Effect of water and sanitation, PM pollution and climate change of COPD and LRIs under different sociodemographic transitions

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2024-10-14 DOI:10.1016/j.puhe.2024.10.012

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引用次数: 0

Abstract

Objectives

To estimate the burden of chronic obstructive pulmonary disease (COPD) and lower respiratory tract infections (LRIs) stratified by geographic location, and social-demographic status for 21 regions across the world from 1990 to 2019.

Study design

The analysis utilized data from the Global Burden of Disease (GBD) Study, focusing on mortality and disability-adjusted life years (DALYs) as measures of COPD and LRI burden. Trend analyses using the Joinpoint model were conducted across five socio-demographic index (SDI) quintiles.

Methods

We investigated the burden of COPD and LRIs employing restricted cubic splines to flexibly identify relationships between DALY rates and SDI. This method allowed for detailed examination of trends over time across different regions and socio-demographic contexts.

Results

From 1990 to 2019, the ASMR of COPD attributed to PM for global and five SDI quintiles decreased 61.80 %, 53.41 %, 63.04 %, 63.00 %, 40.98 %, 12.14 % respectively. In terms of PM Pollution, there was an inverted U-shaped association between the DALY and SDI for COPD, the DALY rate associated with LRIs due to PM pollution exhibited a progressive decline as SDI increased.

Conclusion

Even though the trend in mortality and DALY of COPD and LRIs decreased globally, the COPD and LRI burden attributed to PM pollution remains high, particularly in lower SDI quintiles.

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不同社会人口转变下水和卫生设施、可吸入颗粒物污染以及气候变化对慢性阻塞性肺病和轻度呼吸道感染的影响

研究设计该分析利用了全球疾病负担（GBD）研究的数据，重点关注死亡率和残疾调整生命年（DALYs），以此衡量慢性阻塞性肺病（COPD）和下呼吸道感染（LRIs）的负担。我们采用限制性三次样条对慢性阻塞性肺病和长寿风险负担进行了调查，以灵活确定残疾调整生命年率与社会人口指数之间的关系。结果从 1990 年到 2019 年，全球和五个 SDI 五分位数的可吸入颗粒物导致的慢性阻塞性肺病 ASMR 分别下降了 61.80%、53.41%、63.04%、63.00%、40.98% 和 12.14%。在可吸入颗粒物污染方面，慢性阻塞性肺病的残疾调整寿命年数与 SDI 之间呈倒 U 型关系，而随着 SDI 的增加，与可吸入颗粒物污染相关的 LRI 的残疾调整寿命年数呈逐渐下降趋势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.