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空气污染对死亡率的短期影响:1992 - 1996年卡塔赫纳EMECAM项目的结果。西班牙大气污染与死亡率关系多中心研究

[The short-term results of air pollution on mortality: the results of the EMECAM project in Cartagena, 1992-96. Estudio Multicéntrico Español sobre la Relación entre la Contaminación Atmosférica y la Mortalidad].

作者信息

Guillén Pérez J J, Cirera Suárez L, García-Marcos Alvarez L, Jiménez Torres E, Barber Vallès X, Martínez García M J, Moreno Grau S

机构信息

Dirección General de Salud, Consejería de Sanidad y Política Social, Murcia.

出版信息

Rev Esp Salud Publica. 1999 Mar-Apr;73(2):215-24.

Abstract

BACKGROUND

The problems of air pollution became noticeable in Cartagena in the seventies, high SO2 and particle levels having been reached from time to time. Our aim is to assess, using the EMECAM methodology, the acute impact of SO2 and particle air pollution on the daily death rate of the city of Cartagena in the 1992-1996 period.

METHODS

A daily listing is provided of the total number of non-accidental deaths within the population as a whole and for those over age 70, the cardiovascular and the respiratory deaths due to dioxide and particle air pollution for the 1992-1996 period using autoregressive Poisson models which control seasonality, weather, time of year, flu, special events, and time lags.

RESULTS

In the period under study, there has been a drop in the SO2 air pollution as compared to previous years, which was not as marked for the particles. The analyses reveal significant relationships in the total non-accidental deaths in those over age 69, with the average particle count and those particles with cardiovascular deaths for the months of May to October. In the six-month period of the year, when the weather is cold, we found a positive statistically significant relationship to exist in the maximum daily hourly value of the particles and the deaths due to cardiocirculatory and respiratory diseases. However, there is no consistency in the between on assessing the reliability of the models.

摘要

背景

卡塔赫纳的空气污染问题在70年代开始显现,二氧化硫和颗粒物水平不时达到很高程度。我们的目的是使用EMECAM方法评估1992 - 1996年期间二氧化硫和颗粒物空气污染对卡塔赫纳市每日死亡率的急性影响。

方法

提供了1992 - 1996年期间全体人口以及70岁以上人群非意外死亡总数的每日清单,以及因二氧化硫和颗粒物空气污染导致的心血管和呼吸系统死亡情况,使用自回归泊松模型控制季节性、天气、年份时间、流感、特殊事件和时间滞后。

结果

在研究期间,与前几年相比,二氧化硫空气污染有所下降,颗粒物污染下降不那么明显。分析显示,69岁以上人群的总非意外死亡与5月至10月的平均颗粒物计数以及心血管死亡的颗粒物之间存在显著关系。在一年中天气寒冷的六个月期间,我们发现颗粒物的每日最高小时值与心血管和呼吸系统疾病导致的死亡之间存在统计学上的显著正相关关系。然而,在评估模型的可靠性方面没有一致性。

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