| Autor: |
Meng, X. (Xia), Liu, C. (Cong), Chen, R. (Renjie), Sera, F. (Francesco), Vicedo-Cabrera, A. M. (Ana Maria), Milojevic, A. (Ai), Guo, Y. (Yuming), Tong, S. (Shilu), Coelho, M. d. (Micheline de Sousa Zanotti Stagliorio), Saldiva, P. H. (Paulo Hilario Nascimento), Lavigne, E. (Eric), Correa, P. M. (Patricia Matus), Ortega, N. V. (Nicolas Valdes), Garcia, S. O. (Samuel Osorio), Kysely, J. (Jan), Urban, A. (Ales), Orru, H. (Hans), Maasikmets, M. (Marek), Jaakkola, J. J. (Jouni J. K.), Ryti, N. (Niilo), Huber, V. (Veronika), Schneider, A. (Alexandra), Katsouyanni, K. (Klea), Analitis, A. (Antonis), Hashizume, M. (Masahiro), Honda, Y. (Yasushi), Ng, C. F. (Chris Fook Sheng), Nunes, B. (Baltazar), Teixeira, J. P. (Joao Paulo), Holobaca, I. H. (Iulian Horia), Fratianni, S. (Simona), Kim, H. (Ho), Tobias, A. (Aurelio), Iniguez, C. (Carmen), Forsberg, B. (Bertil), Astrom, C. (Christofer), Ragettli, M. S. (Martina S.), Guo, Y. L. (Yue-Liang Leon), Pan, S.-C. (Shih-Chun), Li, S. (Shanshan), Bell, M. L. (Michelle L.), Zanobetti, A. (Antonella), Schwartz, J. (Joel), Wu, T. (Tangchun), Gasparrini, A. (Antonio), Kan, H. (Haidong) |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Popis: |
Objective: To evaluate the short term associations between nitrogen dioxide (NO₂) and total, cardiovascular, and respiratory mortality across multiple countries/regions worldwide, using a uniform analytical protocol. Design: Two stage, time series approach, with overdispersed generalised linear models and multilevel meta-analysis. Setting: 398 cities in 22 low to high income countries/regions. Main outcome measures: Daily deaths from total (62.8 million), cardiovascular (19.7 million), and respiratory (5.5 million) causes between 1973 and 2018. Results: On average, a 10 μg/m³ increase in NO₂ concentration on lag 1 day (previous day) was associated with 0.46% (95% confidence interval 0.36% to 0.57%), 0.37% (0.22% to 0.51%), and 0.47% (0.21% to 0.72%) increases in total, cardiovascular, and respiratory mortality, respectively. These associations remained robust after adjusting for co-pollutants (particulate matter with aerodynamic diameter ≤10 μm or ≤2.5 μm (PM₁₀ and PM2.5, respectively), ozone, sulfur dioxide, and carbon monoxide). The pooled concentration-response curves for all three causes were almost linear without discernible thresholds. The proportion of deaths attributable to NO₂ concentration above the counterfactual zero level was 1.23% (95% confidence interval 0.96% to 1.51%) across the 398 cities. Conclusions: This multilocation study provides key evidence on the independent and linear associations between short term exposure to NO₂ and increased risk of total, cardiovascular, and respiratory mortality, suggesting that health benefits would be achieved by tightening the guidelines and regulatory limits of NO₂. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
