Short-term Exposure to Wildfire-Specific PM2.5 and Diabetes Hospitalization: A Study in Multiple Countries and Territories.

Autor:	Zhang Y; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Xu R; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Huang W; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Morawska L; School of Earth and Atmospheric Sciences, Queensland University of Technology, Brisbane, Queensland, Australia., Johnston FH; Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia., Abramson M; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Knibbs L; Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.; Public Health Research Analytics and Methods for Evidence, Public Health Unit, Sydney Local Health District, Camperdown, New South Wales, Australia., Matus P; School of Medicine, University of the Andes (Chile), Las Condes, Región Metropolitana, Chile., Ye T; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Yu W; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Hales S; Department of Public Health, University of Otago, Wellington, New Zealand., Morgan G; Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia., Yang Z; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Liu Y; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Ju K; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Yu P; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Lavigne E; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.; Environmental Health Science and Research Bureau, Health Canada, Ottawa., Wu Y; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Wen B; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Zhang Y; School of Life and Environmental Sciences, University of Sydney, Sydney, New South Wales, Australia., Heyworth J; Faculty of Health and Medical Sciences, University of Western Australia, Crawley, Western Australia, Australia., Marks G; School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia., Saldiva PHN; Department of Pathology, School of Medicine, University of São Paulo, São Paulo, São Paulo, Brazil., Coelho MSZS; Department of Pathology, School of Medicine, University of São Paulo, São Paulo, São Paulo, Brazil., Guo YL; Environmental and Occupational Medicine, National Taiwan University and National Taiwan University Hospital, Taipei, Taiwan., Song J; Department of Biochemistry and Molecular Biology, Monash Biomedicine Discovery Institute, Monash University, Melbourne, Victoria, Australia., Guo Y; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Li S; Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Jazyk:	angličtina
Zdroj:	Diabetes care [Diabetes Care] 2024 Sep 01; Vol. 47 (9), pp. 1664-1672.
DOI:	10.2337/dc24-0703
Abstrakt:	Objective: To evaluate associations of wildfire fine particulate matter ≤2.5 mm in diameter (PM2.5) with diabetes across multiple countries and territories. Research Design and Methods: We collected data on 3,612,135 diabetes hospitalizations from 1,008 locations in Australia, Brazil, Canada, Chile, New Zealand, Thailand, and Taiwan during 2000-2019. Daily wildfire-specific PM2.5 levels were estimated through chemical transport models and machine-learning calibration. Quasi-Poisson regression with distributed lag nonlinear models and random-effects meta-analysis were applied to estimate associations between wildfire-specific PM2.5 and diabetes hospitalization. Subgroup analyses were by age, sex, location income level, and country or territory. Diabetes hospitalizations attributable to wildfire-specific PM2.5 and nonwildfire PM2.5 were compared. Results: Each 10 µg/m3 increase in wildfire-specific PM2.5 levels over the current day and previous 3 days was associated with relative risks (95% CI) of 1.017 (1.011-1.022), 1.023 (1.011-1.035), 1.023 (1.015-1.032), 0.962 (0.823-1.032), 1.033 (1.001-1.066), and 1.013 (1.004-1.022) for all-cause, type 1, type 2, malnutrition-related, other specified, and unspecified diabetes hospitalization, respectively. Stronger associations were observed for all-cause, type 1, and type 2 diabetes in Thailand, Australia, and Brazil; unspecified diabetes in New Zealand; and type 2 diabetes in high-income locations. An estimate of 0.67% (0.16-1.18%) and 1.02% (0.20-1.81%) for all-cause and type 2 diabetes hospitalizations were attributable to wildfire-specific PM2.5. Compared with nonwildfire PM2.5, wildfire-specific PM2.5 posed greater risks of all-cause, type 1, and type 2 diabetes and were responsible for 38.7% of PM2.5-related diabetes hospitalizations. Conclusions: We show the relatively underappreciated links between diabetes and wildfire air pollution, which can lead to a nonnegligible proportion of PM2.5-related diabetes hospitalizations. Precision prevention and mitigation should be developed for those in advantaged communities and in Thailand, Australia, and Brazil. (© 2024 by the American Diabetes Association.)
Databáze:	MEDLINE
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