Exposure-response functions for health effects of ambient air pollution applicable for China - a meta-analysis

Exposure-response functions for health effects of ambient air pollution applicable for China - a meta-analysis
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DOI:
10.1016/j.scitotenv.2004.03.008
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发表时间:
2004-08-15
影响因子:
9.8
通讯作者:
Pan, XC
Pan, XC
中科院分区:
环境科学与生态学1区
文献类型:
--
作者:
Aunan, K;Pan, XC

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评估减少空气污染的项目和政策的效益,需要对暴露于空气污染与公众健康之间的关系有定量的了解。本文提出了中国地区可吸入颗粒物和二氧化硫污染对健康影响的暴露-反应函数。这些职能基于中国的流行病学研究,涵盖死亡率、住院以及慢性呼吸道症状和疾病。我们得出了以下急性效应的系数:PM10和SO2的每立方米全因死亡率分别增加0.03%(S.E.0.01)和0.04%(S.E.0.01),PM10和SO2的每立方米心血管死亡分别增加0.04%(S.E.0.01),每立方米PM和SO2的呼吸系统死亡率分别增加0.06%(S.E.0.02)和0.10%(S.E.0.02)。心血管疾病入院时,PM10和SO2的相关系数分别为0.07%(S.E.0.02)和0.19%(S.E.0.03);呼吸系统疾病的相关系数分别为0.12%(S.E.0.02)和0.15%(S.E.0.03)。长期PM10水平对慢性呼吸道症状和疾病患病率影响的暴露-反应函数由横断面问卷调查结果得出,成人每立方米增加0.31%(S.E.0.01),儿童每立方米增加0.44%(S.E.0.02)。除了一些例外,中国的研究报告称,与欧洲和美国的研究相比,暴露反应系数略低。(C)2004爱思唯尔B.V.保留所有权利。
Assessing the benefits of projects and policies to reduce air pollution requires quantitative knowledge about the relationship between exposure to air pollution and public health. This article proposes exposure-response functions for health effects of PM10 and SO2 pollution in China. The functions are based on Chinese epidemiological studies, and cover mortality, hospital admissions, and chronic respiratory symptoms and diseases. We derive the following coefficients for acute effects: a 0.03% (S.E. 0.01) and a 0.04% (S.E. 0.01) increase in all-cause mortality per mug/m(3) PM10 and SO2, respectively, a 0.04% (S.E. 0.01) increase in cardiovascular deaths per mug/m(3) for both PM10 and SO2, and a 0.06% (S.E. 0.02) and a 0.10% (S.E. 0.02) increase in respiratory deaths per mug/m(3) PM, and SO2, respectively. For hospital admissions due to cardiovascular diseases the obtained coefficients are 0.07% (S.E. 0.02) and 0.19% (S.E. 0.03) for PM10 and SO2, respectively, whereas the coefficients for hospital admissions due to respiratory diseases are 0.12% (S.E. 0.02) and 0.15% (S.E. 0.03) for PM10 and SO2, respectively. Exposure-response functions for the impact of long-term PM10 levels on the prevalence of chronic respiratory symptoms and diseases are derived from the results of cross-sectional questionnaire surveys, and indicate a 0.31% (S.E. 0.01) increase per mug/m(3) in adults and 0.44% (S.E. 0.02) per mug/m(3) in children. With some exceptions, Chinese studies report somewhat lower exposure-response coefficients as compared to studies in Europe and USA. (C) 2004 Elsevier B.V. All rights reserved.