{"title":"全球视力障碍负担与环境大气细颗粒物的相关性。","authors":"Parya Abdolalizadeh, Khalil Ghasemi Falavarjani","doi":"10.4103/joco.joco_125_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To assess the correlation between the worldwide burden of vision impairment (VI) and fine particulate matter (PM) 2.5.</p><p><strong>Methods: </strong>In this retrospective cross-sectional study, global and national prevalence and disability-adjusted lost year (DALY) numbers and rates of total VI, glaucoma, cataract, and age-related macular degeneration (AMD) were obtained from the Global Burden of Disease database. The global and national levels of PM2.5 levels were also extracted. The main outcome measures were the correlation of PM2.5 levels with total VI and three ocular diseases in different age, sex, and socioeconomic subgroups.</p><p><strong>Results: </strong>In 2019, the worldwide prevalence of total VI and exposure level of PM2.5 was 9.6% (95% uncertainty interval: 8.0-11.3) and 42.5 μg/m<sup>3</sup>, respectively. The national age-standardized prevalence rates of total VI (<i>r</i> <sub>p</sub> = 0.52, <i>P</i> < 0.001), glaucoma (<i>r</i> <sub>p</sub> = 0.65, <i>P</i> < 0.001), AMD (<i>r</i> <sub>p</sub> = 0.67, <i>P</i> < 0.001), and cataract (<i>r</i> <sub>p</sub> = 0.44, <i>P</i> < 0.001) have a positive correlation with PM2.5 levels. In addition, the national age-standardized DALY rates of total VI (<i>r</i> <sub>p</sub> = 0.62, <i>P</i> < 0.001), glaucoma (<i>r</i> <sub>p</sub> = 0.62, <i>P</i> < 0.001), AMD (<i>r</i> <sub>p</sub> = 0.54, <i>P</i> < 0.001), and cataract (<i>r</i> <sub>p</sub> = 0.45, <i>P</i> < 0.001) significantly correlated with PM2.5 levels. The correlations remained significant in different age, sex, and sociodemographic subgroups.</p><p><strong>Conclusion: </strong>National prevalence rates of VI and three major ocular diseases correlate significantly with PM2.5 exposure levels, worldwide.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392291/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Correlation of Global Burden of Vision Impairment and Ambient Atmospheric Fine Particulate Matter.\",\"authors\":\"Parya Abdolalizadeh, Khalil Ghasemi Falavarjani\",\"doi\":\"10.4103/joco.joco_125_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To assess the correlation between the worldwide burden of vision impairment (VI) and fine particulate matter (PM) 2.5.</p><p><strong>Methods: </strong>In this retrospective cross-sectional study, global and national prevalence and disability-adjusted lost year (DALY) numbers and rates of total VI, glaucoma, cataract, and age-related macular degeneration (AMD) were obtained from the Global Burden of Disease database. The global and national levels of PM2.5 levels were also extracted. The main outcome measures were the correlation of PM2.5 levels with total VI and three ocular diseases in different age, sex, and socioeconomic subgroups.</p><p><strong>Results: </strong>In 2019, the worldwide prevalence of total VI and exposure level of PM2.5 was 9.6% (95% uncertainty interval: 8.0-11.3) and 42.5 μg/m<sup>3</sup>, respectively. The national age-standardized prevalence rates of total VI (<i>r</i> <sub>p</sub> = 0.52, <i>P</i> < 0.001), glaucoma (<i>r</i> <sub>p</sub> = 0.65, <i>P</i> < 0.001), AMD (<i>r</i> <sub>p</sub> = 0.67, <i>P</i> < 0.001), and cataract (<i>r</i> <sub>p</sub> = 0.44, <i>P</i> < 0.001) have a positive correlation with PM2.5 levels. In addition, the national age-standardized DALY rates of total VI (<i>r</i> <sub>p</sub> = 0.62, <i>P</i> < 0.001), glaucoma (<i>r</i> <sub>p</sub> = 0.62, <i>P</i> < 0.001), AMD (<i>r</i> <sub>p</sub> = 0.54, <i>P</i> < 0.001), and cataract (<i>r</i> <sub>p</sub> = 0.45, <i>P</i> < 0.001) significantly correlated with PM2.5 levels. The correlations remained significant in different age, sex, and sociodemographic subgroups.