长期暴露于二氧化与心血管死亡率的影响:来自全国性队列研究的证据
Xinyue Li1, Zifang Zhou2, Yuchang Zhou2
1School of Public Health, Key Laboratory of Public Health Safety of the Ministry of Education and Key Laboratory of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai 200032, China.
长期暴露于二氧化 (NO2) 空气污染会显著增加心血管疾病死亡率的风险,特别是缺血性心脏病和中风. 这项中国全国性的研究证实了NO2的存在.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 二氧化 (NO2) 是一种主要的空气污染物,对健康有不确定的独立影响.
- 关于长期NO2暴露和心血管死亡率的证据有限且不一致,特别是在发展中国家.
研究的目的:
- 评估长期NO2暴露对中国全国心血管死亡率的影响.
- 调查与总心血管疾病 (CVD),缺血性心脏病 (IHD) 和中风死亡率的特定关联.
主要方法:
- 利用来自中国慢性病和风险因素监测 (CCDRFS) (2010-2011至2021) 的全国队列数据.
- 使用基于卫星的机器学习模型估计的年平均NO2度.
- 采用时间变化的考克斯比例危险模型来分析暴露-死亡关系.
主要成果:
- 二氧化暴露量增加10μg/m3与总心脏病死亡率增加8.2%的风险有关.
- 缺血性心脏病 (24.5%) 和缺血性中风 (20.9%) 的风险显著增加.
- 在65岁以上的个人和居住在中国北部的人群中发现了更强烈的关联.
结论:
- 在中国,长期暴露于二氧化对心血管死亡的风险很大.
- 这些发现强调了对缺血性心脏病和中风的影响,为暴露-反应模型提供了信息.
- 强调需要采取空气质量干预措施,以减轻心血管健康负担.
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