| PM2.5短期暴露对我国死亡和急诊量影响的Meta分析 |
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| 引用本文： | 李曼,吴瑶,田耀华,曹桂莹,姚珊珊,艾萍,黄哲,黄超,王小文,曹亚英,项骁,隽娟,胡永华. PM2.5短期暴露对我国死亡和急诊量影响的Meta分析[J]. 中华流行病学杂志, 2018, 39(10): 1394-1401 |
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| 作者姓名： | 李曼 吴瑶 田耀华 曹桂莹 姚珊珊 艾萍 黄哲 黄超 王小文 曹亚英 项骁 隽娟 胡永华 |
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| 作者单位： | 100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系,100191 北京大学公共卫生学院流行病与卫生统计学系 |
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| 基金项目： | 国家自然科学基金重点项目（81230066）；国家自然科学基金（81473043） |
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| 摘 要： | 目的 利用Meta分析定量评价空气中粒径≤ 2.5 μm的颗粒物（PM2.5）短期暴露与我国居民全因死亡和急诊之间的关系。方法 于2018年3月系统检索中国知网、万方数据知识服务平台、PubMed和EMBASE收集相关文献，提取相对危险度（RR）、超额危险度（ER）及其95% CI，根据异质性检验结果，采用固定或随机效应模型对数据进行合并，并对其进行亚组分析、Meta回归和检验发表偏倚。结果 共纳入33篇原始文献，分别利用39组死亡数据和4组急诊量数据进行Meta分析，结果显示，在47.7~176.7 μg/m3的浓度范围内，PM2.5每上升10 μg/m3，居民每日全因死亡增加0.49%（95% CI：0.39%~0.59%），全因急诊量增加0.30%（95% CI：0.10%~0.51%）。对死亡数据的亚组分析显示北方地区（ER=0.42%，95% CI：0.30%~0.54%）合并效应值低于南方地区（ER=0.63%，95% CI：0.44%~0.82%），研究期间PM2.5浓度<75 μg/m3地区的合并效应值（ER=0.50%，95% CI：0.37%~0.62%）高于PM2.5浓度≥ 75 μg/m3的地区（ER=0.39%，95% CI：0.26%~0.52%）。结论 在47.7~176.7 μg/m3的浓度范围内，PM2.5短期暴露可能与全因死亡和急诊量增加有关。
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| 关 键 词： | 空气污染 全因死亡 全因急诊量 短期效应 |
| 收稿时间： | 2018-05-25 |
A Meta-analysis on the relations between short-term exposure to PM2.5 and both mortality and related emergency visits in China |
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| Li Man,Wu Yao,Tian Yaohu,Cao Guiying,Yao Shanshan,Ai Ping,Huang Zhe,Huang Chao,Wang Xiaowen,Cao Yaying,Xiang Xiao,Juan Juan and Hu Yonghua. A Meta-analysis on the relations between short-term exposure to PM2.5 and both mortality and related emergency visits in China[J]. Chinese Journal of Epidemiology, 2018, 39(10): 1394-1401 |
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| Authors: | Li Man Wu Yao Tian Yaohu Cao Guiying Yao Shanshan Ai Ping Huang Zhe Huang Chao Wang Xiaowen Cao Yaying Xiang Xiao Juan Juan Hu Yonghua |
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| Affiliation: | Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China,Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China and Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China |
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| Abstract: | |
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| Keywords: | Air pollution All-cause mortality All-cause emergency room visits Short-term effects |
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