The effects of contemporaneous air pollution on COVID-19 morbidity and mortality.

The effects of contemporaneous air pollution on COVID-19 morbidity and mortality.
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DOI:
10.1016/j.jeem.2023.102815
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发表时间:
2023-05
影响因子:
4.6
通讯作者:
Pesko, Michael F.
Pesko, Michael F.
中科院分区:
经济学2区
文献类型:
--
作者:
Austin, Wes;Carattini, Stefano;Gomez-Mahecha, John;Pesko, Michael F.

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我们使用工具变量方法研究了同期细颗粒物暴露与COVID-19发病率和死亡率之间的关系。利用县级风向的每日变化,我们发现,可以说当地空气质量的外源性波动影响了确诊的COVID-19病例和死亡的发生率。我们发现,PM2.5每增加1 g/m,即一个县PM2.5平均浓度的15%,同一天确诊病例的数量就会比一个县的平均病例发病率增加1.8%。PM 2.5每增加1克,同一天的死亡率就会比平均值高出4%。这些影响往往在较长的时间范围内增加,并对一系列敏感性测试具有鲁棒性。在分析潜在机制时,我们还证明,PM 2.5的额外单位会使COVID-19相关住院增加0.8%,并在同一天增加0.5%的重症监护病房使用。使用个体病例记录,我们还表明,在病例确认时较高的PM 2.5暴露会增加后期机械通气和死亡的风险。这些结果表明,空气污染在介导COVID-19等呼吸道综合征的严重程度方面发挥着重要作用。
We examine the relationship between contemporaneous fine particulate matter exposure and COVID-19 morbidity and mortality using an instrumental variable approach. Harnessing daily changes in county-level wind direction, we show that arguably exogenous fluctuations in local air quality impact the incidence of confirmed COVID-19 cases and deaths. We find that a one g/m increase in PM 2.5, or 15% of the average PM 2.5 concentration in a county, increases the number of same-day confirmed cases by 1.8% from the mean case incidence in a county. A one g/m increase in PM 2.5 increases the same-day death rate by just over 4% from the mean. These effects tend to increase in magnitude over longer time horizons and are robust to a host of sensitivity tests. When analyzing potential mechanisms, we also demonstrate that an additional unit of PM 2.5 increases COVID-19-related hospitalizations by 0.8% and use of intensive care units by 0.5% on the same day. Using individual case records, we also show that higher PM 2.5 exposure at the time of case confirmation increases risk of later mechanical ventilation and mortality. These results suggest that air pollution plays an important role in mediating the severity of respiratory syndromes such as COVID-19.
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