Abstract:Objective To study the short-term effect of air pollution on residents’ deaths in Zhuhai City. Methods We obtained the data of daily air pollutants like particular mater (PM), sulfur dioxide (SO2), carbon monoxide (CO), nitrogen dioxide (NO2) and ozone (O3) from China Air Quality Monitoring and Analysis Online Platform during 2014-2017. Combined with population death monitoring data, Poisson regression analysis was used to analyze the effect of air pollutants on deaths of population in Zhuhai City. Results PM2.5 and NO2 in the air of Zhuhai City had significant effects on the total non-accidental deaths and the deaths of respiratory diseases and cardiovascular disease during 2014-2017. Poisson regression analysis indicated that for every 10 μg/m3 rise in PM2.5 concentration, the total non-accidental deaths after a lag time of 0-3 days all increased by 3.89% (95%CI:1.40-6.44%), the respiratory disease deaths in the same day and after a lag time of 2-3 days respectively increased by 9.84% (95%CI:2.24-18.0%), 12.6% (95%CI:4.81-21.1%) and 12.7% (95%CI:4.91-21.1%), and the cardiovascular disease deaths after a lag time of 2-3 days respectively increased by 5.00% (95%CI:1.26-8.88%) and 4.44% (95%CI:0.72-8.29%). Poisson regression analysis indicated that for every 10 μg/m3 rise in NO2 concentration, the total non-accidental deaths after a lag time of 0-3 days all increased by 1.73% (95%CI:0.26-3.22%), and the cardiovascular disease deaths after a lag time of 0-1 days respectively increased by 2.98% (95%CI:0.75-5.26%) and 2.68% (95%CI:0.45-4.96%). Conclusions The monitoring data during 2014-2017 revealed that PM2.5 had significant effects on the total non-accidental deaths and the deaths of respiratory diseases and cardiovascular diseases, while NO2 showed significant effects on the total non-accidental deaths and the cardiovascular disease deaths.
张亮, 张秋平, 谭爱军. 珠海市空气污染对人群死亡的影响[J]. 实用预防医学, 2019, 26(4): 446-449.
ZHANG Liang, ZHANG Qiu-ping, TAN Ai-jun. Impact of air pollution on deaths of population in Zhuhai City. , 2019, 26(4): 446-449.
[1] To T, Zhu J, Villeneuve PJ, et al. Chronic disease prevalence in women and air pollution-A 30-year longitudinal cohort study[J]. Environ Int,2015,80(1):26-32. [2] Ballester F, Rodriguez P, Iniguez C, et al. Air pollution and cardiovascular admissions association in Spain: results within the EMECAS project[J]. J Epidemiol Community Health,2006,60(4):328-336. [3] Mills NL, Donaldson K, Hadoke PW, et al. Adverse cardiovascular effects of air pollution[J]. Nat Clin Pract Cardiovasc Med,2009,6(1):36-44. [4] 郭新彪,邓芙蓉. 大气PM2.5与健康:针对复杂系统的复杂科学研究[J]. 北京大学学报(医学版),2014,46(3):341-342. [5] 徐东,邹拓谜,陆世杰,等. 大气污染对学龄前儿童DNA损伤的影响[J]. 实用预防医学,2016,23(2):181-183. [6] 许安阳,张丽娟,李觉,等. 上海市温度和大气污染对居民心血管疾病门急诊人数的影响[J]. 同济大学学报(医学版),2017,38(1):114-118. [7] 珠海统计信息网. 2017年统计年鉴[Z].2017-12-31. [8] 赵平,董碧莎. 第三次全国死因调查主要情况[J]. 中国肿瘤,2008,17(5):344-345. [9] Hogg JC, Chu F, Utokaparch S, et al. The nature of small-airway obstruction in chronic obstructive pulmonary disease[J]. N Engl J Med,2004,350(26):2645-2653. [10] Zanobetti A, Schwartz J. The effect of fine and coarse particulate air pollution on mortality:a national analysis[J]. Environ Health Perspect,2009,117(6):898-903. [11] Ruckerl R, Ibald-Mulli A, Koenig W, et al. Air pollution and markers of inflammation and coagulation in patients with coronary heart disease[J]. Am J Respir Crit Care Med,2006,173(4):432-441. [12] Chuang KJ, Chan CC, Su TC, et al. The effect of urban air pollution on inflammation, oxidative stress, coagulation, and autonomic dysfunction in young adults[J]. Am J Respir Crit Care Med,2007,176(4):370-376. [13] Pope CA, Burnett RT, Thun MJ, et al. Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution[J]. JAMA,2002,287(9):1132-1141. [14] Wang XD, Zhang XM, Zhuang SW, et al. Short-term effects of air pollution on acute myocardial infarctions in Shanghai, China, 2013-2014[J]. J Geriatr Cardiol,2016,13(2):132-137.