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Long-term trends in particulate-bound polycyclic aromatic hydrocarbon (PAH) concentrations in air in Zhengzhou (a severely polluted city in central China) between 2010 and 2018 were studied to assess the effectiveness of an air pollution prevention and control action plan (APPCAP) implemented in 2013. The PM 2.5 , sum of 16 PAHs (Σ16 PAHs), benzo[a]pyrene (BaP), and BaP toxic equivalent concentrations were high before 2013 but 41%, 77%, 77%, and 78% lower, respectively, after the APPCAP. The maximum daily Σ16 PAHs concentration between 2014 and 2018 was 338 ng/m3, 65% lower than the maximum of 961 ng/m3 between 2010 and 2013. The ratio between the Σ16 PAHs concentrations in winter and summer decreased over time and was 8.0 in 2011 and 1.5 in 2017. The most abundant PAH was benzo[b]fluoranthene, for which the 9-year mean concentration was 14 ± 21 ng/m3 (15% of the Σ16 PAHs concentration). The mean benzo[b]fluoranthene concentration decreased from 28 ± 27 ng/m3 before to 5 ± 4 ng/m3 after the APPCAP (an 83% decrease). The mean daily BaP concentrations were 0.1–62.8 ng/m3, and >56% exceeded the daily standard limit of 2.5 ng/m3 for air. The BaP concentration decreased from 10 ± 8 ng/m3 before to 2 ± 2 ng/m3 after the APPCAP (a 77% decrease). Diagnostic ratios and positive matrix factorization model results indicated that coal combustion and vehicle exhausts were important sources of PAHs throughout the study period, contributing >70% of the Σ16 PAHs concentrations. The APPCAP increased the relative contribution of vehicle exhausts from 29% to 35% but decreased the Σ16 PAHs concentration attributed to vehicle exhausts from 48 to 12 ng/m3. The PAH concentration attributed to vehicle exhausts decreased by 79% even though vehicle numbers strongly increased, indicating that pollution caused by vehicles was controlled well. The relative contribution of coal combustion remained stable but the PAH concentration attributed to coal combustion decreased from 68 ng/m3 before to 13 ng/m3 after the APPCAP. Vehicles made dominant contributions to the incremental lifetime cancer risk (ILCRs) before and after the APPCAP even though the APPCAP decreased the ILCRs by 78%. Coal combustion was the dominant source of PAHs but contributed only 12–15% of the ILCRs. The APPCAP decreased PAH emissions and changed the contributions of different sources of PAHs, and thus strongly affected the overall toxicity of PAHs to humans. • Reduction rates of 41 and 77% on PM 2.5 and PAHs as a co-benefit of air pollution controls plan were found over 9-year span. • The maximum daily average concentration of 16 PAHs decreased by 65% from 961 ng/m3 before APPCAP to 338 ng/m3 after APPCAP. • Ratios of 16 PAHs between winter and summer showed a decreasing trend from 8.0 in 2011 to 1.5 in 2017. • Absolute concentrations of 16 PAHs decreased by 75–80% for vehicle, coal combustion, BB and coke oven emissions after APPCAP. [ABSTRACT FROM AUTHOR]