1
|
Ballvé A, Pizarro J, Maisterra O, Riba-Llena I, Pujadas F, Jiménez-Balado J, Palasi A, Cirach M, Turner MC, Sunyer J, Delgado P. Ambient air pollution, covert cerebrovascular disease and cognition: results from the ISSYS study. Eur J Neurol 2024:e16404. [PMID: 39031977 DOI: 10.1111/ene.16404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Revised: 06/19/2024] [Accepted: 06/20/2024] [Indexed: 07/22/2024]
Abstract
BACKGROUND AND PURPOSE Although air pollution (AP) has been associated with stroke and dementia, data regarding its relationship with covert cerebrovascular disease (cCVD) and cognition over time are sparse. The aim of this study was to explore these relationships. METHODS A prospective population-based study of 976 stroke-free and non-demented individuals living in Barcelona, Spain, was conducted during 2010-2016. A land use regression model was used to estimate the exposure of each participant to AP: NOx, NO2, PM2.5, PM10, PMcoarse and PM2.5 absorbance. Cognitive function and cCVD were assessed at baseline (n = 976) and 4 years after (n = 317). Multivariate-adjusted models were developed. RESULTS At baseline, 99 participants (10.1%) had covert brain infarcts and 91 (9.3%) had extensive periventricular white matter hyperintensities (WMHs). Marked subcortical WMH progression was seen in 19.7%; the incidence of other covert cerebrovascular lessons ranged between 5% and 6% each. PM2.5 was related to higher odds of having a covert brain infarct (odds ratio [OR] 2.21; 95% confidence interval [CI] 1.06-4.60). PM2.5 absorbance was related to higher odds of having extensive subcortical WMHs (OR 1.72; 95% CI 1.13-2.60), whereas NO2 was related to higher odds of having extensive subcortical (OR 1.66; 95% CI 1.17-2.35) or periventricular (OR 1.96; 95% CI 1.10-3.50) WMHs and to higher odds of developing marked subcortical WMH progression (OR 1.40; 95% CI 1.05-1.90). NOx was related to incident cerebral microbleeds (OR 1.36; 95% CI 1.04-1.79). There was no association between AP and cognition. CONCLUSIONS Air pollutant predicts the presence and accumulation of cCVD. Its impact on cognitive impairment remains to be determined.
Collapse
Affiliation(s)
- A Ballvé
- Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain
- Neurovascular Research Laboratory, Vall Hebron Research Institute (VHIR), Barcelona, Spain
- Institute of Neuroscience, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - J Pizarro
- Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain
- Neurovascular Research Laboratory, Vall Hebron Research Institute (VHIR), Barcelona, Spain
| | - O Maisterra
- Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain
- Neurovascular Research Laboratory, Vall Hebron Research Institute (VHIR), Barcelona, Spain
| | - I Riba-Llena
- Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain
- Unitat de Trastorns Cognitius, Hospital Universitari Santa Maria, Lleida, Spain
| | - F Pujadas
- Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain
| | - J Jiménez-Balado
- Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain
- Neurovascular Research Group, Neurology Department, Hospital del Mar, Barcelona, Spain
| | - A Palasi
- Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain
- Neurovascular Research Laboratory, Vall Hebron Research Institute (VHIR), Barcelona, Spain
| | - M Cirach
- Neurovascular Research Group, Neurology Department, Hospital del Mar, Barcelona, Spain
- Institut de Salut Global de Barcelona, Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - M C Turner
- Institut de Salut Global de Barcelona, Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
| | - J Sunyer
- Institut de Salut Global de Barcelona, Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
| | - P Delgado
- Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain
- Neurovascular Research Laboratory, Vall Hebron Research Institute (VHIR), Barcelona, Spain
- Institute of Neuroscience, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| |
Collapse
|
2
|
Xu Z, Sun J, Qin Y, Xu J, Li S. Does environmental pollution reduce residents' income? Evidence from CFPS in China. ENVIRONMENT INTERNATIONAL 2024; 189:108790. [PMID: 38843748 DOI: 10.1016/j.envint.2024.108790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 04/23/2024] [Accepted: 05/30/2024] [Indexed: 06/19/2024]
Abstract
Understanding the relationship between environmental pollution and residents' income is extremely important for promoting sustained progress and high-quality economic growth. This research examines the impact, mechanism, and heterogeneity of environmental contamination on residents' earnings by fusing the micro data from China Family Panel Survey with the macro data of government statistics. The results reveal that environmental degradation has a significantly negative impact on residents' individual income. Further research on the intermediary mechanism finds that environmental pollution plays a harmful role in residents' income by reducing residents' subjective well-being and labor employment. Besides, the income effect of environmental pollution is significantly heterogeneous among different regions and differentiated groups. The deteriorating environmental quality widens urban-rural income gap and increases wage inequality of inhabitants in eastern, central, and western regions of China. The gender income gap and the income disparity between different income brackets also expand with environmental deterioration. These findings not only prove that long-term development at the cost of the ecological environment is undesirable, but also demonstrate the important role of the improvement of ecological environmental quality in promoting human well-being.
