國家衛生研究院 NHRI:Item 3990099045/15411
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    题名: Joint effect of heat and air pollution on mortality in 620 cities of 36 countries
    作者: Stafoggia, M;Michelozzi, P;Schneider, A;Armstrong, B;Scortichini, M;Rai, M;Achilleos, S;Alahmad, B;Analitis, A;Åström, C;Bell, ML;Calleja, N;Krage Carlsen, H;Carrasco, G;Paul Cauchi, J;Dszs Coelho, M;Correa, PM;Diaz, MH;Entezari, A;Forsberg, B;Garland, RM;Leon Guo, Y;Guo, Y;Hashizume, M;Holobaca, IH;Íñiguez, C;Jaakkola, JJK;Kan, H;Katsouyanni, K;Kim, H;Kyselý, J;Lavigne, E;Lee, W;Li, S;Maasikmets, M;Madureira, J;Mayvaneh, F;Fook Sheng Ng, C;Nunes, B;Orru, H;V Ortega, N;Osorio, S;Palomares, ADL;Pan, SC;Pascal, M;Ragettli, MS;Rao, S;Raz, R;Roye, D;Ryti, N;Hn Saldiva, P;Samoli, E;Schwartz, J;Scovronick, N;Sera, F;Tobias, A;Tong, S;Dlc Valencia, C;Maria Vicedo-Cabrera, A;Urban, A;Gasparrini, A;Breitner, S;de' Donato, FK
    贡献者: National Institute of Environmental Health Sciences
    摘要: Background: The epidemiological evidence on the interaction between heat and ambient air pollution on mortality is still inconsistent. Objectives: To investigate the interaction between heat and ambient air pollution on daily mortality in a large dataset of 620 cities from 36 countries. Methods: We used daily data on all-cause mortality, air temperature, particulate matter ≤ 10 μm (PM10), PM ≤ 2.5 μm (PM2.5), nitrogen dioxide (NO2), and ozone (O3) from 620 cities in 36 countries in the period 1995–2020. We restricted the analysis to the six consecutive warmest months in each city. City-specific data were analysed with over-dispersed Poisson regression models, followed by a multilevel random-effects meta-analysis. The joint association between air temperature and air pollutants was modelled with product terms between non-linear functions for air temperature and linear functions for air pollutants. Results: We analyzed 22,630,598 deaths. An increase in mean temperature from the 75th to the 99th percentile of city-specific distributions was associated with an average 8.9 % (95 % confidence interval: 7.1 %, 10.7 %) mortality increment, ranging between 5.3 % (3.8 %, 6.9 %) and 12.8 % (8.7 %, 17.0 %), when daily PM10 was equal to 10 or 90 μg/m3, respectively. Corresponding estimates when daily O3 concentrations were 40 or 160 μg/m3 were 2.9 % (1.1 %, 4.7 %) and 12.5 % (6.9 %, 18.5 %), respectively. Similarly, a 10 μg/m3 increment in PM10 was associated with a 0.54 % (0.10 %, 0.98 %) and 1.21 % (0.69 %, 1.72 %) increase in mortality when daily air temperature was set to the 1st and 99th city-specific percentiles, respectively. Corresponding mortality estimate for O3 across these temperature percentiles were 0.00 % (-0.44 %, 0.44 %) and 0.53 % (0.38 %, 0.68 %). Similar effect modification results, although slightly weaker, were found for PM2.5 and NO2. Conclusions: Suggestive evidence of effect modification between air temperature and air pollutants on mortality during the warm period was found in a global dataset of 620 cities.
    日期: 2023-11
    關聯: Environment International. 2023 Nov;181:Article number 108258.
    Link to: http://dx.doi.org/10.1016/j.envint.2023.108258
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0160-4120&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:001098772800001
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85173794067
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