To investigate the spatiotemporal patterns of fine particulate matter (PM
2.5) under years of control measures in China, a comprehensive analysis including statistical analysis, geographical analysis, and health impact assessment was conducted on millions of hourly PM
2.5 concentrations data during the
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To investigate the spatiotemporal patterns of fine particulate matter (PM
2.5) under years of control measures in China, a comprehensive analysis including statistical analysis, geographical analysis, and health impact assessment was conducted on millions of hourly PM
2.5 concentrations data during the period of 2017–2020 in six typical major urban agglomerations. During the period of 2017–2020, PM
2.5 concentrations in the Beijing–Tianjin–Hebei urban agglomeration (BTH-UA), Central Plains urban agglomeration (CP-UA), Yangtze River Delta urban agglomeration (YRD-UA), Triangle of Central China urban agglomeration (TC-UA), Chengdu–Chongqing urban agglomeration (CY-UA), and Pearl River Delta urban agglomeration (PRD-UA) decreased at a rate of 6.69, 5.57, 5.45, 3.85, 4.66, and 4.1 µg/m
3/year, respectively. PM
2.5 concentration in BTH-UA decreased by 30.5% over four years, with an annual average of 44.6 µg/m
3 in 2020. CP-UA showed the lowest reduction ratio (22.1%) among the six regions, making it the most polluted urban agglomeration. In southern BTH-UA, northeastern CP-UA, and northwestern TC-UA, PM
2.5 concentrations with high levels formed a high–high agglomeration, indicating pollution caused by source emission in these areas was high and hard to control. Atmospheric temperature, pressure, and wind speed have important influences on PM
2.5 concentrations. RH has a positive correlation with PM
2.5 concentration in north China but a negative correlation in south China. We estimated that meteorological conditions can explain 16.7–63.9% of the PM
2.5 changes in 129 cities, with an average of 33.4%, indicating other factors including anthropogenic emissions dominated the PM
2.5 changes. Among the six urban agglomerations, PM
2.5 concentrations in the CP-UA were most influenced by the meteorological change. Benefiting from the reduction in PM
2.5 concentration, the total respiratory premature mortalities in six regions decreased by 73.1%, from 2017 to 2020. The CP-UA had the highest respiratory premature mortality in six urban agglomerations. We suggested that the CP-UA needs more attention and stricter pollution control measures.
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