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[空气污染对布加勒斯特市居民急性下呼吸道感染住院率的影响]

[Effect of air pollution upon the hospitalization for acute lower respiratory tract infections among the Bucharest municipality's residents].

作者信息

Ion-Nedelcu Niculae, Niţescu Maria, Caian Mihaela, Bacruban Rodica, Ceauşu Emanoil

机构信息

Sănătate Publică a Municipiului Bucureşti.

出版信息

Bacteriol Virusol Parazitol Epidemiol. 2008 Apr-Jun;53(2):117-20.

Abstract

OBJECTIVE

Assessment of the short-term association between exposure to outdoor air pollution and hospitalization for lower respiratory tract infections (LRTI) in the Bucharest municipality'spopulation.

MATERIALS AND METHODS

Relation exposure--health effect has been explored through linear regression upon time series, where the independent variable was represented by daily levels of nitrogen dioxide (NO), carbon monoxide (CO), sulfur dioxide (SO2) and ozone (O3) from atmospheric air of Bucharest municipality whereas the dependent variable has been represented by daily frequency, by age groups, of Bucharest municipality residents, hospitalized during the year 2007for LRTI (ICD-10 codes: J12-J22).

RESULTS

In the year 2007, through linear regression we found high correlations (p < 0.01) between the following variables: (a) daily atmospheric concentrations of NO2, CO and SO2, (b) daily frequencies of hospitalizations for LRTI by age group and (c) daily air levels of three of the above mentioned pollutants and the age-specific frequencies of patient hospitalization for LRTI. The O3 daily air levels have been correlated (p < 0.01) only with the daily air levels of SO2 and CO but wasn't correlated to NO2 air level or with the health effect studied

CONCLUSIONS

in the Bucharest municipality, the study demonstrated robust associations between the atmospheric pollutants' levels and daily frequencies of hospital admissions for LRTI. Through inference the results suggests that the interventions for environment control which will result in decreasing of the pollution level with NO2, CO and SO2 might be associated with decreasing the frequency of hospitalization for LRTI and consequently with preserving the resources allocated for health.

摘要

目的

评估布加勒斯特市居民暴露于室外空气污染与下呼吸道感染(LRTI)住院之间的短期关联。

材料与方法

通过时间序列线性回归探索暴露与健康效应之间的关系,其中自变量由布加勒斯特市大气中二氧化氮(NO)、一氧化碳(CO)、二氧化硫(SO2)和臭氧(O3)的每日水平表示,而因变量由2007年期间因LRTI(国际疾病分类第十版代码:J12 - J22)住院的布加勒斯特市居民按年龄组划分的每日频率表示。

结果

在2007年,通过线性回归我们发现以下变量之间存在高度相关性(p < 0.01):(a)NO2、CO和SO2的每日大气浓度,(b)按年龄组划分的LRTI住院每日频率,以及(c)上述三种污染物的每日空气水平与LRTI患者按年龄特异性的住院频率。O3的每日空气水平仅与SO2和CO的每日空气水平相关(p < 0.01),但与NO2空气水平或所研究的健康效应无关。

结论

在布加勒斯特市,该研究表明大气污染物水平与LRTI住院每日频率之间存在密切关联。通过推断,结果表明环境控制干预措施若能降低NO2、CO和SO2的污染水平,可能会减少LRTI住院频率,从而节省用于医疗保健的资源。

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