deprivation significantly increase mortality risks. While advanced economies show clear resilience to HAAP mortality risks, emerging and developing economies are disproportionately vulnerable. Contrary to related literature, our analyses also show that males are more at risk of HAAP mortality than females. Our results are robust to alternative model specifications and remain consistent over repeated samples. We further contextualise our global evidence with previous country-specific case studies on HAAP risks. Our research helps to appraise the progress towards achieving the UN Sustainable Development Goals 3, 5, and 7, addressing their associated targets and indicators, providing guidance for policymakers to strengthen efforts to reduce HAAP mortality and improve living conditions globally.