Daumas Regina Paiva, Mendonça Gulnar Azevedo e Silva, Ponce de León Antonio
Departamento de Epidemiologia, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Cad Saude Publica. 2004 Jan-Feb;20(1):311-9. doi: 10.1590/s0102-311x2004000100049. Epub 2004 Mar 8.
This study investigates the association between particulate air pollution and mortality from cardiovascular and respiratory diseases among the elderly in the city of Rio de Janeiro. Death counts, levels of total suspended particles (TSP), and meteorological data were obtained from secondary databases. Daily counts of deaths and daily TSP levels from 1990 to 1993 were analyzed in Poisson regression models adjusted for long-term temporal trends, seasonality, weekdays, temperature, and humidity. For an increase in TSP levels from the 10th to the 90th percentile (104.7 microg/m3), the relative risks for mortality in elderly people from cardiovascular and respiratory diseases were 1.04 (95%CI: 0.96-1.13) and 1.10 (95%CI: 0.97-1.26) respectively. Although an upward trend in risk was observed, the associations were not statistically significant, which could be explained partially by the small number of pollution measures available for the period analyzed.
本研究调查了里约热内卢市老年人中颗粒物空气污染与心血管疾病和呼吸系统疾病死亡率之间的关联。死亡人数、总悬浮颗粒物(TSP)水平和气象数据均来自二手数据库。在针对长期时间趋势、季节性、工作日、温度和湿度进行调整的泊松回归模型中,分析了1990年至1993年的每日死亡人数和每日TSP水平。TSP水平从第10百分位数升至第90百分位数(104.7微克/立方米)时,老年人因心血管疾病和呼吸系统疾病死亡的相对风险分别为1.04(95%CI:0.96 - 1.13)和1.10(95%CI:0.97 - 1.26)。尽管观察到风险呈上升趋势,但这些关联无统计学意义,这可能部分归因于所分析时间段内可用的污染测量数据较少。