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南京市臭氧短期暴露人群急性健康效应研究 被引量:29

Acute health impacts of ozone exposure on daily mortality in Nanjing
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摘要 目的探讨南京市臭氧(O3)短期暴露对人群的急性健康影响。方法整理2013—2015年南京市气象数据、O_3与PM(2.5)监测数据及人群非意外死亡等数据,采用Possion分布广义相加模型(GAM),分析O3短期暴露水平(O3每日最大1h浓度,O_(3 1h-max))与人群非意外死亡风险之间的相关性。结果单污染物模型中,O3 1h-max多日移动平均滞后效应强于单日滞后,且在lag03时最强。O_(3 1h-max)浓度(lag03)每升高10μg/m^3,人群非意外死亡风险增加0.79%(95%CI:0.50%~1.09%),心血管疾病死亡风险增加1.25%(95%CI:0.78%~1.72%);其中女性非意外死亡风险增加0.97%(95%CI:0.53%~1.41%),男性增加0.66%(95%CI:0.27%~1.05%);≥65岁人群增加0.90%(95%CI:0.57%~1.23%)。双污染物模型中,调整了共存污染物PM2.5的影响后,非意外死亡风险和心血管疾病死亡风险分别降至0.42%(95%CI:0.22%~0.63%)、1.19%(95%CI:0.72%~1.67%)。结论南京市O3短期暴露能增加人群非意外死亡、心血管系统疾病死亡的风险,女性和65岁以上老年人为暴露的敏感人群。 Objective To explore the associations between non-accidental mortality and short-term ambient ozone exposure in Nanjing. Methods Meteorological data, daily air pollution (include O3 and PM2.5) and daily mortality information from 2013 to 2015 in Nanjing were collected. A generalized additive model with Possion distribution was used to analyze the relationship between total non-accidental mortality risk and short -term ozone exposure ( O3 1h-max). Results In the single-pollutant model, multiday exposures had larger effects than single-day exposure,while maximal effect was achieved at lagO3. With the increase of 10 μg/m3 ozone (1 h maximum) at lagO3, the estimated non-accidental mortality risk increased 0.79% (95 % CI: 0. 50 %- 1.09 % ), while cardiovascular mortality risk increased 1.25 ~ (95 %CI:0.78 - 1.72 % ) ; among which the mortalities of females, males and people older than 65 years old increased 0. 97 % ( 95 ~ CI: 0. 53 % - 1.41 % ), 0. 66 % ( 95 % CI: 0. 27 % - 1.05%) and 0.90%(95%CI:0.57G- 1.23%). In the double-pollutant model, the total non-accidental mortality and cardio- vascular mortality outcome reduced to 0.42%(95%CI:0.22%-0.63%) and 1.19%(95%0CI:0. 72%- 1.67%), respectively, upon adjustment for PM2. s. Conclusion Short-term O3 exposure can increase non-accidental mortality and cardiovascular mor- tality risk female and the people older than 65 years old are sensitive groups of exposure.
出处 《江苏预防医学》 CAS 2017年第4期366-368,386,共4页 Jiangsu Journal of Preventive Medicine
基金 国家卫生行业专项研究(201402022)
关键词 臭氧 短期暴露 时间序列分析 非意外死亡 心血管系统疾病 呼吸系统疾病 Ozone Short-term exposure Time-series studies Non-accidental mortality Cardiovascular disease Respira- tory disease
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  • 1上海市统计局.上海统计年鉴[EB/OL].http://www.stats-sh.gov.cn/2003shtj/tjnj/nj08.htm?dl=2008tjnj/C1103.htm.2009-07-15.
  • 2Bosson J,Pourazar B,Forsberg E,et al.Ozone enhances the airway inflammation initiated by dieset exhaust[J].Respiratory Medicine,2007,101(6):1140-1146.
  • 3Chen C Y,Bonham A C,Plopper C G,et al.Neuroplasticity in nucleus tractus solitarius neurons after episodic ozone exposure in infant primates[J].Journal of Applied Physiology,2003,94(2):819-827.
  • 4Chuang K J,Chan C C,Su T C,et al.Urban air pollution on inflammation,oxidative stress,coagulation and autonomic dysfunction[J].American Journal of Respiratory Critical Care Medicine,2007,176(4):370-376.
  • 5Bell M L,Dominici F,Samet J M.A meta-analysis of time-series studies of ozone and mortality with comparison to the national morbidity,mortality and air pollution study[J].Epidemiology,2005,16(4):436-445.
  • 6Jerrett M,Burnett R T,Pope C A,et al.Long-term ozone exposure and mortality[J].The New England Journal of Medicine,2009,360(11):1085-1095.
  • 7Stieb D M,Burnett R T,Beveridge R C,et al.Association between ozone and asthma emergency department visits in Saint John,New Brunswick,Canada[J].Environmental Health Perspectives,1996,104(12):1354-1360.
  • 8Wong T W,Lau T S,Yu T S,et al.Air pollution and hospital admissions for respiratory and cardiovascular diseases in Hong Kong[J].Journal of Occupational and Environmental Medicine,1999,56(10):679-683.
  • 9Gilliland F D,Berhane K,Rappaport E B,et al.The effects of ambient air pollution on school absenteeism due to respiratory illnesses[J].Epidemiology,2001,12(l):43-54.
  • 10World Health Organization.WHO Air quality guidelines for particulate matter,ozone,nitrogen dioxide and sulfur dioxide[EB/OL].http://whqlibdoc.who.int/hq/2006AVHO_SDE_PHE_OE H_06.02_eng.pdf.2009-09-10.

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