The burden of air pollution on years of life lost in Beijing, China, 2004-08: retrospective regression analysis of daily deaths.
The burden of air pollution on years of life lost in Beijing, China, 2004-08: retrospective regression analysis of daily deaths.
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DOI：
10.1136/bmj.f7139
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发表时间：
2013-12-09
期刊：
影响因子：
--
通讯作者：
Williams G
中科院分区：
文献类型：
--
作者：
Guo Y;Li S;Tian Z;Pan X;Zhang J;Williams G
为了更好地了解空气污染对死亡的负担，我们研究了中国北京市空气污染物对寿命损失年数（YLL）的影响。设计使用每日时间序列的回顾性回归分析。 设置在中国北京的8个城区。参与者2004-08年北京死亡分类系统记录的死亡人数为80515人（男性48802人，女性31713人）。 主要结果测量每日YLL与环境空气污染物（空气动力学直径<2.5 µm的颗粒物（PM2.5），PM10，SO2和NO2）之间的关系，调整长期趋势，季节性，一周中的一天和天气条件。我们还研究了与空气污染物相关的死亡风险。结果PM2.5、PM10、SO2和NO2日平均浓度分别为105.1 μg/m3、144.6 μg/m3、48.6 μg/m3和64.2 μg/m3;当我们使用单一污染物模型时，所有空气污染物对寿命损失年数都有显着影响。PM2.5、PM10、SO2和NO2的四分位距（IQR）增加分别与YLL增加15.8、15.8、16.2和15.1年有关。大气污染物对YLL的影响表现为急性效应，持续时间为2d（滞后0-1）;与PM2.5 IQR增加相关的这些影响在女性中比男性更大（11.1（95%置信区间4.7至17.5）v 4.7（-2.9至12.3）YLL）和65岁以下人群比65岁以上人群（12.0（2.9至21）比3.8（-0.9至8.6）YLL）。与PM2.5 IQR增加相关的死亡风险，65岁以上人群（死亡率增加2.5%（95%置信区间0.6%至4.5%））高于65岁以下人群（0.7%（-0.8%至2.2%））。结论YLL为研究空气污染物对死亡率的影响提供了一种补充措施。YLL的增加与空气污染的增加有关。这项研究强调了减少中国北京空气污染以保护人口健康的必要性。
Objectives To better understand the burden of air pollution on deaths, we examined the effects of air pollutants on years of life lost (YLL) in Beijing, China. Design Retrospective regression analysis using daily time series. Setting 8 urban districts in Beijing, China. Participants 80 515 deaths (48 802 male, 31 713 female) recorded by the Beijing death classification system during 2004-08. Main outcome measures Associations between daily YLL and ambient air pollutants (particulate matter with aerodynamic diameter <2.5 µm (PM2.5), PM10, SO2, and NO2), after adjusting for long term trends, seasonality, day of the week, and weather conditions. We also examined mortality risk related to air pollutants. Results Mean concentrations of daily PM2.5, PM10, SO2 and NO2 were 105.1 μg/m3, 144.6 μg/m3, 48.6 μg/m3, and 64.2 μg/m3, respectively. All air pollutants had significant effects on years of life lost when we used single pollutant models. An interquartile range (IQR) increase in PM2.5, PM10, SO2, and NO2 was related to YLL increases of 15.8, 15.8, 16.2, and 15.1 years, respectively. The effects of air pollutants on YLL appeared acutely and lasted for two days (lag 0-1); these effects associated with an IQR increase in PM2.5 were greater in women than men (11.1 (95% confidence interval 4.7 to 17.5) v 4.7 (−2.9 to 12.3) YLL) and in people aged up to 65 years than those older than 65 years (12.0 (2.9 to 21) v 3.8 (−0.9 to 8.6) YLL). The mortality risk associated with an IQR increase in PM2.5 was greater for people older than 65 years (2.5% (95% confidence interval 0.6% to 4.5%) increase of mortality) than those aged up to 65 years (0.7% (−0.8% to 2.2%)). Conclusions YLL provides a complementary measure for examining the effect of air pollutants on mortality. Increased YLL are associated with increased air pollution. This study highlights the need to reduce air pollution in Beijing, China, to protect the health of the population.
