Cardiovascular disease mortality and air pollution in countries with different socioeconomic status  

作　　者：Nikolai Khaltaev Svetlana Axelrod 

机构地区：[1]Global Non-Communicable Diseases Platform,Global Alliance against Chronic Respiratory Diseases,Geneva,Switzerland [2]Institute for Leadership and Health Management,I.M.Sechenov First Moscow State University(Sechenov University),Moscow,Russia

出　　处：《Chronic Diseases and Translational Medicine》2024年第3期247-255,共9页慢性疾病与转化医学（英文版）

摘　　要：Background Cardiovascular diseases(CVDs)account for 17.9 million deaths annually.Behavioral risk factors increase the risk of dying from CVD.Air pollution is not included in this risk calculation since the appreciation of air pollution as a modifiable risk factor is still limited.The purpose of this study was to analyze CVD mortality attributed to air pollution in all World Health Organization WHO member states and demonstrate the association of CVD mortality with air pollution depending on countries'income level.Methods The CVD death rate was calculated by dividing the number of deaths by the total population.The proportion of the population with primary reliance on clean fuels and technologies for cooking was calculated as an indicator of household air pollution.The annual mean concentration of fine particulate matter≤2.5µg/m^(3) and≤10.0µg/m^(3) to which the population is exposed was used as an indicator of ambient air pollution.Results There is a gradual increase in CVD mortality attributed to air pollution from high-income countries(HICs)to low-income countries(LICs).Household air pollution is the major cause of CVD mortality in LICs.Ischemic heart disease mortality attributed to ambient air pollution in all countries is higher than stroke mortality attributed to ambient air pollution.In LIC,mortality from stroke is attributed to household air pollution of 39.27±14.47,which is more than twice the stroke mortality attributed to ambient air pollution at 18.60±5.64,t=7.17,p<0.01.Conclusion Air pollution control should be an essential component of the CVD preventive strategy,along with lifestyle modifications and effective disease management.

关 键 词：ambient air pollution cardiovascular disease household air pollution low-income countries World Health Organization 

分 类 号：X51[环境科学与工程—环境工程] R54[医药卫生—心血管疾病]