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意大利 1990-2019 年空气污染对健康影响的时间趋势：来自 2019 年全球疾病负担研究的分析。

Time-Trends in Air Pollution Impact on Health in Italy, 1990-2019: An Analysis From the Global Burden of Disease Study 2019.

机构信息

Research Center on Public Health, University of Milan Bicocca, Monza, Italy.

Laboratory of Public Health, Auxologico Research Hospital-IRCCS, Milan, Italy.

出版信息

Int J Public Health. 2023 Jun 2;68:1605959. doi: 10.3389/ijph.2023.1605959. eCollection 2023.

DOI:10.3389/ijph.2023.1605959
PMID:37347013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10280378/
Abstract

We explored temporal variations in disease burden of ambient particulate matter 2.5 μm or less in diameter (PM) and ozone in Italy using estimates from the Global Burden of Disease Study 2019. We compared temporal changes and percent variations (95% Uncertainty Intervals [95% UI]) in rates of disability adjusted life years (DALYs), years of life lost, years lived with disability and mortality from 1990 to 2019, and variations in pollutant-attributable burden with those in the overall burden of each PM- and ozone-related disease. In 2019, 467,000 DALYs (95% UI: 371,000, 570,000) were attributable to PM and 39,600 (95% UI: 18,300, 61,500) to ozone. The crude DALY rate attributable to PM decreased by 47.9% (95% UI: 10.3, 65.4) from 1990 to 2019. For ozone, it declined by 37.0% (95% UI: 28.9, 44.5) during 1990-2010, but it increased by 44.8% (95% UI: 35.5, 56.3) during 2010-2019. Age-standardized rates declined more than crude ones. In Italy, the burden of ambient PM (but not of ozone) significantly decreased, even in concurrence with population ageing. Results suggest a positive impact of air quality regulations, fostering further regulatory efforts.

摘要

我们使用 2019 年全球疾病负担研究的数据，探讨了意大利直径 2.5μm 或以下的环境细颗粒物 (PM) 和臭氧的疾病负担的时间变化。我们比较了 1990 年至 2019 年残疾调整生命年 (DALY)、死亡损失年、残疾生存年和死亡率的比率的时间变化和百分比变化 (95%置信区间 [95%UI])，以及与每个 PM 和臭氧相关疾病的总负担相比，污染物归因负担的变化。2019 年，有 46.7 万 DALY (95%UI：37.1 万，57.0 万)归因于 PM，3.96 万 (95%UI：1.83 万，6.15 万)归因于臭氧。PM 归因的粗 DALY 率从 1990 年到 2019 年下降了 47.9% (95%UI：10.3，65.4)。对于臭氧，在 1990-2010 年期间下降了 37.0% (95%UI：28.9，44.5)，但在 2010-2019 年期间上升了 44.8% (95%UI：35.5，56.3)。年龄标准化率的下降幅度大于粗率。在意大利，即使人口老龄化，环境 PM (但不是臭氧) 的负担也显著下降。结果表明空气质量法规产生了积极影响，进一步推动了监管努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/d3d3803af9a7/ijph-68-1605959-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/542dfa8b4d9c/ijph-68-1605959-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/92514c9363c8/ijph-68-1605959-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/ef40b27ce8ad/ijph-68-1605959-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/96e43c56cdd7/ijph-68-1605959-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/d3d3803af9a7/ijph-68-1605959-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/542dfa8b4d9c/ijph-68-1605959-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/92514c9363c8/ijph-68-1605959-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/ef40b27ce8ad/ijph-68-1605959-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/96e43c56cdd7/ijph-68-1605959-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/10280378/d3d3803af9a7/ijph-68-1605959-g005.jpg

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