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Short-term air pollution exposure and hospital admissions for cardiorespiratory diseases in Brazil: A nationwide time-series study between 2008 and 2018.
Requia, Weeberb J; Vicedo-Cabrera, Ana Maria; Amini, Heresh; da Silva, Gladston Luiz; Schwartz, Joel D; Koutrakis, Petros.
Afiliação
  • Requia WJ; School of Public Policy and Government, Fundação Getúlio Vargas, Brasília, Distrito Federal, Brazil. Electronic address: weeberb.requia@fgv.br.
  • Vicedo-Cabrera AM; Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland; Oeschger Center for Climate Change Research, University of Bern, Bern, Switzerland.
  • Amini H; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • da Silva GL; Department of Statistics, University of Brasilia, Brasilia, Brazil.
  • Schwartz JD; Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA, United States.
  • Koutrakis P; Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA, United States.
Environ Res ; 217: 114794, 2023 01 15.
Article em En | MEDLINE | ID: mdl-36410458
The established evidence associating air pollution with health is limited to populations from specific regions. Further large-scale studies in several regions worldwide are needed to support the literature to date and encourage national governments to act. Brazil is an example of these regions where little research has been performed on a large scale. To address this gap, we conducted a study looking at the relationship between daily PM2.5, NO2, and O3, and hospital admissions for circulatory and respiratory diseases across Brazil between 2008 and 2018. A time-series analytic approach was applied with a distributed lag modeling framework. We used a generalized conditional quasi-Poisson regression model to estimate relative risks (RRs) of the association of each air pollutant with the hospitalization for circulatory and respiratory diseases by sex, age group, and Brazilian regions. Our study population includes 23, 791, 093 hospital admissions for cardiorespiratory diseases in Brazil between 2008 and 2018. Among those, 53.1% are respiratory diseases, and 46.9% are circulatory diseases. Our findings suggest significant associations of ambient air pollution (PM2.5, NO2, and O3) with respiratory and circulatory hospital admissions in Brazil. The national meta-analysis for the whole population showed that for every increase of PM2.5 by 10 µg/m3, there is a 3.28% (95%CI: 2.61; 3.94) increase in the risk of hospital admission for respiratory diseases. For O3, we found positive associations only for some sub-group analyses by age and sex. For NO2, our findings suggest that a 10 ppb increase in this pollutant, there was a 35.26% (95%CI: 24.07; 46.44) increase in the risk of hospital admission for respiratory diseases. This study may better support policymakers to improve the air quality and public health in Brazil.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Respiratórios / Doenças Respiratórias / Poluentes Atmosféricos / Poluição do Ar Tipo de estudo: Prognostic_studies / Systematic_reviews Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Environ Res Ano de publicação: 2023 Tipo de documento: Article País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Respiratórios / Doenças Respiratórias / Poluentes Atmosféricos / Poluição do Ar Tipo de estudo: Prognostic_studies / Systematic_reviews Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Environ Res Ano de publicação: 2023 Tipo de documento: Article País de publicação: Holanda