Vehicle electrification has been recognized for its potential to reduce emissions of air pollutants and greenhouse gases in China. Several studies have estimated how national-level policies of electric vehicle (EV) adoption might bring very large environmental and public health benefits from improved air quality to China. However, large-scale adoption is very costly, some regions derive more benefits from large-scale EV adoption than others, and the benefits of replacing internal combustion engines in specific cities is less known. Therefore, it is important for policymakers to design incentives based on regional characteristics – especially for megacities like Shanghai – which typically suffer from worse air quality and where a larger population is exposed to emissions from vehicles. Over the past five years, Shanghai has offered substantial personal subsidies for passenger EVs to accelerate its electrification efforts. Still, it remains uncertain whether EV benefits justify the strength of incentives. The purpose of our study is to evaluate the health and climate benefits of replacing light-duty gasoline vehicles (ICEVs) with battery EVs in the city of Shanghai. We assess health impacts due to ICEV emissions of primary fine particulate matter, NOx, and volatile organic compounds, and to powerplant emissions of NOx and SO2 due to EV charging. We incorporate climate benefits from reduced greenhouse gas emissions based on existing research. We find that the benefit of replacing the average ICEV with an EV in Shanghai is US$6400 (2400-14,700), with health impacts of EVs about 20 times lower than the average ICEV. Larger benefits ensue if older ICEVs are replaced, but replacing newer China ICEVs also achieves positive health benefits. As Shanghai plans to stop providing personal subsidies for EV purchases in 2024, our results show that EVs achieve public health and climate benefits and can help inform policymaking strategies in Shanghai and other megacities.

Self-perceived health is an important factor for assessing urban residents’ satisfaction and quality of life. However, few have comprehensively investigated the impact of demographics, lifestyle and health awareness, indoor environment characteristics, and neighborhood features on self-perceived health. To fill this gap, we designed a framework using multivariable regressions to derive odd rations and to analyze the determinants of self-rated health, stratified into different sub-groups divided by gender, age, and neighborhood types. The study area is Chengdu, one of the most populous cities in western China. The results show that: (1) female respondents reported worse health, with household income level and marital status significantly affecting self-rated health; (2) elderly people reported the worst health, while unique factors affected only younger people (18–29 years old), such as gender, smoking, and indoor environment characteristics; and (3) different types of neighborhoods influence their residents’ perception of health differently due to historical establishment, current population composition, and housing conditions. Our study provides new observations on neighborhood types, while agreeing with previous studies on the influences of gender and age. We contribute to the field by providing a more complex understanding of the mechanism by which people rate their own health, which is important for understanding the satisfaction of urban residents and the built environment in which they live.