Short-term effect of fine particulate matter and ozone on non-accidental mortality and respiratory mortality in Lishui district, China.

Short-term effect of fine particulate matter and ozone on non-accidental mortality and respiratory mortality in Lishui district, China.
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丽水地区细颗粒物和臭氧对非意外死亡和呼吸系统死亡的短期影响

DOI:
10.1186/s12889-021-11713-9
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发表时间:
2021-09-13
期刊:
影响因子:
4.5
通讯作者:
Yin L
Yin L
中科院分区:
医学2区
文献类型:
--
作者:
Chen Y;Jiao Z;Chen P;Fan L;Zhou X;Pu Y;Du W;Yin L

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近年来,空气污染已经成为中国迫在眉睫的问题。很少有研究调查空气污染对中老年人死亡率的影响。因此,本研究旨在评价南京市丽水区PM2.5(细颗粒物)和臭氧(臭氧)对中老年人非意外死亡和呼吸系统死亡的影响,为采取有效的大气污染防治措施提供依据。利用丽水区2015-2019年的日死亡率和大气监测数据,应用广义加性模型和时间序列分析方法,评价丽水区PM2.5和臭氧暴露与日非意外死亡率和呼吸系统死亡率的关系。使用人群归因分数来估计短期接触臭氧和PM2.5造成的死亡负担。。PM2.5值每增加10 μg/m~3,非意外死亡率增加0.94%,95%可信区间(CI)在0.05%~1.83%之间,女性比男性对PM2.5的影响更大。O_3浓度每增加10 μg/m~3,呼吸死亡率增加1.35%(95%CI:0.05,2.66%),且O_3对男性的影响大于女性。与单污染物模型相比,双污染物模型对非意外死亡率和呼吸道死亡率的影响略有降低。与其他季节相比,夏季和冬季的臭氧对非意外死亡率的影响更明显。非意外死亡的人群归因分数PM2.5为0.84%(95%CI:0.00,1.63%),呼吸死亡率为0.14%(95%CI:0.01,0.26%)。PM2.5值每降低10 μg/m~3,可避免122例(95%可信区间:6237)非意外死亡。臭氧浓度每降低10 μg/m~3,可避免10例(95%可信区间:1,38)呼吸系统死亡。南京市丽水区PM2.5和臭氧可显著增加中老年人非意外死亡和呼吸系统死亡的风险。暴露在空气污染物中,男性更容易受到臭氧的损害,女性更容易受到PM2.5的损害。空气中PM2.5和臭氧浓度的降低可能会避免相当大的生命损失。
In recent years, air pollution has become an imminent problem in China. Few studies have investigated the impact of air pollution on the mortality of the middle-aged and elderly people. Therefore, this study aims to evaluate the impact of PM2.5 (fine particulate matter) and O3 (ozone) on non-accidental mortality and respiratory mortality of the middle-aged and elderly people in Lishui District of Nanjing and provide the evidence for potential prevention and control measures of air pollution. Using daily mortality and atmospheric monitoring data from 2015 to 2019, we applied a generalized additive model with time-series analysis to evaluate the association of PM2.5 and O3 exposure with daily non-accidental mortality and respiratory mortality in Lishui District. Using the population attributable fractions to estimate the death burden caused by short-term exposure to O3 and PM2.5。. For every 10 μg/m3 increase in PM2.5, non-accidental mortality increased 0.94% with 95% confidence interval (CI) between 0.05 and 1.83%, and PM2.5 had a more profound impact on females than males. For every 10 μg/m3 increase in O3, respiratory mortality increased 1.35% (95% CI: 0.05, 2.66%) and O3 had a more profound impact on males than females. Compared with the single pollutant model, impact of the two-pollutant model on non-accidental mortality and respiratory mortality slightly decreased. In summer and winter as opposed to the other seasons, O3 had a more obvious impact on non-accidental mortality. The population attributable fractions of non-accidental mortality were 0.84% (95% CI:0.00, 1.63%) for PM2.5 and respiratory mortality were 0.14% (95% CI:0.01, 0.26%) for O3. For every 10 μg/m3 decrease in PM2.5, 122 (95% CI: 6, 237) non-accidental deaths could be avoided. For every 10 μg/m3 decrease in O3, 10 (95% CI: 1, 38) respiratory deaths could be avoided. PM2.5 and O3 could significantly increase the risk of non-accidental and respiratory mortality in the middle-aged and elderly people in Lishui District of Nanjing. Exposed to air pollutants, men were more susceptible to O3 damage, and women were more susceptible to PM2.5 damage. Reduction of PM2.5 and O3 concentration in the air may have the potential to avoid considerable loss of lives.
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发表时间: 2013-12-09
期刊: BMJ (Clinical research ed.)
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影响因子: 11.8
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发表时间: 2014-08
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