</p><p><strong>Conclusion: </strong>National prevalence rates of VI and three major ocular diseases correlate significantly with PM2.5 exposure levels, worldwide.</p>\",\"PeriodicalId\":15423,\"journal\":{\"name\":\"Journal of Current Ophthalmology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-08-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392291/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Current Ophthalmology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/joco.joco_125_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/10/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Current Ophthalmology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/joco.joco_125_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/10/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：评估全球视力损伤（VI）负担与细颗粒物（PM）2.5 之间的相关性：在这项回顾性横断面研究中，我们从全球疾病负担数据库中获取了全球和各国总视力损伤、青光眼、白内障和老年性黄斑变性（AMD）的患病率、残疾调整损失年（DALY）数量和比率。此外，还提取了全球和各国的 PM2.5 水平。主要结果指标是PM2.5水平与不同年龄、性别和社会经济亚组的总VI和三种眼部疾病的相关性：2019年，全球总VI患病率和PM2.5暴露水平分别为9.6%（95%不确定区间：8.0-11.3）和42.5 μg/m3。全国总六度弱视（r p = 0.52，P < 0.001）、青光眼（r p = 0.65，P < 0.001）、老年性黄斑变性（r p = 0.67，P < 0.001）和白内障（r p = 0.44，P < 0.001）的年龄标准化患病率与 PM2.5 水平呈正相关。此外，全国总 VI（r p = 0.62，P < 0.001）、青光眼（r p = 0.62，P < 0.001）、AMD（r p = 0.54，P < 0.001）和白内障（r p = 0.45，P < 0.001）的年龄标准化 DALY 率与 PM2.5 水平显著相关。在不同年龄、性别和社会人口亚群中，相关性仍然明显：结论：在全球范围内，VI 和三种主要眼部疾病的全国患病率与 PM2.5 暴露水平密切相关。
The Correlation of Global Burden of Vision Impairment and Ambient Atmospheric Fine Particulate Matter.
Purpose: To assess the correlation between the worldwide burden of vision impairment (VI) and fine particulate matter (PM) 2.5.
Methods: In this retrospective cross-sectional study, global and national prevalence and disability-adjusted lost year (DALY) numbers and rates of total VI, glaucoma, cataract, and age-related macular degeneration (AMD) were obtained from the Global Burden of Disease database. The global and national levels of PM2.5 levels were also extracted. The main outcome measures were the correlation of PM2.5 levels with total VI and three ocular diseases in different age, sex, and socioeconomic subgroups.
Results: In 2019, the worldwide prevalence of total VI and exposure level of PM2.5 was 9.6% (95% uncertainty interval: 8.0-11.3) and 42.5 μg/m3, respectively. The national age-standardized prevalence rates of total VI (rp = 0.52, P < 0.001), glaucoma (rp = 0.65, P < 0.001), AMD (rp = 0.67, P < 0.001), and cataract (rp = 0.44, P < 0.001) have a positive correlation with PM2.5 levels. In addition, the national age-standardized DALY rates of total VI (rp = 0.62, P < 0.001), glaucoma (rp = 0.62, P < 0.001), AMD (rp = 0.54, P < 0.001), and cataract (rp = 0.45, P < 0.001) significantly correlated with PM2.5 levels. The correlations remained significant in different age, sex, and sociodemographic subgroups.
Conclusion: National prevalence rates of VI and three major ocular diseases correlate significantly with PM2.5 exposure levels, worldwide.
期刊介绍：
Peer Review under the responsibility of Iranian Society of Ophthalmology Journal of Current Ophthalmology, the official publication of the Iranian Society of Ophthalmology, is a peer-reviewed, open-access, scientific journal that welcomes high quality original articles related to vision science and all fields of ophthalmology. Journal of Current Ophthalmology is the continuum of Iranian Journal of Ophthalmology published since 1969.
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