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[巴西米纳斯吉拉斯州伊塔比拉市空气污染与呼吸道和心血管疾病之间的关联]

[Association between air pollution and respiratory and cardiovascular diseases in Itabira, Minas Gerais State, Brazil].

作者信息

Braga Alfésio Luís Ferreira, Pereira Luiz Alberto Amador, Procópio Marly, André Paulo Afonso de, Saldiva Paulo Hilário do Nascimento

机构信息

Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.

出版信息

Cad Saude Publica. 2007;23 Suppl 4:S570-8. doi: 10.1590/s0102-311x2007001600017.

Abstract

The city of Itabira, Minas Gerais State, Brazil, is located in the Espinhaço Mountain Range, an area that features large-scale mechanized iron ore pit mines. The current study evaluates the acute effects of inhalable particulate matter (PM10) in terms of emergency room visits due to respiratory and cardiovascular diseases in Itabira. Generalized additive Poisson regression models were adopted, controlling for temperature, humidity, and both short and long-term seasonality. Increases of 10mg/m(3) in PM10 were associated with increases in respiratory emergency room visits of 4% (95%CI: 2.2-5.8), at lags 0 and 1 for children and adolescents younger than 13 years of age, and of 12% (95%CI: 8.5-15.5) on the three subsequent days for adolescents (13 to 19 years of age). For cardiovascular diseases, the effect was acute (4%; 95%CI: 0.8-8.5) and mainly for the 45 to 64 age group. These results show that PM10 generated by open pit mining can lead to health problems in the exposed population.

摘要

巴西米纳斯吉拉斯州的伊塔比拉市位于埃斯皮尼亚苏山脉,该地区有大规模的机械化铁矿石露天矿。本研究评估了伊塔比拉市可吸入颗粒物(PM10)对因呼吸道和心血管疾病导致的急诊就诊情况的急性影响。采用广义相加泊松回归模型,对温度、湿度以及短期和长期季节性因素进行了控制。PM10每增加10mg/m³,13岁以下儿童和青少年在滞后0天和1天时,呼吸道急诊就诊次数增加4%(95%置信区间:2.2 - 5.8),而13至19岁青少年在随后三天内增加12%(95%置信区间:8.5 - 15.5)。对于心血管疾病,影响是急性的(4%;95%置信区间:0.8 - 8.5),主要发生在45至64岁年龄组。这些结果表明,露天采矿产生的PM10可导致暴露人群出现健康问题。

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