空气污染和血压:来自印度尼西亚的证据
Jaime Madrigano1,2, Daisy Yan3, Tianjia Liu4,5,6
1Department of Environmental Health and Engineering Johns Hopkins Bloomberg School of Public Health Baltimore MD USA.
GeoHealth
|July 4, 2024
概括
在印度尼西亚,暴露于细颗粒物 (PM2.5) 与血压升高有关,特别是在老年人中. 这项研究强调了除了强烈的火灾事件之外,空气污染的心血管风险.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 心血管研究研究心血管研究
背景情况:
- 印尼因城市化和农业实践,包括泥炭地火灾,面临着严重的空气质量挑战.
- 以前的研究主要集中在急性火灾影响上,忽视了环境空气污染对心血管疾病生物标志物的慢性影响.
- 了解日常空气质量与高血压之间的联系对于印尼的公共卫生至关重要.
研究的目的:
- 调查每日接触细颗粒物 (PM2.5) 和印尼血压水平之间的关联.
- 为了确定这个协会在各年龄段的潜在差异.
- 为东南亚人口中长期空气污染暴露对心血管的影响提供新证据.
主要方法:
- 一项采用印尼家庭生活调查 (IFLS5) 数据的横截面研究.
- 使用GEOS-Chem化学运输模型模拟每日PM2.5度.
- 采用混合效应模型来评估PM2.5暴露与抽缩和放缩血压之间的关联,调整共变量并考虑聚类.
主要成果:
- 每月PM2.5暴露的四分位数间范围的增加与腹筋血压 (0.234 mmHg) 的统计学显著增加有关.
- 这种关联在65岁及以上的个体中更为明显,表现出腹压 (1.16 mmHg) 和心压 (1.90 mmHg) 血压的显著增加.
- 对于特定于火灾的PM2.5没有发现任何显著的关联,这可能是由于数据收集时间和地点.
结论:
- 这项研究提供了印尼首个证据,将环境PM2.5暴露与血压升高联系起来.
- 老年人似乎更容易受到空气污染的高血压影响.
- 调查结果强调了解决慢性空气污染问题作为印尼心血管疾病风险因素的重要性.
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