减少暴露和慢性疾病死亡率
Fen Wu1, Alexander van Geen2, Joseph Graziano3
1Department of Population Health, New York University Grossman School of Medicine, New York.
JAMA
|November 17, 2025
概括
减少饮用水中的暴露与癌症和心血管疾病等慢性疾病的死亡率降低有关. 这项研究表明,水平的降低与改善的长期健康结果相关.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 流行病学 流行病学
背景情况:
- 通过饮用水长期暴露于是严重的公共卫生问题,与慢性疾病死亡率增加有关.
- 有限的证据表明,减少暴露对受影响人群的健康益处有限.
研究的目的:
- 研究通过尿尿水平测量的减少暴露量与从慢性疾病,包括癌症和心血管疾病 (CVD) 中死亡风险之间的关联.
主要方法:
- 孟加拉国的前性队列研究 (n=10,977) 随着时间的推移 (2000-2018) 重复测量尿水平.
- 社区一级的缓解努力导致了暴露的减少.
- 使用可变时间的考克斯回归和受限立方线分析来评估与暴露变化相关的死亡风险.
主要成果:
- 每次尿的四分位数间范围 (IQR) 降低都与慢性病死亡率降低22%,癌症死亡率降低20%,心血管疾病死亡率降低23%.
- 尿水平下降到中位数以下的参与者,与持续高水平的参与者相比,死亡率明显降低.
- 暴露的减少始终与较低的死亡率有关,而增加与更高的风险有关.
结论:
- 减少暴露,即使在长期暴露后,也与慢性疾病死亡率的显著降低有关.
- 这些发现强调了旨在降低饮用水中含量的公共卫生干预措施的重要性,以改善人口健康结果.
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