Jiangsu Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Nanjing University of Information Science & Technology, 219 Ningliu Road, Nanjing, 210044, China.
Department of Civil and Environmental Engineering, Louisiana State University, Baton Rouge, 77803, LA, USA.
Environ Pollut. 2018 Sep;240:754-763. doi: 10.1016/j.envpol.2018.05.029. Epub 2018 May 17.
Air pollution in China has been very serious during the recent decades. However, few studies have investigated the effects of short-term exposure to PM and O on daily outpatient visits for respiratory diseases. We examined the effects of PM and O on the daily outpatient visits for respiratory diseases, explored the sensitivities of different population subgroups and analyzed the relative risk (RR) of PM and O in different seasons in Shanghai during 2013-2016. The generalized linear model (GLM) was applied to analyze the exposure-response relationship between air pollutants (daily average PM and daily maximum 8-h average O), and daily outpatient visits due to respiratory diseases. The sensitivities of males and females at the ages of 15-60 yr-old and 60+ yr-old to the pollutants were also studied for the whole year and for the cold and warm months, respectively. Finally, the results of the single-day lagged model were compared with that of the moving average lag model. At lag 0 day, the RR of respiratory outpatients increased by 0.37% with a 10 μg/m increase in PM. Exposure to PM (RR, 1.0047, 95% CI, 1.0032-1.0062) was more sensitive for females than for males (RR, 1.0025, 95% CI, 1.0008-1.0041), and was more sensitive for the 15-60 yr-old (RR, 1.0041, 95% CI, 1.0027-1.0055) than the 60+ yr-old age group (RR, 1.0031, 95% CI, 1.0014-1.0049). O was not significantly associated with respiratory outpatient visits during the warm periods, but was negatively associated during the cold periods. PM was more significantly in the cold periods than that in the warm periods. The results indicated that control of PM, compared to O, in the cold periods would be more beneficial to the respiratory health in Shanghai. In addition, the single-day lagged model underestimated the relationship between PM and O and outpatient visits for respiratory diseases compared to the moving average lag model.
中国在过去几十年里一直面临着严重的空气污染问题。然而,很少有研究调查短期暴露于 PM 和 O 对呼吸道疾病每日门诊就诊量的影响。我们研究了 PM 和 O 对呼吸道疾病每日门诊就诊量的影响,探讨了不同人群亚组的敏感性,并分析了 2013-2016 年上海不同季节 PM 和 O 的相对风险 (RR)。我们应用广义线性模型 (GLM) 分析了空气污染物(每日平均 PM 和每日最大 8 小时平均 O)与呼吸道疾病每日门诊就诊量之间的暴露-反应关系。还研究了全年和冷暖月 15-60 岁和 60 岁以上男性和女性对污染物的敏感性。最后,将单日滞后模型的结果与移动平均滞后模型的结果进行了比较。在滞后 0 天,PM 每增加 10μg/m,呼吸道疾病门诊就诊率增加 0.37%。暴露于 PM(RR,1.0047,95%CI,1.0032-1.0062)对女性比男性更为敏感(RR,1.0025,95%CI,1.0008-1.0041),对 15-60 岁年龄组比 60 岁以上年龄组更为敏感(RR,1.0041,95%CI,1.0027-1.0055)。O 在暖期与呼吸道门诊就诊量无显著相关性,但在冷期与呼吸道门诊就诊量呈负相关。PM 在冷期比在暖期更为显著。结果表明,与 O 相比,在冷期控制 PM 对上海的呼吸道健康更为有益。此外,与移动平均滞后模型相比,单日滞后模型低估了 PM 和 O 与呼吸道疾病门诊就诊量之间的关系。
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