Region-specific solutions for clean cooking and heating in rural China: a cost–benefit analysis

IF 20.5 1区 医学 Q1 ENVIRONMENTAL SCIENCES
Lancet Planetary Health Pub Date : 2026-03-01 Epub Date: 2026-03-19 DOI:10.1016/j.lanplh.2026.101439
Guofeng Shen PhD , Yuanzheng Zhang PhD , Ke Jiang BSc , Ajay Pillarisetti PhD , Wenjun Meng PhD , Qirui Zhong PhD , Huizhong Shen PhD , Prof Hefa Cheng PhD , Prof Shu Tao PhD
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引用次数: 0

Abstract

Background

Pervasive use of unclean solid fuels is impeding the transition to sustainable household energy by 2030 in many low-income and middle-income countries. The coal to gas or electricity policy in rural north China effectively reduced wintertime air pollution; however, this roadmap was challenged in the nationwide clean heating renovation due to unaffordability and reliable energy supply, rendering it unsustainable.

Methods

This study developed a new, multi-pronged framework for clean cooking and heating in rural China, including both long-term and short-term heating regions, relying primarily on affordable electrification with supplemental biofuel pellets. We performed cost–benefit analysis of this cleaning approach following the cause–effect chain from changes in pollutant emissions, indoor and outdoor air quality, and monetised health outcomes.

Findings

Under the investment cap for power grid renovation below ¥8000 per household (scenario H3), three-quarters of the population in the long-term heating region (ie, one-third of the national total rural population), could switch to electric heating. For the remaining households, affordable biofuel pellets can be adopted for heating (scenario H9). This transition would deliver notable benefits in reducing national residential primary PM2·5 emissions by 65% (IQR 61–70) from the 724 Gg (612–967) in baseline H0 to 256 Gg (205–312) in H9, lowering exposure to PM2·5 by 20% (16–25) from 50·2 μg/m3 (40·4–63·5) in H0 to 40·4 μg/m3 (33·1–50·2) in H9, and consequently averting 51 190 (37 480–66 990) premature deaths, with the estimated monetised health benefits being nearly 2·55 (1·43–4·40) times the cost. Meanwhile, clean cooking transition for the whole rural population (scenario C2) would avert 78 740 (56 240–103 390) premature deaths, with the benefit–cost ratio of 7·70 (4·17–14·70). Combining clean cooking and heating would yield more substantial effects across the country. Costs and health benefits exhibit spatial variability and differ across age groups.

Interpretation

The proposed pragmatic household clean energy framework would benefit over 1 million rural residents in China who still rely on traditional solid fuels to meet basic energy needs, with the monetised health benefits notably higher than the associated cost.

Funding

National Natural Science Foundation of China and Ministry of Education of the People's Republic of China.
中国农村地区清洁烹饪和取暖解决方案:成本效益分析。
背景:不清洁固体燃料的普遍使用正在阻碍许多低收入和中等收入国家到2030年向可持续家庭能源过渡。中国北方农村的煤改气或电政策有效地减少了冬季空气污染;然而,这一路线图在全国范围内的清洁供暖改造中受到挑战,因为难以负担和可靠的能源供应,使其不可持续。方法:本研究开发了一个新的、多管齐下的框架,用于中国农村的清洁烹饪和供暖,包括长期和短期供暖地区,主要依靠可负担得起的电气化和补充生物燃料颗粒。我们根据污染物排放、室内和室外空气质量以及货币化健康结果变化的因果链,对这种清洁方法进行了成本效益分析。研究发现:在每户8000元以下的电网改造投资上限(情景H3)下,长期供热地区四分之三的人口(即全国农村总人口的三分之一)可以改用电供暖。对于剩余的家庭,可采用价格合理的生物燃料颗粒进行供暖(方案H9)。这一转变将产生显著的效益,将全国住宅初级pm2.5排放量从基线H0的724 Gg(612-967)减少到H9的256 Gg(201 -312),将pm2.5暴露量从H0的50.2 μg/m3(40.4 - 63.5)降低到H9的40.4 μg/m3(33.1 - 502),减少20%(16-25),从而避免51 190(37 480-66 990)例过早死亡,估计的货币化健康效益几乎是成本的2.55(1.43 - 4.40)倍。同时,面向全农村人口的清洁烹饪转型(情景C2)将避免78 740(56 240-103 390)例过早死亡,收益成本比为7.70(4.17 - 14.70)。将清洁烹饪和取暖结合起来将在全国范围内产生更大的影响。成本和健康效益表现出空间变异性,并因年龄组而异。解读:提出的实用家庭清洁能源框架将使中国100多万仍依赖传统固体燃料满足基本能源需求的农村居民受益,货币化的健康效益明显高于相关成本。基金资助:国家自然科学基金和中华人民共和国教育部
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来源期刊
CiteScore
28.40
自引率
2.30%
发文量
272
审稿时长
8 weeks
期刊介绍: The Lancet Planetary Health is a gold Open Access journal dedicated to investigating and addressing the multifaceted determinants of healthy human civilizations and their impact on natural systems. Positioned as a key player in sustainable development, the journal covers a broad, interdisciplinary scope, encompassing areas such as poverty, nutrition, gender equity, water and sanitation, energy, economic growth, industrialization, inequality, urbanization, human consumption and production, climate change, ocean health, land use, peace, and justice. With a commitment to publishing high-quality research, comment, and correspondence, it aims to be the leading journal for sustainable development in the face of unprecedented dangers and threats.
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