黎巴嫩贝鲁特呼吸道和心血管疾病急诊住院与细颗粒物空气污染之间的短期关系。

Short-term relationships between emergency hospital admissions for respiratory and cardiovascular diseases and fine particulate air pollution in Beirut, Lebanon.

作者信息

Nakhlé Myriam Mrad, Farah Wehbeh, Ziadé Nelly, Abboud Maher, Salameh Dominique, Annesi-Maesano Isabella

机构信息

Biology Department, Saint Joseph University of Beirut, Beirut, Lebanon,

出版信息

Environ Monit Assess. 2015 Apr;187(4):196. doi: 10.1007/s10661-015-4409-6. Epub 2015 Mar 20.

Abstract

High levels of major outdoor air pollutants have been documented in Lebanon, but their health effects remain unknown. The Beirut Air Pollution and Health Effects study aimed to determine the relationship between short-term variations in ambient concentrations of particulate matter (PM10 and PM2.5) and emergency hospital admissions in the city of Beirut, and whether susceptible groups are more greatly affected. An autoregressive Poisson model was used to evaluate the association between daily concentrations of particulate matter and respiratory and cardiovascular emergency hospital admissions after controlling for confounders. All variables were measured during 1 year from January 2012 to December 2012. Relative risks of admissions for respiratory and cardiovascular diseases were calculated for an increase in 10 μg.m(-3) of pollutant concentrations. Total respiratory admissions were significantly associated with the levels of PM10 (1.012 [95% CI 1.004-1.02]) per 10 μg.m(-3) rise in daily mean pollutant concentration for PM10 and 1.016 [95% CI 1.000-1.032] for PM2.5 on the same day. With regard to susceptible groups, total respiratory admissions were associated with PM2.5 and PM10 within the same day in children (relative risk (RR), 1.013 and 1.014; 95% confidence interval, 0.985-1.042 and 1.000-1.029 for PM2.5 and PM10, respectively). Moreover, a nearly significant association was found between particles and total circulatory admissions for adults and elderly groups in the same day. These results are similar to other international studies. Therefore, air pollution control is expected to reduce the number of admissions of these diseases in Lebanon.

摘要

黎巴嫩已记录到主要室外空气污染物的高浓度情况,但其对健康的影响仍不明确。贝鲁特空气污染与健康影响研究旨在确定贝鲁特市环境中颗粒物(PM10和PM2.5)浓度的短期变化与急诊住院情况之间的关系,以及易感人群是否受影响更大。在控制混杂因素后,使用自回归泊松模型评估每日颗粒物浓度与呼吸道和心血管急诊住院情况之间的关联。所有变量均在2012年1月至2012年12月的1年期间进行测量。计算污染物浓度每增加10μg.m(-3)时呼吸道和心血管疾病住院的相对风险。对于PM10,每日平均污染物浓度每升高10μg.m(-3),总呼吸道住院人数与PM10水平显著相关(1.012 [95%可信区间1.004 - 1.02]),对于PM2.5,同一天为1.016 [95%可信区间1.000 - 1.032]。关于易感人群,儿童同一天的总呼吸道住院人数与PM2.5和PM10相关(相对风险(RR)分别为1.013和1.014;PM2.5和PM10的95%置信区间分别为0.985 - 1.042和1.000 - 1.029)。此外,同一天在成人和老年人群中发现颗粒物与总循环系统住院人数之间存在近乎显著的关联。这些结果与其他国际研究相似。因此,预计空气污染控制将减少黎巴嫩这些疾病的住院人数。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索