Interactive effects of oxidant air pollutants and temperature on disease mortality in a region of China

LIU Ying; LIU Jiatong; WANG Jinxia; HU Yong; DONG Xuehao; WANG Faxuan; ZHANG Yajuan

doi:10.16462/j.cnki.zhjbkz.2024.09.009

Volume 28 Issue 9

Sep. 2024

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LIU Ying, LIU Jiatong, WANG Jinxia, HU Yong, DONG Xuehao, WANG Faxuan, ZHANG Yajuan. Interactive effects of oxidant air pollutants and temperature on disease mortality in a region of China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(9): 1043-1052. doi: 10.16462/j.cnki.zhjbkz.2024.09.009

Citation:

LIU Ying, LIU Jiatong, WANG Jinxia, HU Yong, DONG Xuehao, WANG Faxuan, ZHANG Yajuan. Interactive effects of oxidant air pollutants and temperature on disease mortality in a region of China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(9): 1043-1052. doi: 10.16462/j.cnki.zhjbkz.2024.09.009

Citation:

LIU Ying, LIU Jiatong, WANG Jinxia, HU Yong, DONG Xuehao, WANG Faxuan, ZHANG Yajuan. Interactive effects of oxidant air pollutants and temperature on disease mortality in a region of China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(9): 1043-1052. doi: 10.16462/j.cnki.zhjbkz.2024.09.009

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Interactive effects of oxidant air pollutants and temperature on disease mortality in a region of China

doi: 10.16462/j.cnki.zhjbkz.2024.09.009

LIU Ying^{1, 2},
LIU Jiatong³,
WANG Jinxia^{1, 2},
HU Yong^{1, 2},
DONG Xuehao^{1, 2},
WANG Faxuan^{1, 2},
ZHANG Yajuan^{1, 2
,
,}

1.
Department of Occupational Health and Environmental Health, School of Public Health, Ningxia Medical University, Yinchuan 750004, China
2.
Key Laboratory of Environmental Factors and Chronic Diseases Control, Yinchuan 750004, China
3.
Department of Atmospheric Sciences, Chengdu University of Information Technology of Atmospheric Sciences, Chengdu 610200, China

Funds:

Ningxia Natural Science Foundation Project 2022AAC03142

More Information

Corresponding author: ZHANG Yajuan, E-mail: zhyj830515@126.com
Received Date: 2023-12-12
Rev Recd Date: 2024-05-17

Available Online: 2024-10-24

Publish Date: 2024-09-10

Abstract

Abstract

Objective To explore the individual and interactive effects of oxidant air pollutants and temperature on mortality from respiratory and circulatory diseases in a defined Chinese region. Methods Using information from 2014 to 2018 in a Chinese region, including 188 039 death cases, air pollutant concentrations, and meteorological records. A Poisson generalized additive model (GAM) and a distributed lag nonlinear model (DLNM) were applied to assess the impacts of atmospheric oxidative pollutants and temperature on mortality form respiratory and circulatory diseases. And the interactions between temperature and pollutants were evaluated using a bivariate response surface model and stratification method. Results For each 10 μg/m³ increase in O₃, NO₂, and O_x, the maximum cumulative excess risks of death from circulatory diseases were 0.82% (95% CI: 0.30%-1.34%), 1.58% (95% CI: 0.28 %-2.90 %) and 1.11% (95% CI: 0.51%-1.72%), respectively. Corresponding values for respiratory diseases were 0.53% (95%CI: 0.31%-1.37%), 2.66% (95% CI: 1.07%-4.27%) and 1.22% (95% CI: 0.22%-2.23%). The difference between the effects of high and low temperature on mortality of the two diseases was large, with an immediate effect of high temperature and a lagging effect of low temperature. The interaction effect and direction were evaluted using the relative excess risk due to interaction(RERI). Interaction studies showed that there was a synergistic amplification of the risk of death from circulatory diseases in the population by high temperature with high concentrations of NO₂ (RERI=0.118, 95% CI: 0.031-0.206). And low temperature with high concentrations of O₃ (RERI=0.127, 95% CI: 0.104-0.150), and O_x (RERI=0.025, 95% CI: 0.002-0.049) had a synergistic amplification effect on the risk of death from respiratory diseases in the population. Conclusions High temperature, low temperature and atmospheric oxidative pollutants (O₃, NO₂ and O_x) all increase the risk of death from circulatory and respiratory diseases in the population. There is a synergistic amplification of the risk of death from circulatory and respiratory diseases in the population by high temperature and high concentrations of NO₂ and low temperature and high concentrations of O₃ and O_x, respectively.
- Air pollution,
- Oxidant air pollutant,
- Ambient temperature,
- Mortality risk,
- Interactive effect

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References(31)

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