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Association between Air Pollutants and Cardiovascular Disease Mortality in Wuhan, China

Author

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  • Yisi Liu

    (School of Public Health, Wuhan University, Wuhan 430071, Hubei Province, China
    Global Health Institute, Wuhan University, Wuhan 430071, Hubei Province, China
    These authors contributed equally to this work.)

  • Xi Chen

    (School of Public Health, Wuhan University, Wuhan 430071, Hubei Province, China
    Global Health Institute, Wuhan University, Wuhan 430071, Hubei Province, China
    These authors contributed equally to this work.)

  • Shuqiong Huang

    (Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, Hubei Province, China)

  • Liqiao Tian

    (State Key Laboratory of Information Engineering in Surveying, Mapping and Remote Sensing, Wuhan University, Wuhan 430079, China)

  • Yuan'an Lu

    (Environmental Health Laboratory, Department of Public Health Sciences, Univ Hawaii at Manoa, 1960 East West Rd., Biomed Bldg., D105, Honolulu, HI 96822, USA)

  • Yan Mei

    (School of Stomatology, Wuhan University, Wuhan 430071, Hubei Province, China)

  • Meng Ren

    (School of Public Health, Wuhan University, Wuhan 430071, Hubei Province, China
    Global Health Institute, Wuhan University, Wuhan 430071, Hubei Province, China)

  • Na Li

    (School of Public Health, Wuhan University, Wuhan 430071, Hubei Province, China
    Global Health Institute, Wuhan University, Wuhan 430071, Hubei Province, China)

  • Li Liu

    (Department of Epidemiology and Biostatistics, Guangdong Key Lab of Molecular Epidemiology, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China)

  • Hao Xiang

    (School of Public Health, Wuhan University, Wuhan 430071, Hubei Province, China
    Global Health Institute, Wuhan University, Wuhan 430071, Hubei Province, China)

Abstract

We examined the associations of daily mean concentrations of ambient air pollutants (particulate matter (PM 10 ), sulfur dioxide (SO 2 ), nitric oxide (NO 2 )) and daily cardiovascular diseases (CVD) mortality in Wuhan, China using a case-crossover design to analyze four years of data (2006–2009) collected from the Hubei Provincial Center for Disease Control and Prevention and the Wuhan Environmental Protection Bureau. From 2006 to 2009, daily average concentrations of PM 10 , SO 2 and NO 2 were 115.60 µg/m 3 , 53.21 µg/m 3 and 53.08 µg/m 3 , respectively. After adjusting for temperature and relative humidity, a 10 µg/m 3 increase in SO 2 and NO 2 over a 24-h period was associated with CVD mortality relative risk (R.R.) of 1.010 (95% CI: 1.000, 1.020) for SO 2 and 1.019 (95% CI: 1.005, 1.033) for NO 2 , but there was no significant association between increases in PM 10 and mortality. Subgroup analysis on by gender showed a significant association of 1.026 (95% CI: 1.007, 1.045) between NO 2 and CVD among males, while no significant statistical effect was shown among females. Subgroup analysis by age showed that for those older than 65 years, every 10 µg/m 3 increase in NO 2 was associated with a 1.6% (95% CI: 0.1%, 3.1%) increase in CVD mortality. Subgroup analysis on different types of CVD showed that every 10 µg/m 3 increase in PM 10 and SO 2 were significantly associated with an approximately 1.012 (95% CI: 1.002, 1.022) and 1.021 (95% CI: 1.002, 1.040) increase, respectively, in ischemic heart disease (ICH) mortality. In conclusion, exposure to NO 2 is significantly associated with CVD mortality. Larger, multi-center studies in Chinese cities are being currently conducted to validate these findings.

Suggested Citation

  • Yisi Liu & Xi Chen & Shuqiong Huang & Liqiao Tian & Yuan'an Lu & Yan Mei & Meng Ren & Na Li & Li Liu & Hao Xiang, 2015. "Association between Air Pollutants and Cardiovascular Disease Mortality in Wuhan, China," IJERPH, MDPI, vol. 12(4), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:4:p:3506-3516:d:47303
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    References listed on IDEAS

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    1. Yang Yang & Runkui Li & Wenjing Li & Meng Wang & Yang Cao & Zhenglai Wu & Qun Xu, 2013. "The Association between Ambient Air Pollution and Daily Mortality in Beijing after the 2008 Olympics: A Time Series Study," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-7, October.
    2. Fengying Zhang & Liping Li & Thomas Krafft & Jinmei Lv & Wuyi Wang & Desheng Pei, 2011. "Study on the Association between Ambient Air Pollution and Daily Cardiovascular and Respiratory Mortality in an Urban District of Beijing," IJERPH, MDPI, vol. 8(6), pages 1-15, June.
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    Cited by:

    1. Qucheng Deng & Yongping Wei & Lijuan Chen & Wei Liang & Jijun Du & Yuling Tan & Yinjun Zhao, 2019. "Relationship between Air Pollution and Regional Longevity in Guangxi, China," IJERPH, MDPI, vol. 16(19), pages 1-12, October.
    2. Wei-Ting Yang & Ven-Shing Wang & Li-Te Chang & Kai-Jen Chuang & Hsiao-Chi Chuang & Chiu-Shong Liu & Bo-Ying Bao & Ta-Yuan Chang, 2018. "Road Traffic Noise, Air Pollutants, and the Prevalence of Cardiovascular Disease in Taichung, Taiwan," IJERPH, MDPI, vol. 15(8), pages 1-11, August.

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