石家庄市大气颗粒物对居民循环系统疾病死亡的寿命损失年影响的研究  

A study on the effect of atmospheric particulate matter on life lost years of death from circulatory diseases in Shijiazhuang

作　　者：曲玥 曾芳婷 陈凤格[1,2,3] 关茗洋 QU Yue;ZENG Fang-ting;CHEN Feng-ge;GUAN Ming-yang(Shijiazhuang Center for Disease Control and Prevention,Shijiazhuang,Hebei 050011,China;不详)

机构地区：[1]石家庄市疾病预防控制中心,河北石家庄050011 [2]华北理工大学公共卫生学院,河北唐山063210 [3]中国疾病预防控制中心环境与健康研究基地(石家庄),河北石家庄050011

出　　处：《现代预防医学》2023年第3期426-431,450,共7页Modern Preventive Medicine

摘　　要：目的 探讨石家庄市大气颗粒物(PM_(10)、PM_(2.5))对居民每日循环系统疾病死亡和寿命损失年(YLL)的影响。方法收集石家庄市2018年1月1日—2021年12月31日的每日大气颗粒物、气象资料及循环系统死亡数据,计算每日YLL值,利用广义相加模型评估大气颗粒物对居民每日循环系统疾病死亡和YLL的影响。结果 研究期间,石家庄市PM_(10)、PM_(2.5)浓度每升高10μg/m^(3)对每日循环系统疾病死亡的效应最大值分别出现在lag02、lag0,分别为0.37%(95%CI:0.09%~0.64%)、0.61%(95%CI:0.18%~1.04%)。PM_(10)、PM_(2.5)每升高10μg/m^(3),分别导致每日YLL增加1.07年(95%CI:0.06~2.09)、1.73年(95%CI:0.15~3.32)。双污染物模型中,PM_(10)及PM_(2.5)均具有独立的健康效应。性别分层结果显示,PM_(10)、PM_(2.5)浓度每升高10μg/m^(3)分别对男性、女性每日循环系统疾病死亡的影响更大;年龄分层结果显示,PM_(10)、PM_(2.5)每升高10μg/m^(3)均对≥60岁居民每日循环系统疾病死亡的影响更大,PM_(2.5)浓度每升高10μg/m^(3)对≥60岁居民每日YLL的影响更大。结论 石家庄市大气颗粒物可导致居民每日循环系统疾病死亡及每日YLL的增加,PM_(2.5)对居民健康效应的影响强于PM_(10),≥60岁居民更易受到颗粒物的影响。Objective To investigate the effect of atmospheric particulate matter on daily circulatory disease mortality and years of life lost(YLL) in Shijiazhuang city. Methods The daily atmospheric particulate matter monitoring data,meteorological information, and daily mortality data of circulatory system in Shijiazhuang from January 1, 2018 to December 31, 2021 were collected. The daily YLL value was calculated, and the generalized additive model was used to evaluate the effects of atmospheric particulates on daily circulatory disease mortality and YLL of residents. Results During the period, the maximum effect of each 10μg/m^(3) increase in PM_(10)and PM_(2.5)concentration on daily circulatory mortality was found in lag02 and lag0, which were 0.37%(95% CI: 0.09%-0.64%) and 0.61%(95% CI: 0.18%-1.04%), respectively. Each 10μg/m^(3) increase in PM_(10)and PM_(2.5)resulted in 1.07 years(95%CI: 0.06-2.09) and 1.73 years(95%CI: 0.15-3.32) increase in daily YLL. In the dual-pollutant model, both PM_(10)and PM_(2.5)showed independent health effects. The results of gender stratification showed that each 10μg/m^(3) increase in PM_(10)and PM_(2.5)concentrations had a greater impact on daily circulatory disease deaths in men and women. Age-stratified results showed that each 10μg/m^(3) increase in PM_(10)and PM_(2.5)had a greater impact on daily circulatory disease deaths in residents aged ≥60 years. Each 10μg/m^(3) increase in PM_(2.5)concentration had a greater impact on the daily YLL of residents aged ≥60 years. Conclusion Atmospheric particulate matter in Shijiazhuang can contribute to the increase of daily circulatory disease deaths and daily YLL. PM_(2.5)has stronger health effects on residents than PM_(10), and residents ≥60 years old are more susceptible to particulate matter effects.

关 键 词：颗粒物 循环系统疾病 死亡 寿命损失年 

分 类 号：R122.7[医药卫生—环境卫生学]