中国上海的大气污染、温度与院外冠心病死亡
Ambient air pollution, temperature and out-of-hospital coronary deaths in Shanghai, China.
机构信息
Shandong Provincial Environmental Monitoring Center Station, Ji'nan, China.
School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, China; Shanghai Key Laboratory of Atmospheric Particle Pollution and Prevention (LAP(3)), Fudan University, Shanghai, China; Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China.
出版信息
Environ Pollut. 2015 Aug;203:116-121. doi: 10.1016/j.envpol.2015.03.050. Epub 2015 Apr 11.
Few studies have evaluated the effects of ambient air pollution and temperature in triggering out-of-hospital coronary deaths (OHCDs) in China. We evaluated the associations of air pollution and temperature with daily OHCDs in Shanghai, China from 2006 to 2011. We applied an over-dispersed generalized additive model and a distributed lag nonlinear model to analyze the effects of air pollution and temperature, respectively. A 10 μg/m(3) increase in the present-day PM10, PM2.5, SO2, NO2 and CO were associated with increases in OHCD mortality of 0.49%, 0.68%, 0.88%, 1.60% and 0.08%, respectively. A 1 °C decrease below the minimum-mortality temperature corresponded to a 3.81% increase in OHCD mortality on lags days 0-21, and a 1 °C increase above minimum-mortality temperature corresponded to a 4.61% increase over lag days 0-3. No effects were found for in-hospital coronary deaths. This analysis suggests that air pollution, low temperature and high temperature may increase the risk of OHCDs.
在中国，很少有研究评估环境空气污染和温度对引发院外冠心病死亡（OHCD）的影响。我们评估了 2006 年至 2011 年期间中国上海的空气污染和温度与每日 OHCD 之间的关联。我们分别应用过度分散广义加性模型和分布滞后非线性模型来分析空气污染和温度的影响。当前 PM10、PM2.5、SO2、NO2 和 CO 每增加 10 μg/m(3)，OHCD 死亡率分别增加 0.49%、0.68%、0.88%、1.60%和 0.08%。与最低死亡率温度相比，每降低 1°C，OHCD 死亡率在滞后 0-21 天增加 3.81%，每升高 1°C，滞后 0-3 天的 OHCD 死亡率增加 4.61%。住院冠心病死亡无影响。该分析表明，空气污染、低温和高温可能会增加 OHCD 的风险。
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