Critical Review of Health Impacts of Wildfire Smoke Exposure.
Critical Review of Health Impacts of Wildfire Smoke Exposure.
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DOI：
10.1289/ehp.1409277
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发表时间：
2016-09
影响因子：
10.4
通讯作者：
Elliott CT
中科院分区：
文献类型：
--
作者：
Reid CE;Brauer M;Johnston FH;Jerrett M;Balmes JR;Elliott CT
由于全球气候变化导致的温度和降水模式的变化，预计世界许多地区的野火活动将增加。野火烟雾含有许多有害的空气污染物，许多研究已经记录了这种暴露对人口健康的影响。我们的目的是评估暴露于野火烟雾对健康影响的证据，并确定易感人群。我们回顾了野火烟雾暴露对死亡率和呼吸、心血管、精神和围产期健康的研究的科学文献。在那些被认为具有最小偏倚风险的综述论文中，我们评估了研究结果的连贯性和一致性。一致的证据证明了野火烟雾暴露与一般呼吸系统健康影响之间的关联，特别是哮喘和慢性阻塞性肺病的恶化。越来越多的证据表明与呼吸道感染和全因死亡率的风险增加有关。心血管效应的证据是混合的，但最近的一些研究报告了特定的心血管终点的关联。没有足够的研究来确定更容易受到野火烟雾暴露的特定人群亚组。来自大量研究的一致证据表明，野火烟雾暴露与呼吸系统疾病有关，越来越多的证据支持与全因死亡率有关。需要更多的研究来澄清哪些死亡原因可能与野火烟雾有关，心血管结局是否与野火烟雾有关，以及某些人群是否更容易受到影响。Reid CE，Brauer M，约翰斯顿FH，Jerrett M，Balmes JR，Elliott CT. 2016.野火烟雾暴露对健康影响的评论。环境健康展望124：1334-1343; http://dx.doi.org/10.1289/ehp.1409277
Wildfire activity is predicted to increase in many parts of the world due to changes in temperature and precipitation patterns from global climate change. Wildfire smoke contains numerous hazardous air pollutants and many studies have documented population health effects from this exposure. We aimed to assess the evidence of health effects from exposure to wildfire smoke and to identify susceptible populations. We reviewed the scientific literature for studies of wildfire smoke exposure on mortality and on respiratory, cardiovascular, mental, and perinatal health. Within those reviewed papers deemed to have minimal risk of bias, we assessed the coherence and consistency of findings. Consistent evidence documents associations between wildfire smoke exposure and general respiratory health effects, specifically exacerbations of asthma and chronic obstructive pulmonary disease. Growing evidence suggests associations with increased risk of respiratory infections and all-cause mortality. Evidence for cardiovascular effects is mixed, but a few recent studies have reported associations for specific cardiovascular end points. Insufficient research exists to identify specific population subgroups that are more susceptible to wildfire smoke exposure. Consistent evidence from a large number of studies indicates that wildfire smoke exposure is associated with respiratory morbidity with growing evidence supporting an association with all-cause mortality. More research is needed to clarify which causes of mortality may be associated with wildfire smoke, whether cardiovascular outcomes are associated with wildfire smoke, and if certain populations are more susceptible. Reid CE, Brauer M, Johnston FH, Jerrett M, Balmes JR, Elliott CT. 2016. Critical review of health impacts of wildfire smoke exposure. Environ Health Perspect 124:1334–1343; http://dx.doi.org/10.1289/ehp.1409277
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影响因子：
10.4
作者：
Henderson SB;Brauer M;Macnab YC;Kennedy SM
通讯作者：
Kennedy SM
影响因子：
4.9
作者：
Delfino RJ;Brummel S;Wu J;Stern H;Ostro B;Lipsett M;Winer A;Street DH;Zhang L;Tjoa T;Gillen DL
通讯作者：
Gillen DL
影响因子：
10.4
作者：
Holstius DM;Reid CE;Jesdale BM;Morello-Frosch R
通讯作者：
Morello-Frosch R
DOI：
10.1080/09603120600641334
发表时间：
2006-06-01
影响因子：
3.2
作者：
Chen, LP;Verrall, K;Tong, SL
通讯作者：
Tong, SL
影响因子：
10.4
作者：
Dennekamp, Martine;Straney, Lahn D.;Tonkin, Andrew M.
通讯作者：
Tonkin, Andrew M.