Association between Airborne Fine Particulate Matter and Residents' Cardiovascular Diseases, Ischemic Heart Disease and Cerebral Vascular Disease Mortality in Areas with Lighter Air Pollution in China.

Association between Airborne Fine Particulate Matter and Residents' Cardiovascular Diseases, Ischemic Heart Disease and Cerebral Vascular Disease Mortality in Areas with Lighter Air Pollution in China.
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DOI:
10.3390/ijerph15091918
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发表时间:
2018-09-03
影响因子:
--
通讯作者:
Cheng J
Cheng J
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Cai J;Yu S;Pei Y;Peng C;Liao Y;Liu N;Ji J;Cheng J

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背景:中国从2013年开始开展细颗粒物(PM2.5)监测,相关研究数量较少,特别是在空气污染较轻的地区。本研究旨在探讨空气污染较轻地区PM2.5与心血管疾病(CVD)、缺血性心脏病(IHD)和脑血管疾病(EVD)死亡率的关系。方法:收集深圳市2013-2015年居民死亡、空气污染和气象资料,采用时间序列分析的泊松分布半参数广义加性模型(GAM)进行分析。结果:在7个空气质量监测点共检测到PM2.5、PM10、SO2、NO2、CO和O3等6种污染物。PM2.5日平均浓度为35.0±2 1.9μg/m~3,日平均浓度范围为7.1~137.1μg/m~3。PM2.5浓度对CVD、IHD和EVD死亡率有显著影响。政府需要加强对轻度污染地区的大气污染治理。
Background: China began to carry out fine particulate matter (PM2.5) monitoring in 2013 and the amount of related research is low, especially in areas with lighter air pollution. This study aims to explore the association between PM2.5 and cardiovascular disease (CVD), ischemic heart disease (IHD) and cerebral vascular disease (EVD) mortality in areas with lighter air pollution. Methods: Data on resident mortality, air pollution and meteorology in Shenzhen during 2013–2015 were collected and analyzed using semi-parametric generalized additive models (GAM) with Poisson distribution of time series analysis. Results: Six pollutants were measured at seven air quality monitoring sites, including PM2.5, PM10, SO2, NO2, CO and O3. The PM2.5 daily average concentration was 35.0 ± 21.9 μg/m3; the daily average concentration range was from 7.1 μg/m3 to 137.1 μg/m3. PM2.5 concentration had significant effects on CVD, IHD and EVD mortality. While PM2.5 concentration of lag5 and lag02 rose by 10 μg/m3, the excess risk (ER) of CVD mortality were 1.50% (95% CI: 0.51–2.50%) and 2.09% (95% CI: 0.79–3.41%), respectively. While PM2.5 concentration of lag2 and lag02 rose by 10 μg/m3, the ER of IHD mortality were 2.87% (95% CI: 0.71–5.07%) and 3.86% (95% CI: 1.17–6.63%), respectively. While PM2.5 concentration of lag4 and lag04 rose by 10 μg/m3, the ER of EVD mortality were 2.09% (95% CI: 2.28–3.92%) and 3.08% (95% CI: 0.68–5.53%), respectively. Conclusions: PM2.5 increased CVD mortality. The government needs to strengthen the governance of air pollution in areas with a slight pollution.
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