Burden and trends of infectious disease mortality attributed to air pollution,unsafe water,sanitation,and hygiene,and non-optimal temperature globally and in different socio-demographic index regions  

作　　者：Qiao Liu Jie Deng Wenxin Yan Chenyuan Qin Min Du Yaping Wang Shimo Zhang Min Liu Jue Liu 

机构地区：[1]Department of Epidemiology and Biostatistics,School of Public Health,Peking University,No.38,Xueyuan Road,Haidian District,Beijing 100191,China [2]Key Laboratory of Epidemiology of Major Diseases,Ministry of Education,Peking University,Haidian District,Beijing,China [3]Institute for Global Health and Development,Peking University,Haidian District,Beijing,China [4]Global Center for Infectious Disease and Policy Research&Global Health and Infectious Diseases Group,Peking University,Beijing,China [5]Institute of Environmental Medicine,Peking University,Beijing,China

出　　处：《Global Health Research and Policy》2024年第1期362-376,共15页全球健康研究与政策(英文)

基　　金：National Key Research and Development Project of China(grant numbers 2021ZD0114101).

摘　　要：Background Environmental factors greatly impact infectious disease-related mortality,yet there’s a lack of com-prehensive global studies on the contemporary burden and trends.This study aims to evaluate the global burden and trends of infectious disease mortality caused by air pollution,unsafe water,poor sanitation,and non-optimal temperature across Socio-Demographic Index(SDI)regions from 1990 to 2019.Methods This observational study utilized data from the Global Burden of Diseases Study to examine mortality rates from infectious diseases attributed to environmental risk factors between 1990 and 2019,including air pollution,unsafe water,sanitation,handwashing facilities(UWSH),and non-optimal temperatures.Age-standardized mortality rates(ASMRs)and estimated annual percentage change(EAPC)were utilized to present infectious disease mortal-ity,and its trajectory influenced by environmental risk factors over the years.Nonlinear regression was conducted to explore the association between the SDI and ASMRs across regions from 1990 to 2019.Results In 2019,global infectious disease deaths linked to air pollution,UWSH,and non-optimal temperature reached a startling 2,556,992.Disease mortality varied widely across SDI regions,with the highest number of deaths due to air pollution and UWSH in Low SDI regions,and deaths from non-optimal temperature primarily in High SDI regions.Age disparities emerged,with children under five and the elderly most affected.However,an increasing mortality trend was observed among seniors(65–69,75–79,and over 80)in High SDI regions due to enteric infec-tions linked to UWSH.Globally,a consistent decrease in ASMR was seen from 1990 to 2019 for all diseases connected to these factors,except for respiratory infections linked to non-optimal temperature.Conclusions Our study underscores the significant impact of air pollution,UWSH,and non-optimal temperatures on global infectious disease mortality,particularly among vulnerable groups such as children and the elderly.It’s important to tackle t

关 键 词：pollution optimal attributed 

分 类 号：TN9[电子电信—信息与通信工程]