School of Economics and Management, China University of Geosciences (Beijing), Beijing 100083, China; Key Laboratory of Carrying Capacity Assessment for Resource and Environment, Ministry of Natural Resources of the People's Republic of China, Beijing 100083, China.
Tianjin Academy of Social Sciences, Tianjin 300191, China.
Sci Total Environ. 2024 Dec 10;955:176798. doi: 10.1016/j.scitotenv.2024.176798. Epub 2024 Oct 9.
Air pollution mainly comes from fossil energy consumption (FEC), and it brings great threat to public health. The respiratory system of the elderly is highly susceptible to the effects of air pollution due to the decline in body functions. PM is a major component of air pollution, so the study of the impact of PM generated by FEC on the respiratory health of the elderly is of great significance. The existing studies have focused more on the effect of PM on mortality, and this paper is a useful addition to the existing studies by examining the effect of PM from FEC on the health of the elderly from the perspective of prevalence. In this paper, the binary Logistic regression model was used to calculate the exposure-response relationship coefficient for respiratory health in older adults using the data in 2018 from the Chinese Longitudinal Healthy Longevity Survey. And referring to the Dynamic Projection model for Emissions in China, the changes in the number of older persons suffering from respiratory diseases due to PM from FEC in the baseline scenario, the clean air scenario, and the on-time peak-clean air scenario were predicted. The results indicated that: (1) PM from FEC mainly came from coal; (2) PM from FEC was detrimental to the respiratory health of the elderly, and older seniors were more affected as they age; (3) In the on-time peak-clean air scenario, the number of elderly people suffering from respiratory diseases due to PM2.5 from FEC was growing at the slowest rate. Based on the above results, this paper raised recommendations for reducing the effect of PM from FEC on the health of the elderly.
空气污染主要来自化石能源消耗(FEC),给公众健康带来了巨大威胁。由于身体机能下降,老年人的呼吸系统极易受到空气污染的影响。PM 是空气污染的主要成分,因此研究 FEC 产生的 PM 对老年人呼吸健康的影响具有重要意义。现有研究更多地关注 PM 对死亡率的影响,而本文通过从流行率的角度研究 FEC 产生的 PM 对老年人健康的影响,是对现有研究的有益补充。本文使用 2018 年中国长寿纵向研究的数据,采用二元 Logistic 回归模型计算了老年人呼吸健康的暴露-反应关系系数。并参考中国排放动态预测模型,预测了在基准情景、清洁空气情景和及时峰值清洁空气情景下,因 FEC 产生的 PM 导致的老年呼吸疾病人数的变化。结果表明:(1)FEC 产生的 PM 主要来自煤炭;(2)FEC 产生的 PM 对老年人的呼吸健康有害,随着年龄的增长,老年人受影响更大;(3)在及时峰值清洁空气情景下,因 FEC 产生的 PM2.5 导致的老年呼吸疾病人数增长速度最慢。基于以上结果,本文提出了减少 FEC 产生的 PM 对老年人健康影响的建议。