环境空气污染与变应性鼻炎之间的关联:来自中国东北长春的进一步流行病学证据。

The Association between Ambient Air Pollution and Allergic Rhinitis: Further Epidemiological Evidence from Changchun, Northeastern China.

作者信息

Teng Bo, Zhang Xuelei, Yi Chunhui, Zhang Yan, Ye Shufeng, Wang Yafang, Tong Daniel Q, Lu Binfeng

机构信息

Department of Otolaryngology Head and Neck Surgery, The Second Hospital, Jilin University, Changchun, 130041, China.

Key Laboratory of Wetland Ecology and Environment, Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Changchun 130102, China.

出版信息

Int J Environ Res Public Health. 2017 Feb 23;14(3):226. doi: 10.3390/ijerph14030226.

Abstract

With the continuous rapid urbanization process over the last three decades, outdoors air pollution has become a progressively more serious public health hazard in China. To investigate the possible associations, lag effects and seasonal differences of urban air quality on respiratory health (allergic rhinitis) in Changchun, a city in Northeastern China, we carried out a time-series analysis of the incidents of allergic rhinitis (AR) from 2013 to 2015. Environmental monitoring showed that PM and PM were the major air pollutants in Changchun, followed by SO₂, NO₂ and O₃. The results also demonstrated that the daily concentrations of air pollutants had obvious seasonal differences. PM had higher daily mean concentrations in spring (May, dust storms), autumn (October, straw burning) and winter (November to April, coal burning). The mean daily number of outpatient AR visits in the warm season was higher than in the cold season. The prevalence of allergic rhinitis was significantly associated with PM, PM, SO₂ and NO₂, and the increased mobility was 10.2% (95% CI, 5.5%-15.1%), 4.9% (95% CI, 0.8%-9.2%), 8.5% (95% CI, -1.8%-19.8%) and 11.1% (95% CI, 5.8%-16.5%) for exposure to each 1-Standard Deviation (1-SD) increase of pollutant, respectively. Weakly or no significant associations were observed for CO and O₃. As for lag effects, the highest Relative Risks (RRs) of AR from SO₂, NO₂, PM and PM were on the same day, and the highest RR from CO was on day 4 (L4). The results also indicated that the concentration of air pollutants might contribute to the development of AR. To summarize, this study provides further evidence of the significant association between ambient particulate pollutants (PM and PM, which are usually present in high concentrations) and the prevalence of respiratory effects (allergic rhinitis) in the city of Changchun, located in Northeastern China. Environmental control and public health strategies should be enforced to address this increasingly challenging problem.

摘要

在过去三十年持续快速的城市化进程中,室外空气污染在中国已逐渐成为一个愈发严重的公共卫生危害。为了调查中国东北城市长春的城市空气质量对呼吸道健康(过敏性鼻炎)的可能关联、滞后效应和季节差异,我们对2013年至2015年过敏性鼻炎(AR)发病情况进行了时间序列分析。环境监测表明,PM和PM是长春的主要空气污染物,其次是SO₂、NO₂和O₃。结果还表明,空气污染物的日浓度存在明显的季节差异。PM在春季(5月,沙尘暴)、秋季(10月,秸秆焚烧)和冬季(11月至4月,燃煤)的日平均浓度较高。温暖季节AR门诊就诊的日均次数高于寒冷季节。过敏性鼻炎的患病率与PM、PM、SO₂和NO₂显著相关,每增加1个标准差(1-SD)的污染物暴露,发病率增加分别为10.2%(95%可信区间,5.5%-15.1%)、4.9%(95%可信区间,0.8%-9.2%)、8.5%(95%可信区间,-1.8%-19.8%)和11.1%(95%可信区间,5.8%-16.5%)。对于CO和O₃,观察到的关联较弱或无显著关联。至于滞后效应,SO₂、NO₂、PM和PM导致AR的最高相对风险(RRs)出现在同一天,CO导致的最高RR出现在第4天(L4)。结果还表明,空气污染物浓度可能促使AR的发生。总之,本研究进一步证明了中国东北长春城市环境中的颗粒物污染物(通常高浓度存在的PM和PM)与呼吸道效应(过敏性鼻炎)患病率之间的显著关联。应实施环境控制和公共卫生策略来应对这一日益严峻的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c05/5369062/b2677a2500f9/ijerph-14-00226-g001.jpg

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