Does particulate air pollution contribute to infant death? A systematic review.

Does particulate air pollution contribute to infant death? A systematic review.
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空气颗粒物污染会导致婴儿死亡吗?系统回顾。

DOI:
10.1289/ehp.6857
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发表时间:
2004-10
影响因子:
10.4
通讯作者:
Howel, D
Howel, D
中科院分区:
环境科学与生态学1区
文献类型:
--
作者:
Glinianaia, SV;Rankin, J;Bell, R;Pless-Mulloli, T;Howel, D

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现在有大量证据表明,环境空气污染的短期和长期增加与成人和儿童死亡率和发病率的增加有关。儿童的健康特别容易受到环境污染的影响,婴儿死亡率仍然是儿童死亡率的一个主要因素。在这篇系统性综述中,我们总结和评估了目前关于空气颗粒物污染与婴儿死亡率之间关系的流行病学证据水平。我们使用数据库检索和检索词的综合列表以及其他已建立的检索方法识别了相关出版物。我们根据指定的纳入标准纳入了综述中的文章。15项研究符合我们的纳入标准。颗粒空气污染和婴儿死亡率之间的联系的证据一般是不一致的,从污染水平大致相当的地方报告。有一些证据表明,与颗粒物的关联强度因婴儿死亡率的亚组而异。由于呼吸系统原因和婴儿猝死综合征导致的新生儿后期死亡率更为一致。研究中不同死亡率亚组的差异结果表明,颗粒空气污染与婴儿死亡的某些原因有更强的关联。需要研究来确认和澄清这些联系,使用最适当的方法进行暴露评估和控制混杂因素。
There is now substantial evidence that both short- and long-term increases in ambient air pollution are associated with increased mortality and morbidity in adults and children. Children’s health is particularly vulnerable to environmental pollution, and infant mortality is still a major contributor to childhood mortality. In this systematic review we summarize and evaluate the current level of epidemiologic evidence of an association between particulate air pollution and infant mortality. We identified relevant publications using database searches with a comprehensive list of search terms and other established search methods. We included articles in the review according to specified inclusion criteria. Fifteen studies met our inclusion criteria. Evidence of an association between particulate air pollution and infant mortality in general was inconsistent, being reported from locations with largely comparable pollution levels. There was some evidence that the strength of association with particulate matter differed by subgroups of infant mortality. It was more consistent for post-neonatal mortality due to respiratory causes and sudden infant death syndrome. Differential findings for various mortality subgroups within studies suggest a stronger association of particulate air pollution with some causes of infant death. Research is needed to confirm and clarify these links, using the most appropriate methodologies for exposure assessment and control of confounders.
DOI: 10.1097/00001648-199911000-00004
发表时间: 1999-11-01
期刊: EPIDEMIOLOGY
影响因子: 5.4
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影响因子: 24.3
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