Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Environ Sci Pollut Res Int. 2019 May;26(13):12648-12661. doi: 10.1007/s11356-019-04874-z. Epub 2019 Mar 22.
Ambient air pollution is nowadays one of the most crucial contributors to deteriorating health status worldwide. The components of air pollution include PM and PM, NO, SO, CO, O, and organic compounds. They are attributed to several health outcomes, for instance, cardiovascular diseases (CVD), respiratory diseases, birth outcomes, neurologic diseases, and psychiatric diseases. The objective of this study is to evaluate the association between different ambient air pollutants and the above-mentioned health outcomes. In this systematic review, a total of 76 articles was ultimately selected from 2653 articles, through multiple screening steps by the aid of a set of exclusion criteria as non-English articles, indoor air pollution assessment, work-related, occupational and home-attributed pollution, animal studies, tobacco smoking effects, letters to editors, commentaries, animal experiments, reviews, case reports and case series, out of 19,862 published articles through a systematic search in PubMed, Web of Science, and Scopus. Then, the associations between air pollution and different health outcomes were measured as relative risks and odds ratios. The association between air pollutants, PM and PM, NO, SO, CO, O, and VOC with major organ systems health was investigated through the gathered studies. Relative risks and/or odds ratios attributed to each air pollutant/outcome were ultimately reported. In this study, a thorough and comprehensive discussion of all aspects of the contribution of ambient air pollutants in health outcomes was proposed. To our knowledge up to now, there is no such comprehensive outlook on this issue. Growing concerns in concert with air pollution-induced health risks impose a great danger on the life of billions of people worldwide. Should we propose ideas and schemes to reduce ambient air pollutant, there will be dramatic reductions in the prevalence and occurrence of health-threatening conditions.
目前，大气污染是全球范围内导致健康状况恶化的最重要因素之一。空气污染的成分包括 PM 和 PM、NO、SO、CO、O 和有机化合物。它们与许多健康结果有关，例如心血管疾病 (CVD)、呼吸道疾病、出生结果、神经疾病和精神疾病。本研究的目的是评估不同环境空气污染物与上述健康结果之间的关联。在这项系统评价中，通过一套排除标准，从 2653 篇文章中最终筛选出 76 篇文章，这些标准包括非英文文章、室内空气污染评估、与工作相关的、职业和家庭归因污染、动物研究、烟草烟雾效应、给编辑的信件、评论、动物实验、综述、病例报告和病例系列。然后，通过在 PubMed、Web of Science 和 Scopus 中进行系统搜索，从 19862 篇已发表文章中测量了空气污染与不同健康结果之间的关联，作为相对风险和优势比。通过收集的研究，调查了空气污染物、PM 和 PM、NO、SO、CO、O 和 VOC 与主要器官系统健康之间的关联。最终报告了归因于每种空气污染物/结果的相对风险和/或优势比。在这项研究中，提出了对环境空气污染物对健康结果的所有方面的全面和综合的讨论。据我们所知，到目前为止，还没有关于这个问题的全面观点。随着人们对空气污染引起的健康风险的日益关注，这对全球数十亿人的生命构成了巨大威胁。如果我们提出减少环境空气污染物的想法和方案，将会大大减少威胁健康的疾病的流行和发生。