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DOI：
10.1136/bmj.e8446
发表时间：
2013-01-08
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Johnston FH;Hanigan IC;Henderson SB;Morgan GG
通讯作者：
Morgan GG
影响因子：
10.4
作者：
Leitte AM;Schlink U;Herbarth O;Wiedensohler A;Pan XC;Hu M;Richter M;Wehner B;Tuch T;Wu Z;Yang M;Liu L;Breitner S;Cyrys J;Peters A;Wichmann HE;Franck U
通讯作者：
Franck U
DOI：
10.1164/ajrccm.153.5.8630615
发表时间：
1996-05-01
影响因子：
24.7
作者：
Bennett, WD;Zeman, KL;Kim, C
通讯作者：
Kim, C
影响因子：
168.9
作者：
Lim, Stephen S.;Vos, Theo;Flaxman, Abraham D.;Danaei, Goodarz;Shibuya, Kenji;Adair-Rohani, Heather;Amann, Markus;Anderson, H. Ross;Andrews, Kathryn G.;Aryee, Martin;Atkinson, Charles;Bacchus, Loraine J.;Bahalim, Adil N.;Balakrishnan, Kalpana;Balmes, John;Barker-Collo, Suzanne;Baxter, Amanda;Bell, Michelle L.;Blore, Jed D.;Blyth, Fiona;Bonner, Carissa;Borges, Guilherme;Bourne, Rupert;Boussinesq, Michel;Brauer, Michael;Brooks, Peter;Bruce, Nigel G.;Brunekreef, Bert;Bryan-Hancock, Claire;Bucello, Chiara;Buchbinder, Rachelle;Bull, Fiona;Burnett, Richard T.;Byers, Tim E.;Calabria, Bianca;Carapetis, Jonathan;Carnahan, Emily;Chafe, Zoe;Charlson, Fiona;Chen, Honglei;Chen, Jian Shen;Cheng, Andrew Tai-Ann;Child, Jennifer Christine;Cohen, Aaron;Colson, K. Ellicott;Cowie, Benjamin C.;Darby, Sarah;Darling, Susan;Davis, Adrian;Degenhardt, Louisa;Dentener, Frank;Des Jarlais, Don C.;Devries, Karen;Dherani, Mukesh;Ding, Eric L.;Dorsey, E. Ray;Driscoll, Tim;Edmond, Karen;Ali, Suad Eltahir;Engell, Rebecca E.;Erwin, Patricia J.;Fahimi, Saman;Falder, Gail;Farzadfar, Farshad;Ferrari, Alize;Finucane, Mariel M.;Flaxman, Seth;Fowkes, Francis Gerry R.;Freedman, Greg;Freeman, Michael K.;Gakidou, Emmanuela;Ghosh, Santu;Giovannucci, Edward;Gmel, Gerhard;Graham, Kathryn;Grainger, Rebecca;Grant, Bridget;Gunnell, David;Gutierrez, Hialy R.;Hall, Wayne;Hoek, Hans W.;Hogan, Anthony;Hosgood, H. Dean, III;Hoy, Damian;Hu, Howard;Hubbell, Bryan J.;Hutchings, Sally J.;Ibeanusi, Sydney E.;Jacklyn, Gemma L.;Jasrasaria, Rashmi;Jonas, Jost B.;Kan, Haidong;Kanis, John A.;Kassebaum, Nicholas;Kawakami, Norito;Khang, Young-Ho;Khatibzadeh, Shahab;Khoo, Jon-Paul;Kok, Cindy;Laden, Francine;Lalloo, Ratilal;Lan, Qing;Lathlean, Tim;Leasher, Janet L.;Leigh, James;Li, Yang;Lin, John Kent;Lipshultz, Steven E.;London, Stephanie;Lozano, Rafael;Lu, Yuan;Mak, Joelle;Malekzadeh, Reza;Mallinger, Leslie;Marcenes, Wagner;March, Lyn;Marks, Robin;Martin, Randall;McGale, Paul;McGrath, John;Mehta, Sumi;Mensah, George A.;Merriman, Tony R.;Micha, Renata;Michaud, Catherine;Mishra, Vinod;Hanafiah, Khayriyyah Mohd;Mokdad, Ali A.;Morawska, Lidia;Mozaffarian, Dariush;Murphy, Tasha;Naghavi, Mohsen;Neal, Bruce;Nelson, Paul K.;Miquel Nolla, Joan;Norman, Rosana;Olives, Casey;Omer, Saad B.;Orchard, Jessica;Osborne, Richard;Ostro, Bart;Page, Andrew;Pandey, Kiran D.;Parry, Charles D. H.;Passmore, Erin;Patra, Jayadeep;Pearce, Neil;Pelizzari, Pamela M.;Petzold, Max;Phillips, Michael R.;Pope, Dan;Pope, C. Arden, III;Powles, John;Rao, Mayuree;Razavi, Homie;Rehfuess, Eva A.;Rehm, Juergen T.;Ritz, Beate;Rivara, Frederick P.;Roberts, Thomas;Robinson, Carolyn;Rodriguez-Portales, Jose A.;Romieu, Isabelle;Room, Robin;Rosenfeld, Lisa C.;Roy, Ananya;Rushton, Lesley;Salomon, Joshua A.;Sampson, Uchechukwu;Sanchez-Riera, Lidia;Sanman, Ella;Sapkota, Amir;Seedat, Soraya;Shi, Peilin;Shield, Kevin;Shivakoti, Rupak;Singh, Gitanjali M.;Sleet, David A.;Smith, Emma;Smith, Kirk R.;Stapelberg, Nicolas J. C.;Steenland, Kyle;Stoeckl, Heidi;Stovner, Lars Jacob;Straif, Kurt;Straney, Lahn;Thurston, George D.;Tran, Jimmy H.;Van Dingenen, Rita;van Donkelaar, Aaron;Veerman, J. Lennert;Vijayakumar, Lakshmi;Weintraub, Robert;Weissman, Myrna M.;White, Richard A.;Whiteford, Harvey;Wiersma, Steven T.;Wilkinson, James D.;Williams, Hywel C.;Williams, Warwick;Wilson, Nicholas;Woolf, Anthony D.;Yip, Paul;Zielinski, Jan M.;Lopez, Alan D.;Murray, Christopher J. L.;Ezzati, Majid
通讯作者：
Ezzati, Majid
影响因子：
5.8
作者：
Gasparrini, Antonio
通讯作者：
Gasparrini, Antonio