Public Health and Air Pollution in Asia (PAPA): a multicity study of short-term effects of air pollution on mortality.

Public Health and Air Pollution in Asia (PAPA): a multicity study of short-term effects of air pollution on mortality.
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DOI:
10.1289/ehp.11257
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发表时间:
2008-09
影响因子:
10.4
通讯作者:
Qian Z
Qian Z
中科院分区:
环境科学与生态学1区
文献类型:
--
作者:
Wong CM;Vichit-Vadakan N;Kan H;Qian Z

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虽然化石燃料燃烧产生的空气污染的有害影响已在许多西方国家得到证实,但在亚洲进行的研究较少。亚洲公共卫生和空气污染项目评估了短期暴露于空气污染对泰国曼谷和中国三个城市(香港、上海和武汉)每日死亡率的影响。泊松回归模型,结合自然样条平滑函数被用来调整季节性和其他随时间变化的协变量,可能混淆空气污染和死亡率之间的关联。首先确定每个城市的效应估计值,然后使用随机效应方法确定合并后的城市的效应估计值。在个别城市,检测到大多数污染物[二氧化氮,二氧化硫,空气动力学直径≤ 10 μm的颗粒物(PM10)和臭氧]与研究中的大多数健康结果(即,所有自然原因、心血管和呼吸道死亡率)。这四种污染物对城市的综合影响往往等于或大于西方工业国家进行的研究所确定的影响。此外,亚洲城市的居民可能比西方工业国家的居民更容易受到空气污染的影响,因为他们花在户外的时间更多,而花在空调上的时间更少。虽然社会和环境条件可能大不相同,但将以前在西方进行的空气污染对健康影响的研究得出的估计数应用于亚洲是合理的。
Although the deleterious effects of air pollution from fossil fuel combustion have been demonstrated in many Western nations, fewer studies have been conducted in Asia. The Public Health and Air Pollution in Asia (PAPA) project assessed the effects of short-term exposure to air pollution on daily mortality in Bangkok, Thailand, and in three cities in China: Hong Kong, Shanghai, and Wuhan. Poisson regression models incorporating natural spline smoothing functions were used to adjust for seasonality and other time-varying covariates that might confound the association between air pollution and mortality. Effect estimates were determined for each city and then for the cities combined using a random effects method. In individual cities, associations were detected between most of the pollutants [nitrogen dioxide, sulfur dioxide, particulate matter ≤ 10 μm in aerodynamic diameter (PM10), and ozone] and most health outcomes under study (i.e., all natural-cause, cardiovascular, and respiratory mortality). The city-combined effects of the four pollutants tended to be equal or greater than those identified in studies conducted in Western industrial nations. In addition, residents of Asian cities are likely to have higher exposures to air pollution than those in Western industrial nations because they spend more time outdoors and less time in air conditioning. Although the social and environmental conditions may be quite different, it is reasonable to apply estimates derived from previous health effect of air pollution studies in the West to Asia.
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