Ozkaynak H, Spengler J D
Environ Health Perspect. 1985 Nov;63:45-55. doi: 10.1289/ehp.856345.
Types of available studies relevant to the quantification of air pollution health effects and their principal limitations are discussed. Assessments are provided based on review and re-analysis of previously reported data bases, synthesis of published findings, and original analysis of health data sets using new methods or recent size-specific particle mass measurements. Interim results from ongoing research activities on airborne particle health effects are presented. It is shown that preliminary results obtained from cross-sectional and time-series mortality studies appear to be consistent, indicating that particulate air pollution, even at current levels, could be of concern for public health. Throughout the paper, methodological deficiencies and remaining gaps in knowledge are identified. In particular, uncertainties associated with the reported exposure-response coefficients are assessed. Finally, by characterizing the limitations of analysis we propose various recommendations for future studies and research that will serve to further define the nature, magnitude, and uncertainties of air pollution health risks.
讨论了与空气污染健康影响量化相关的现有研究类型及其主要局限性。基于对先前报告数据库的回顾和重新分析、已发表研究结果的综合以及使用新方法或近期特定粒径颗粒物质量测量对健康数据集进行的原始分析,给出了评估结果。展示了正在进行的关于空气中颗粒物健康影响研究活动的中期结果。结果表明,横断面和时间序列死亡率研究获得的初步结果似乎是一致的,这表明即使在当前水平,颗粒物空气污染也可能对公众健康构成威胁。在整篇论文中,识别了方法学缺陷和知识空白。特别评估了与报告的暴露-反应系数相关的不确定性。最后,通过描述分析的局限性,我们为未来的研究提出了各种建议,这些研究将有助于进一步界定空气污染健康风险的性质、程度和不确定性。