Vigotti Maria Angela, Mataloni Francesca, Bruni Antonella, Minniti Caterina, Gianicolo Emilio A L
Biology Department, University of Pisa, Pisa, Italy,
Int J Public Health. 2014 Aug;59(4):645-53. doi: 10.1007/s00038-014-0554-x. Epub 2014 Apr 24.
Taranto, a city in south-eastern Italy, suffers serious environmental pollution from industrial sources. A previous cohort analysis found mortality excesses among neighbourhoods closest to industrial areas. Aim of this study was to investigate whether mortality also increased in other neighbourhoods compared to Apulia region.
Standardized mortality ratios were computed. Number of deaths and of person-years at risk by neighbourhood came from the previous cohort study for 1998-2008 period. Reference population was Apulia region excluding Taranto province. A meta-analysis was conducted across less close neighbourhoods computing summary SMR estimates and evaluating heterogeneity.
For the entire city higher mortality values are confirmed for all causes, all malignant neoplasms and several specific sites, neurological, cardiac, respiratory and digestive diseases. High mortality values are not confined to neighbourhoods closest to industrial areas for lung cancer, cardiac, respiratory and digestive diseases, in both sexes, and among women for all malignant neoplasms and pancreatic cancer.
Increased mortality risks can also be observed in Taranto neighbourhoods not directly adjacent to industrial areas. Spatial trend, impact of socio-economic factors and duration of residence should be further explored.
意大利东南部城市塔兰托遭受来自工业源的严重环境污染。先前的队列分析发现，最靠近工业区的社区死亡率过高。本研究的目的是调查与普利亚地区相比，其他社区的死亡率是否也有所增加。
计算标准化死亡率。各社区的死亡人数和风险人年数来自之前针对1998 - 2008年期间的队列研究。参考人群为普利亚地区（不包括塔兰托省）。对距离工业区较远的社区进行了荟萃分析，计算汇总标准化死亡比估计值并评估异质性。
就整个城市而言，所有原因、所有恶性肿瘤以及几个特定部位、神经、心脏、呼吸和消化系统疾病的死亡率均得到证实更高。肺癌、心脏、呼吸和消化系统疾病的高死亡率并不局限于最靠近工业区的社区，无论男女皆是如此，而在女性中，所有恶性肿瘤和胰腺癌的高死亡率也是如此。
在塔兰托并非直接毗邻工业区的社区也可观察到死亡风险增加。应进一步探讨空间趋势、社会经济因素的影响以及居住时长。
