从1990年到2019年,中国环境颗粒物污染造成的所有原因和特定原因死亡率的趋势:一项二次数据分析研究:二次数据分析研究
Yingying Liu1,2, Mengmeng Yan3
1Department of Health Management & Institute of Health Management, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
PloS one
|September 8, 2023
概括
中国的细颗粒物 (PM2.5) 污染与糖尿病和肺癌等疾病的死亡率上升有关. 这项研究追踪了这些趋势从1990-2019年,突出显著的公共卫生问题.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 微细颗粒物 (PM2.5) 在中国构成重大公共卫生风险.
- 了解PM2.5对死亡率的影响对于卫生政策至关重要.
- 这项研究调查了与中国PM2.5暴露相关的死亡趋势.
研究的目的:
- 检查中国因PM2.5污染造成的全因和因特定死亡负担的趋势.
- 分析随着时间的推移与PM2.5暴露相关的死亡率和生命损失年数 (YLLs) 的变化.
- 探索PM2.5负担趋势与环境/社会经济因素之间的潜在相关性.
主要方法:
- 利用了2019年中国 (1990-2019) 全球疾病负担数据.
- 计算年均百分比变化 (AAPC) 的年龄标准化死亡率 (ASMR) 和年轻人死亡率使用结点回归.
- 采用皮尔森的相关性来评估与城市绿色空间和教育水平的关联.
主要成果:
- 所有原因,糖尿病,脑炎,缺血性心脏病,气管,支气管和肺癌的死亡率从1990年至1999年增加.
- 从2010年到2019年,糖尿病和气管,支气管和肺癌的死亡率继续上升,尽管速度较慢.
- 失去生命年数 (YLLs) 的趋势反映了死亡率的趋势.
结论:
- 暴露于PM2.5与中国疾病负担的增加有关.
- 糖尿病和气管,支气管和肺癌显示出特别令人担忧的上升趋势.
- 对减缓策略和促成因素的进一步研究是有必要的.
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