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拉丁美洲和加勒比地区的空气污染与公众健康:一项荟萃分析的系统评价

Air pollution and public health in Latin America and the Caribbean (LAC): a systematic review with meta-analysis.

作者信息

Husaini Danladi Chiroma, Reneau Kyle, Balam Daren

机构信息

Pharmacy Program, Department of Allied Health, Faculty of Health Sciences, University of Belize, Belmopan Central Campus, Belmopan, Belize.

出版信息

Beni Suef Univ J Basic Appl Sci. 2022;11(1):122. doi: 10.1186/s43088-022-00305-0. Epub 2022 Sep 30.

Abstract

BACKGROUND

Over the years, air pollution has garnered increased attention from researchers who continue to provide studies and suggestive data that prove there is an ever-increasing risk of air pollution on the health of humans, terrestrial, and aquatic animals. A measurement involved in the quantity of certain traceable particles within the air, namely: Particulate Matter (PM) 2.5 and 10, ozone (O), Nitrogen dioxide (NO), sulfur dioxide (SO), and carbon monoxide (CO) emissions, all converted to Air Quality Index. Most studies are predominantly from developed nations with limited research conducted in developing nations such as those in Latin America and the Caribbean.

MAIN BODY

In this systematic review, we examined the impact of air pollution on public health. A database search produced 1,118 studies, of which four were selected for a quantitative meta-analysis that explored hazard ratios concerning exposure to elevated levels of PM2.5. The meta-analysis results show that exposure to PM2.5 increases the risk of an adverse health event by as much as 2% five days after exposure. Results also indicated a consensus on the negative impacts of air pollution on public health. The results also suggest that more can be done within the region to combat or at the very least minimize the impact of air pollution to public health.

CONCLUSION

The pooled data from the studies reviewed show that there is an increased risk of an adverse health event on the day of exposure to PM2.5 and every subsequent day after exposure. A pattern exists between hospitalization and air pollution due to increased susceptibility to respiratory infections and asthma development. Combating the harmful effects of air pollution should be a top priority in Latin America and the Caribbean.

摘要

背景

多年来,空气污染日益受到研究人员的关注,他们不断提供研究和相关数据,证明空气污染对人类、陆地和水生动物健康的风险在不断增加。空气污染的测量涉及空气中某些可追踪颗粒的数量,即:细颗粒物(PM)2.5和10、臭氧(O)、二氧化氮(NO)、二氧化硫(SO)和一氧化碳(CO)排放,所有这些都换算为空气质量指数。大多数研究主要来自发达国家,而在拉丁美洲和加勒比等发展中国家进行的研究有限。

主体

在本系统评价中,我们研究了空气污染对公众健康的影响。通过数据库检索得到1118项研究,其中四项被选用于定量荟萃分析,该分析探讨了与接触高水平PM2.5相关的风险比。荟萃分析结果表明,接触PM2.5后五天内,不良健康事件的风险增加高达2%。结果还表明,人们对空气污染对公众健康的负面影响达成了共识。结果还表明,该地区可以采取更多措施来应对空气污染,或者至少将其对公众健康的影响降至最低。

结论

所审查研究的汇总数据表明,接触PM2.5当天及之后的每一天,不良健康事件的风险都会增加。由于对呼吸道感染和哮喘发病的易感性增加,住院与空气污染之间存在一种模式。应对空气污染的有害影响应成为拉丁美洲和加勒比地区的首要任务。

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