Exploring methods for the assessment of temporal trends in mortality and hospitalization in Italian industrially contaminated sites.

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annali dell'Istituto superiore di sanita Pub Date : 2021-04-01 DOI:10.4415/ANN_21_02_11

Vittoria La Serra, Roberto Pasetto, Valerio Manno, Ivano Iavarone, Giovanna Jona Lasinio, Giada Minelli

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Abstract

Introduction: The Italian contaminated sites of interest for remediation are monitored by SENTIERI, an epidemiological surveillance system describing the health status of populations living nearby these sites. There is an increasing concern on how to assess temporal changes in the health status of these populations.

Methods: A sequence of three statistical techniques was adopted to analyse temporal trends of mortality and hospitalization, by using different indicators and reference populations, in a sample of 36 sites with industrial sources of contamination monitored by SENTIERI.

Results: Positive temporal trends in health risks are detected reflecting mainly long term effects of industrial activities. The adopted methodology identifies multiple factors influencing the temporal patterns: type of health outcomes, type of disease, and its link with gender and type of emission sources.

Conclusions: Reliable methods to assess health profile changes in local populations attributable to contaminations are key elements to measure the impact of remediation activities.

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探索评估意大利工业污染场所死亡率和住院率的时间趋势的方法。

意大利有兴趣进行修复的污染场地由SENTIERI监测，这是一个描述居住在这些场地附近人口健康状况的流行病学监测系统。人们越来越关注如何评估这些人口健康状况的时间变化。方法:在SENTIERI监测的36个工业污染源地点的样本中，采用一系列三种统计技术，利用不同指标和参考人口，分析死亡率和住院率的时间趋势。结果:检测到健康风险的积极时间趋势，主要反映了工业活动的长期影响。所采用的方法确定了影响时间格局的多种因素:健康结果类型、疾病类型及其与性别和排放源类型的联系。结论:采用可靠的方法评估污染导致的当地人群健康状况变化是衡量修复活动影响的关键因素。

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

Annali dell'Istituto superiore di sanita PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.80

自引率

4.80%

发文量

审稿时长

>12 weeks

期刊介绍： Annali dell’Istituto Superiore di Sanità is a peer reviewed quarterly science journal which publishes research articles in biomedicine, translational research and in many other disciplines of the health sciences. The journal includes the following material: original articles, reviews, commentaries, editorials, brief and technical notes, book reviews. The publication of Monographic Sections has been discontinued. In case you wish to present a small number of coordinated contributions on specific themes concerning priorities in public health, please contact the Editorial office. The journal is in English.