中国山东省空气污染和非最佳气温对死亡率的综合影响：建立空气健康指数

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Archives of Occupational and Environmental Health Pub Date : 2023-12-29 DOI:10.1007/s00420-023-02036-w

Shuyue Niu, Junli Tang, Kejia Hu, Xiaohui Xu, Jing Dong, Jie Chu, Xiaolei Guo, Haitao Wang, Yanwen Cao, Qi Zhao, Lovel Fornah, Zilong Lu, Wei Ma

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引用次数: 0

摘要

目的空气健康指数（AHI）反映了空气污染和非最佳温度的综合影响，有助于评估大气环境的整体健康风险。山东省是中国重要的工业基地，空气污染和非最佳温度对健康的影响不容忽视。方法在中国山东省收集了 2013-2018 年期间各地区的死亡率、气象和空气污染数据。AHI 的构建最终纳入了 PM2.5、二氧化氮（NO2）、臭氧（O3）和非最佳温度。我们的研究发现，总 AHI 与总死亡率之间存在正相关，总体趋势是先缓慢上升后快速上升。按性别、年龄和死因分层后，暴露-反应曲线与总体趋势基本一致。该省的可归因比例（AF）为 5.31%（95% CI 4.58%，5.91%），可归因人数（AN）为 188,246 人（95% CI 162,396 人，209,533 人）。总体而言，较高的AN值主要出现在西南地区，而较高的AF值则出现在中东部和中北部地区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

The combined effect of air pollution and non-optimal temperature on mortality in Shandong Province, China: establishment of air health index

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The combined effect of air pollution and non-optimal temperature on mortality in Shandong Province, China: establishment of air health index

Purpose

The air health index (AHI) captures the combined effects of air pollution and non-optimal temperatures and helps assess the atmospheric environment’s overall health risk. Shandong Province is a crucial industrial base in China, and the health effects of air pollution and non-optimal temperature cannot be ignored. To construct an AHI for Shandong Province and assess the district-level mortality burden due to AHI in the study area.

Methods

Daily district-specific mortality, meteorological, and air pollution data over 2013–2018 were collected in Shandong Province, China. The AHI construction eventually incorporated PM_2.5 and NO₂, O₃, and non-optimal temperatures. Attributable fraction (AF) and attributable number (AN) were used to estimate the district-specific mortality burden attributable to AHI.

Results

The average AHI value observed in Shandong Province was 6. Our research revealed a positive association between the total AHI and total mortality, with an overall trend of a slow increase followed by a rapid increase. The exposure–response curves, when stratified by gender, age, and cause of death, were approximately consistent with the overall trend. The provincial attributable fraction (AF) was 5.31% (95% CI 4.58%, 5.91%), and the attributable number (AN) was 188,246 (95% CI 162,396, 209,533). Overall, higher ANs mainly appeared in the southwestern area, while higher values of AF were observed in the central-eastern and central-northern areas.

Conclusions

The air health index performs well in predicting death burden and can convey health risks related to exposure to the ambient environment to the public.

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来源期刊

International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

6.70%

发文量

127

审稿时长

3 months

期刊介绍： International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.