Collapse
Affiliation(s)
- Zhihua Xu
- College of Economics, Ocean University of China, Qingdao 266100, PR China; Institute of Marine Development, Ocean University of China, Qingdao 266100, PR China.
| | - Jiao Sun
- College of Economics, Ocean University of China, Qingdao 266100, PR China.
| | - Ying Qin
- School of Nursing and Health, Zhengzhou University, Zhengzhou, 450001, P.R. China.
| | - Juan Xu
- College of Economics, Ocean University of China, Qingdao 266100, PR China.
| | - Shuqin Li
- College of Economics, Ocean University of China, Qingdao 266100, PR China.
| |
Collapse
|
3
|
Qian Y, Cai R, Su X, Li Q, Jin S, Shi W, Chen R, Wang C, He J. Residential Nitrogen Dioxide Exposure and Cause-Specific Cerebrovascular Mortality: An Individual-Level, Case-Crossover Study. TOXICS 2023; 12:10. [PMID: 38250966 PMCID: PMC10818787 DOI: 10.3390/toxics12010010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 12/15/2023] [Accepted: 12/18/2023] [Indexed: 01/23/2024]
Abstract
BACKGROUND Existing studies have already shown a connection between nitrogen dioxide (NO2) exposure and cerebrovascular mortality. However, the differential effects of NO2 on cerebrovascular disease and its subtypes remain unclear and require further exploration. METHODS Daily stroke mortality data between 2013 and 2021 in Shanghai, China were collected. Residential daily air pollution data for each decedent were predicted from a satellite model. An individual-level, time-stratified, case-crossover design was applied to examine the relationship between NO2 exposure and cerebrovascular mortality. A combination of conditional logistic regression and distributed lag models with a maximum lag of 7 days was used for data analysis. RESULTS A total of 219,147 cases of cerebrovascular mortality were recorded. Among them, the proportion of sequelae of cerebrovascular disease, hemorrhagic stroke and ischemic stroke was 50.7%, 17.1% and 27.5%, respectively. The monotonic increases in mortality risks of cerebrovascular diseases, sequelae of cerebrovascular disease and ischemic stroke were observed, without any discernible thresholds. Each 10 μg/m3 increase in NO2 concentration was associated with increments of 3.62% [95% confidence interval (CI): 2.56%, 4.69%] for total cerebrovascular mortality, 4.29% (95% CI: 2.81%, 5.80%) for sequelae of cerebrovascular disease mortality and 4.30% (95% CI: 2.30%, 6.33%) for ischemic stroke mortality. No positive associations between NO2 exposure and hemorrhagic stroke mortality were observed. A greater risk of NO2 was observed in the warm season, in patients with less than 9 years of education and in those with single marital status. The effects of NO2 were robust to mutual adjustment of co-pollutants. CONCLUSIONS Short-term exposures to NO2 may increase the risk of cerebrovascular mortality, specifically for ischemic stroke and sequelae of cerebrovascular disease.
Collapse
Affiliation(s)
- Yifeng Qian
- Department of Health Statistics, Naval Medical University, Shanghai 200433, China
- Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai JiaoTong University School of Medicine, Shanghai 200011, China
| | - Renzhi Cai
- Division of Vital Statistics, Institute of Health Information, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Xiaozhen Su
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai 200032, China
| | - Qi Li
- Division of Vital Statistics, Institute of Health Information, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Shan Jin
- Division of Vital Statistics, Institute of Health Information, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Wentao Shi
- Clinical Research Unit, School of Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, Shanghai 200011, China
| | - Renjie Chen
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai 200032, China
| | - Chunfang Wang
- Division of Vital Statistics, Institute of Health Information, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
| | - Jia He
- Department of Health Statistics, Naval Medical University, Shanghai 200433, China
| |
Collapse
|
4
|
Guo X, Su W, Wang H, Li N, Song Q, Liang Q, Sun C, Liang M, Zhou Z, Song EJ, Sun Y. Short-term exposure to ambient ozone and cardiovascular mortality in China: a systematic review and meta-analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2023; 33:958-975. [PMID: 35438585 DOI: 10.1080/09603123.2022.2066070] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 04/09/2022] [Indexed: 06/14/2023]
Abstract
Air pollution is a major public health concern in China. Notwithstanding this, there is limited evidence regarding the impact of short-term exposure to ambient ozone on cardiovascular mortality in the Chinese population. Therefore, we conducted this meta-analysis to address this important question. The random-effects model was applied to pool the results from individual studies. Finally, 32 effect estimates extracted from 19 studies were pooled in this meta-analysis. The pooled relative risk for cardiovascular mortality for each 10 µg/m3 increment in ozone concentration was 1.0068 (95% CI: 1.0049, 1.0086). Ths significant positive association between ozone exposure and cardiovascular mortality was also observed in different two-pollutant models. This meta-analysis revealed that exposure to ozone was associated with an increased risk of cardiovascular mortality in China, and more efforts on controlling the population from ozone are needed to improve cardiovascular health of Chinese population.
