Investigative analysis of the impact of low-level air pollution NO2 on mortality rates among residents due to cardiovascular and cerebrovascular diseases

Zesheng Che, Xiuqing Cui, Bin Wang, Yanlin Hui, Lan Dai, Xueqin Cao, Chunhong Wang, Tingming Shi

Article ID: 1986
Vol 3, Issue 1, 2022
DOI: https://doi.org/10.54517/ps.v3i1.1986
Received: 21 March 2022; Accepted: 12 April 2022; Available online: 22 April 2022;
Issue release: 31 December 2022

VIEWS - 3825 (Abstract)

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Abstract

Objective: The study aims to assess the influence of low-level atmospheric nitrogen dioxide (NO2) on the mortality risk associated with cardiovascular and cerebrovascular diseases in Enshi City, with the intention of providing a scientific foundation for identifying sensitive populations and devising population health policies. Methods: Data on air pollutant levels, meteorological factors, and mortality rates due to cardiovascular and cerebrovascular diseases among residents of Enshi City were collected from 2015 to 2018. A generalized additive model, based on the Poisson distribution, was employed to analyze the relationship between low-level NO2air pollution and the mortality risk for these diseases. Subgroup analyses were conducted based on age, gender, and season. Results: The average concentrations of key gaseous pollutants in Enshi City from 2015 to 2018 were as follows: NO2 (21.40 μg/m3), sulfur dioxide (SO2, 9.68 μg/m3), carbon monoxide (CO, 0.88 mg/m3), and ozone (O3, 61.21 μg/m3). The analysis of the single-pollutant model indicated that for every 1 μg/m3 increase in NO2 concentration across the total population, the risk of dying from cardiovascular and cerebrovascular diseases on the same day (lag0) rose by 0.33% (95% CI: -0.06% to 0.72%, P > 0.05). Among females, each 1% increase in NO2 concentration was associated with a 0.92% increase (95% CI: 0.26% to 1.56%, P < 0.05) in the risk of mortality from these diseases with a cumulative lag of 1 day (lag01). During the cold season, every 1 μg/m3 increase in NO2 concentration was linked to a 0.62% increase (95% CI: 0.12% to 1.12%, P < 0.05) in the mortality risk for the entire population on the same day (lag0). The two-pollutant model results showed that even after adjusting for other gaseous pollutants (SO2, CO, or O3), the association between NO2 and the mortality risk from cardiovascular and cerebrovascular diseases persisted for women and the entire population during the cold season. Conclusion: In Enshi City, the presence of low NO2 pollution levels is associated with an elevated risk of cardiovascular and cerebrovascular disease mortality among both women and the general population, particularly during the colder months. It is crucial to prioritize the health safeguarding of vulnerable populations in regions with low pollution and during specific seasonal periods.


Keywords

Air pollution; Carbon dioxide; Cardiovascular and cerebrovascular diseases; Risk of death; Time series analysis


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