Xi Chen
1,2*1 Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, USA.
2 Yale Department of Economics, New Haven, CT, USA.
Abstract
Cognitive functioning is critical as in our daily life a host of real-world complex decisions in high-stakes markets
have to be made. The decision-making process can be vulnerable to environmental stressors. Summarizing the
growing economic and epidemiologic evidence linking air pollution, cognition performance and real-world
decision-making, we first illustrate key physiological and psychological pathways between air pollution and
cognition. We then document the main patterns of air pollution affecting cognitive test performance by type
of cognitive tests, gender, window of exposure, age profile, and educational attainment. We further extend to
a review of real-world decision-making that has been found to be affected by air pollution and the resulting
cognitive impairments. Finally, rich implications on environmental health policies are drawn based on existing
evaluations of social costs of air pollution.