Department of Thoracic Surgery, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, China.
Fifth Clinical Medical College, Shanxi Medical University, Taiyuan, Shanxi, China.
Cancer Med. 2024 Sep;13(18):e70241. doi: 10.1002/cam4.70241.
This study aimed to evaluate the global burden of lung cancer due to ambient particulate matter (PM) pollution in women of childbearing age from 1990 to 2021.
This was a secondary analysis utilizing data from the Global Burden of Disease (GBD) 2021, with a focus on the temporal trends of the lung cancer burden attributable to ambient PM2.5 among women of childbearing age.
In 2021, the global mortality and disability-adjusted life years (DALYs) number of lung cancer burden attributable to ambient PM2.5 among women of childbearing age were approximately 5205 and 247,211, respectively. The rate of lung cancer attributable to ambient PM2.5 among women of childbearing age increased between 1990 and 2021, with the age-standardized mortality rate (ASMR) increasing from 0.22 (95% uncertainty interval [UI]; 0.13 to 0.33) to 0.25 (95% UI; 0.14 to 0.37; average annual percent change [AAPC] = 0.40) and the age-standardized DALYs rate (ASDR) increasing from 10.39 (95% UI; 5.96 to 15.72) to 12.06 (95% UI; 6.83 to 17.51; AAPC = 0.41). The middle sociodemographic index (SDI) region, East Asia, and China had the heaviest burden, while the high SDI region showed the highest decrease. ASMR and ASDR exhibited an inverted U-shaped relationship with the SDI.
From 1990 to 2021, the lung cancer burden attributable to ambient PM2.5 among women of childbearing age exhibited an increasing trend. Furthermore, increasing attention should be paid to the middle SDI region, East Asia, and China, as ambient PM pollution remains a critical target for intervention.
本研究旨在评估 1990 年至 2021 年间,育龄妇女因环境细颗粒物(PM)污染导致的全球肺癌负担。
这是一项二次分析,利用 2021 年全球疾病负担(GBD)的数据,重点关注育龄妇女环境 PM2.5 归因于肺癌负担的时间趋势。
2021 年,全球因环境 PM2.5 导致的育龄妇女肺癌死亡人数和残疾调整生命年(DALY)数分别约为 5205 和 247211。1990 年至 2021 年间,育龄妇女环境 PM2.5 归因于肺癌的发病率呈上升趋势,年龄标准化死亡率(ASMR)从 0.22(95%置信区间[UI];0.13 至 0.33)上升到 0.25(95% UI;0.14 至 0.37;年均百分比变化[AAPC] = 0.40),年龄标准化 DALY 率(ASDR)从 10.39(95% UI;5.96 至 15.72)上升到 12.06(95% UI;6.83 至 17.51;AAPC = 0.41)。中社会人口指数(SDI)地区、东亚和中国的负担最重,而高 SDI 地区的降幅最大。ASMR 和 ASDR 与 SDI 呈倒 U 型关系。
1990 年至 2021 年间,育龄妇女因环境 PM2.5 导致的肺癌负担呈上升趋势。此外,应更加关注中 SDI 地区、东亚和中国,因为环境 PM 污染仍然是干预的一个关键目标。