Collapse
Affiliation(s)
- Xianwei Guo
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, P.R. China
| | - Wanying Su
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, P.R. China
| | - Hao Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, P.R. China
| | - Ning Li
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, P.R. China
| | - Qiuxia Song
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, P.R. China
| | - Qiwei Liang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, P.R. China
| | - Chenyu Sun
- Internal Medicine, AMITA Health Saint Joseph Hospital Chicago, Chicago, IL, USA
| | - Mingming Liang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, P.R. China
| | - Zhen Zhou
- Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia
| | - Evelyn J Song
- Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, CA, USA
| | - Yehuan Sun
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, Anhui, P.R. China
- Chaohu Hospital of Anhui Medical University, Hefei, Anhui Province, P.R. China
| |
Collapse
|
5
|
Oktay MM, Al B, Boğan M, Kul S, Gümüşboğa H, Bayram H. Impact of desert dust storms, PM 10 levels and daily temperature on mortality and emergency department visits due to stroke. Front Public Health 2023; 11:1218942. [PMID: 37780446 PMCID: PMC10540066 DOI: 10.3389/fpubh.2023.1218942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 08/22/2023] [Indexed: 10/03/2023] Open
Abstract
Objective It is known that the inhalation of air pollutants adversely affects human health. These air pollutants originated from natural sources such as desert storms or human activities including traffic, power generating, domestic heating, etc. This study aimed to investigate the impacts of desert dust storms, particulate matter ≤10 μm (PM10) and daily maximum temperature (MT) on mortality and emergency department (ED) visits due to stroke in the city of Gaziantep, Southeast Turkey. Method The data on mortality and ED visits due to stroke were retrospectively recruited from January 1, 2009, to March 31, 2014, in Gaziantep City Centre. Results PM10 levels did not affect ED visits or mortality due to stroke; however, MT increased both ED visits [adjusted odds ratio (OR) = 1.002, 95% confidence interval (CI) = 1.001-1.003] and mortality (OR = 1.006, 95% CI = 0.997-1.014) due to stroke in women. The presence of desert storms increased ED visits due to stroke in the total population (OR = 1.219, 95% CI = 1.199-1.240), and all subgroups. It was observed that desert dust storms did not have an increasing effect on mortality. Conclusion Our findings suggest that MT and desert dust storms can induce morbidity and mortality due to stroke.
Collapse
Affiliation(s)
- M. Murat Oktay
- Emergency Department, School of Medicine, Gaziantep Islam Science and Technology University, Gaziantep, Türkiye
- Department of Emergency Medicine, School of Medicine, Gaziantep University, Gaziantep, Türkiye
| | - Behcet Al
- Department of Emergency Medicine, School of Medicine, Gaziantep University, Gaziantep, Türkiye
- Emergency Department, School of Medicine, Istanbul Medeniyet University, Istanbul, Türkiye
| | - Mustafa Boğan
- Department of Emergency Medicine, School of Medicine, Gaziantep University, Gaziantep, Türkiye
- Emergency Department, School of Medicine, Düzce University, Düzce, Türkiye
| | - Seval Kul
- Biostatistics Department, School of Medicine, Gaziantep University, Gaziantep, Türkiye
| | - Hasan Gümüşboğa
- Department of Emergency Medicine, School of Medicine, Gaziantep University, Gaziantep, Türkiye
- Emergency Department, Şehitkamil State Hospital, Gaziantep, Türkiye
| | - Hasan Bayram
- Department of Pulmonary Medicine, School of Medicine, Koç University, Istanbul, Türkiye
- Department of Pulmonary Medicine, School of Medicine, Gaziantep University, Gaziantep, Türkiye
| |
Collapse
|
6
|
Tang EJ, Zhou YM, Yang LL, Wang N, Jiang YX, Xiao H, Hu YG, Li DW, Li N, Huang QS, Du N, Li YF, Ji AL, Zhou LX, Cai TJ. The association between short-term ambient sulfur dioxide exposure and hospitalization costs of ischemic stroke: a hospital-based study in Chongqing, China. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:17459-17471. [PMID: 36194329 DOI: 10.1007/s11356-022-23254-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Accepted: 09/21/2022] [Indexed: 06/16/2023]
Abstract
