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珠海市空气污染对人群死亡的影响
引用本文:张亮,张秋平,谭爱军. 珠海市空气污染对人群死亡的影响[J]. 实用预防医学, 2019, 26(4): 446-449. DOI: 10.3969/j.issn.1006-3110.2019.04.016
作者姓名:张亮  张秋平  谭爱军
作者单位:珠海市疾病预防控制中心,广东 珠海 519000
基金项目:珠海市医学科研基金项目(2017J015)
摘    要:目的研究珠海市空气污染对居民死亡的短期影响。方法从中国空气质量在线监测分析平台获得2014-2017年每日空气污染物颗粒物质(particular mater,PM)、二氧化硫(sulfur dioxide,SO_2)、一氧化碳(carbon monoxide,CO)、二氧化氮(nitrogen dioxide,NO_2)、臭氧(ozone,O_3)等数据。结合人群死亡监测数据,采用泊松回归分析方法分析空气污染物对人群死亡的影响。结果 2014-2017年空气中PM_(2.5)、NO_2污染物对人群非意外总死亡、呼吸系统疾病死亡和心血管系统疾病死亡发现显著的关联。随着PM_(2.5)每升高10μg/m^3,人群非意外总死亡人数在滞后0~3 d均上升3.89%(95%CI:1.40~6.44%);呼吸系统疾病死亡人数在当天、滞后2~3 d分别上升9.84%(95%CI:2.24~18.0%)、12.6%(95%CI:4.81~21.1%)、12.7%(95%CI:4.91~21.1%);心血管系统疾病死亡人数在滞后2~3 d分别上升5.00%(95%CI:1.26~8.88%)、4.44%(95%CI:0.72~8.29%)。随着NO_2每升高10μg/m^3,人群非意外总死亡人数在滞后0~3 d均上升1.73%(95%CI:0.26~3.22%);心血管系统疾病死亡人数在滞后0~1 d分别上升2.98%(95%CI:0.75~5.26%)、2.68%(95%CI:0.45~4.96%)。结论 2014-2017年监测数据发现PM_(2.5)对人群非意外总死亡、心血管系统疾病、呼吸系统疾病死亡有显著影响。NO_2对人群非意外总死亡、心血管系统疾病死亡有显著影响。

关 键 词:空气污染  人群  死因  PM2.5  NO2
收稿时间:2018-03-07

Impact of air pollution on deaths of population in Zhuhai City
ZHANG Liang,ZHANG Qiu-ping,TAN Ai-jun. Impact of air pollution on deaths of population in Zhuhai City[J]. Practical Preventive Medicine, 2019, 26(4): 446-449. DOI: 10.3969/j.issn.1006-3110.2019.04.016
Authors:ZHANG Liang  ZHANG Qiu-ping  TAN Ai-jun
Affiliation:Zhuhai Municipal Center for Disease Control and Prevention, Zhuhai, Guangdong 519000, China
Abstract:Objective To study the short-term effect of air pollution on residents’ deaths in Zhuhai City. Methods We obtained the data of daily air pollutants like particular mater (PM), sulfur dioxide (SO2), carbon monoxide (CO), nitrogen dioxide (NO2) and ozone (O3) from China Air Quality Monitoring and Analysis Online Platform during 2014-2017. Combined with population death monitoring data, Poisson regression analysis was used to analyze the effect of air pollutants on deaths of population in Zhuhai City. Results PM2.5 and NO2 in the air of Zhuhai City had significant effects on the total non-accidental deaths and the deaths of respiratory diseases and cardiovascular disease during 2014-2017. Poisson regression analysis indicated that for every 10 μg/m3 rise in PM2.5 concentration, the total non-accidental deaths after a lag time of 0-3 days all increased by 3.89% (95%CI:1.40-6.44%), the respiratory disease deaths in the same day and after a lag time of 2-3 days respectively increased by 9.84% (95%CI:2.24-18.0%), 12.6% (95%CI:4.81-21.1%) and 12.7% (95%CI:4.91-21.1%), and the cardiovascular disease deaths after a lag time of 2-3 days respectively increased by 5.00% (95%CI:1.26-8.88%) and 4.44% (95%CI:0.72-8.29%). Poisson regression analysis indicated that for every 10 μg/m3 rise in NO2 concentration, the total non-accidental deaths after a lag time of 0-3 days all increased by 1.73% (95%CI:0.26-3.22%), and the cardiovascular disease deaths after a lag time of 0-1 days respectively increased by 2.98% (95%CI:0.75-5.26%) and 2.68% (95%CI:0.45-4.96%). Conclusions The monitoring data during 2014-2017 revealed that PM2.5 had significant effects on the total non-accidental deaths and the deaths of respiratory diseases and cardiovascular diseases, while NO2 showed significant effects on the total non-accidental deaths and the cardiovascular disease deaths.
Keywords:air pollution  population  cause of death  PM2.5  NO2  
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