Gender-differentiated impact of PM2.5 exposure on respiratory and cardiovascular mortality: a review

IF 2.9 4区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES
Karina D. Véliz, Diana E. Alcantara-Zapata, Laura Chomalí, Joaquín Vargas
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Abstract

The association between PM2.5 and cardiovascular and respiratory mortality from a gender perspective is scarce in the literature, despite the fifth sustainable development goal (SDG 5) related to gender equality. This study aims to assess whether gender analysis in the association of PM2.5 on respiratory and cardiovascular mortality shows a different impact on women than men around diverse regions of the world. We conducted a scoping review of the Web of Science database citations for epidemiological studies published between June 2020 and October 2021. The articles that met our inclusion criteria were grouped into three categories based on gender-induced effects to compare the registered risks between men and women. Of 956 articles identified, 36 published were eligible. The regions with the most gender analysis studies were Asia (n = 15), North America (n = 15), and Europe (n = 6). Irrespective of the gender-induced effect category, 7 articles reported a higher risk for women than men, and 14 declared the contrary. The magnitude of the impact of PM2.5 on cardiovascular and respiratory mortality in women is unclear. Differences in covariates, methods of analysis, and regional characteristics of each country could influence the results. All studies lacked indoor PM2.5 measurements, which may bias mortality estimates for the female population. The use of indoor PM2.5 measurements would more accurately reflect the air quality that women and girls typically breathe.

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PM2.5暴露对呼吸系统和心血管死亡率的性别差异影响:综述
尽管第五个可持续发展目标(SDG 5)与性别平等有关,但从性别角度研究 PM2.5 与心血管和呼吸系统死亡率之间的关系的文献却很少。本研究旨在评估 PM2.5 与呼吸系统和心血管疾病死亡率的关系中的性别分析是否显示,在世界不同地区,女性受到的影响与男性不同。我们对 Web of Science 数据库中 2020 年 6 月至 2021 年 10 月间发表的流行病学研究的引文进行了范围审查。符合我们纳入标准的文章根据性别引起的影响分为三类,以比较男女之间登记的风险。在确定的 956 篇文章中,有 36 篇已发表的文章符合条件。性别分析研究最多的地区是亚洲(15 篇)、北美(15 篇)和欧洲(6 篇)。无论性别引起的影响类别如何,有 7 篇文章报告女性的风险高于男性,有 14 篇文章则相反。PM2.5 对女性心血管和呼吸系统死亡率的影响程度尚不清楚。各国在协变量、分析方法和地区特征方面的差异可能会影响研究结果。所有研究都缺乏室内 PM2.5 测量,这可能会使女性人口的死亡率估计值出现偏差。使用室内 PM2.5 测量值可以更准确地反映妇女和女童通常呼吸的空气质量。
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来源期刊
Air Quality Atmosphere and Health
Air Quality Atmosphere and Health ENVIRONMENTAL SCIENCES-
CiteScore
8.80
自引率
2.00%
发文量
146
审稿时长
>12 weeks
期刊介绍: Air Quality, Atmosphere, and Health is a multidisciplinary journal which, by its very name, illustrates the broad range of work it publishes and which focuses on atmospheric consequences of human activities and their implications for human and ecological health. It offers research papers, critical literature reviews and commentaries, as well as special issues devoted to topical subjects or themes. International in scope, the journal presents papers that inform and stimulate a global readership, as the topic addressed are global in their import. Consequently, we do not encourage submission of papers involving local data that relate to local problems. Unless they demonstrate wide applicability, these are better submitted to national or regional journals. Air Quality, Atmosphere & Health addresses such topics as acid precipitation; airborne particulate matter; air quality monitoring and management; exposure assessment; risk assessment; indoor air quality; atmospheric chemistry; atmospheric modeling and prediction; air pollution climatology; climate change and air quality; air pollution measurement; atmospheric impact assessment; forest-fire emissions; atmospheric science; greenhouse gases; health and ecological effects; clean air technology; regional and global change and satellite measurements. This journal benefits a diverse audience of researchers, public health officials and policy makers addressing problems that call for solutions based in evidence from atmospheric and exposure assessment scientists, epidemiologists, and risk assessors. Publication in the journal affords the opportunity to reach beyond defined disciplinary niches to this broader readership.
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