Evidence of the short-term effects of ambient sulfur dioxide (SO2) exposure on the economic burden of ischemic stroke is limited. This study aimed to explore the association between short-term ambient SO2 exposure and hospitalization costs for ischemic stroke in Chongqing, the most populous city in China. The hospital-based study included 7271 ischemic stroke inpatients. Multiple linear regression models were used to estimate the association between SO2 concentration and hospitalization costs. Propensity score matching was used to compare the patients' characteristics when exposed to SO2 concentrations above and below 20 μg/m3. It is found that short-term SO2 exposure was positively correlated with the hospitalization costs of ischemic stroke. The association was more evident in males, people younger than 65, and people hospitalized in the cool seasons. Besides, among the components of hospitalization costs, medicine costs were most significantly associated with SO2. More interesting, the lower concentration of SO2, the higher costs associated with 1 μg/m3 SO2 change. Above all, SO2 was positively associated with hospitalization costs of ischemic stroke, even at its low levels. The measures to reduce the level of SO2 can help reduce the burden of ischemic stroke.
Collapse
Affiliation(s)
- En-Jie Tang
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Yu-Meng Zhou
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Li-Li Yang
- Department of Information, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China
| | - Nan Wang
- Medical Department, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China
| | - Yue-Xu Jiang
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
- Department of Nutrition and Food Hygiene, School of Public Health Guizhou Medical University, Guiyang, 550025, China
| | - Hua Xiao
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Yue-Gu Hu
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Da-Wei Li
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Na Li
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
- Department of Nutrition and Food Hygiene, School of Public Health Guizhou Medical University, Guiyang, 550025, China
| | - Qing-Song Huang
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
- Department of Nutrition and Food Hygiene, School of Public Health Guizhou Medical University, Guiyang, 550025, China
| | - Ning Du
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Ya-Fei Li
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Ai-Ling Ji
- Department of Preventive Medicine, Chongqing Medical and Pharmaceutical College, Chongqing, 401331, China
| | - Lai-Xin Zhou
- Medical Department, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Tong-Jian Cai
- Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
| |
Collapse
|
7
|
Tong R, Wang Y, Zhao X, Yang X. Modeling health impacts of air pollutant emissions from the coal-fired power industry based on LCA and oriented by WTP: a case study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:34486-34499. [PMID: 35038098 DOI: 10.1007/s11356-022-18561-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 01/04/2022] [Indexed: 06/14/2023]
Abstract
Coal-fired power plants are one of the major sources of coal consumption in China; they discharge various air pollutants and cause serious human health damage. There is an urgent need to focus on the associated health effects. Thus, this study aims to advance an integrated life cycle assessment (LCA)-based health damage model to quantify the health burden of air pollutant emissions from coal-fired power generation (CFPG) and to achieve an economic interpretation of health damage. A case study of the Zaozhuang coal-fired power project was conducted to better visualize and mitigate the impacts. The results reveal that willingness to pay (WTP) for health damage caused by the CFPG project in 1 year amounted to USD 15.71 million, and the total amount of life lost was 155.81 years. During the CFPG process, coal combustion caused the most health damage, respiratory disease was the type of damage with the greatest influence on health, and SO2 was the air pollutant that causes the most serious health damage. The model developed in this study can be broadly applied to assess the potential life loss due to air pollutant emissions from CFPG systems. The identified key points for health damage prevention can also be used as practical solutions for decision-making regarding the prioritization of control sources for environmental management.
Collapse
Affiliation(s)
- Ruipeng Tong
- School of Emergency Management and Safety Engineering, China University of Mining and Technology-Beijing, Haidian District, D11 Xueyuan Road, Beijing, 100083, China
| | - Yiran Wang
- School of Emergency Management and Safety Engineering, China University of Mining and Technology-Beijing, Haidian District, D11 Xueyuan Road, Beijing, 100083, China
| | - Xu Zhao
- School of Emergency Management and Safety Engineering, China University of Mining and Technology-Beijing, Haidian District, D11 Xueyuan Road, Beijing, 100083, China
| | - Xiaoyi Yang
- School of Emergency Management and Safety Engineering, China University of Mining and Technology-Beijing, Haidian District, D11 Xueyuan Road, Beijing, 100083, China.
| |
Collapse
|