School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Adv Exp Med Biol. 2017;1017:215-232. doi: 10.1007/978-981-10-5657-4_9.
Air pollution is the world's largest single environmental risk according to the World Health Organization (WHO), which caused around seven million deaths in 2012. Extensive epidemiological studies have been carried out worldwide to examine the health impacts of ambient air pollution, consistently demonstrating significant health impacts of ambient air pollution. Air pollution problem in China is especially serious; it has become the fourth biggest threat to the health of the Chinese people. In this review, we summarized existing literature, compared health impact of air pollution between China and other countries, and found substantial heterogeneity in the risk estimates of air pollution. The effect heterogeneities may be due to the differences in the characteristics of populations (e.g., the proportion of the elder population and people with preexisting diseases), exposure profile (e.g., air pollution concentrations and composition), and regional climate. Although the magnitude of relative risk estimates of air pollution is generally similar with that in other parts of the world, air pollution is one of China's most serious environmental health problems given the huge number of people exposed to high concentration levels of air pollution in China.
空气污染是世界卫生组织(WHO)认定的全球最大的环境风险因素,其在 2012 年导致了约 700 万人死亡。全球范围内开展了广泛的流行病学研究,以评估大气污染对健康的影响,这些研究一致表明大气污染对健康有重大影响。中国的空气污染问题尤其严重,已成为中国民众健康的第四大威胁。在这篇综述中,我们总结了现有文献,比较了中国和其他国家的空气污染健康影响,发现空气污染风险评估存在显著的异质性。这种效应的异质性可能是由于人群特征(如老年人口和患有慢性病的人口比例)、暴露情况(如空气污染浓度和成分)以及区域气候的差异所致。尽管空气污染的相对风险估计值的幅度与世界其他地区相似,但鉴于中国有大量人口暴露于高浓度的空气污染中,空气污染仍是中国最严重的环境健康问题之一。