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耦合极端温度和空气污染对中国任城区非意外死亡率的影响。

Coupling the effects of extreme temperature and air pollution on non-accidental mortality in Rencheng, China.

机构信息

School of Resources and Environmental Science, Hubei University, Wuhan, China.

Department of Transportation Engineering, University of Seoul, Seoul, Republic of Korea.

出版信息

Front Public Health. 2023 Aug 3;11:1241385. doi: 10.3389/fpubh.2023.1241385. eCollection 2023.

Abstract

BACKGROUND

Extreme temperatures and air pollution have raised widespread concerns about their impact on population health.

AIM

To explore the quantitative exposure risks of high/low temperatures and types of air pollutants on the health of various populations in urban areas in China, this study assessed the effects of temperature and air pollutants on daily non-accidental deaths in Rencheng District, Jining City, China from 2019 to 2021.

METHODS

A combination of Poisson regression models and distributed lag non-linear models was used to examine the relationships between temperature, air pollutants, and daily non-accidental deaths. We found that temperature and air pollutants had a significant non-linear effect on non-accidental mortality. Both high and low temperatures had a noticeable impact on non-accidental deaths, with heat effects occurring immediately and lasting 2-3 days, while cold effects lasted for 6-12 days. The relative risks of non-accidental deaths from PM, NO, and SO were highest in winter and lowest in autumn. The relative risk of non-accidental deaths from O was highest in spring, with no significant variations in other seasons. Older adults (≥75) and outdoor workers were at the greatest risk from temperature and air pollutant exposure.

CONCLUSIONS/INTERPRETATION: Exposure to extreme temperatures and air pollutants in the Rencheng District was associated with an increased mortality rate. Under the influence of climate change, it is necessary for policymakers to take measures to reduce the risk of non-accidental deaths among residents.

摘要

背景

极端温度和空气污染引起了人们对其对人口健康影响的广泛关注。

目的

本研究旨在探讨高温/低温和不同类型空气污染物对中国城市各人群健康的定量暴露风险,评估 2019 年至 2021 年中国济宁市任城区温度和空气污染物对每日非意外死亡的影响。

方法

采用泊松回归模型和分布式滞后非线性模型相结合的方法,检验温度、空气污染物与每日非意外死亡之间的关系。结果表明,温度和空气污染物对非意外死亡率有显著的非线性影响。高温和低温对非意外死亡均有明显影响,热效应即时发生,持续 2-3 天,而冷效应持续 6-12 天。PM、NO 和 SO 的非意外死亡相对风险在冬季最高,在秋季最低。O 的非意外死亡相对风险在春季最高,其他季节无明显变化。高温和空气污染物暴露对老年人(≥75 岁)和户外工作者的影响最大。

结论/解释:任城区暴露于极端温度和空气污染物与死亡率增加有关。在气候变化的影响下,政策制定者有必要采取措施降低居民非意外死亡的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16e/10435991/a169c4f49700/fpubh-11-1241385-g001.jpg

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