Acute effect of fine and coarse particular matter on cardiovascular visits in Ningbo, China

作者:Zheng, Pei-wen; Shen, Peng; Ye, Zhen-hua; Zhang, Zhen-yu; Chai, Peng-fei; Li, Die; Jin, Ming-juan; Tang, Meng-Ling; Lu, Huai-chu; Lin, Hong-bo; Wang, Jian-bing*; Chen, Kun*
来源:Environmental Science and Pollution Research, 2018, 25(33): 33548-33555.
DOI:10.1007/s11356-018-3286-2

摘要

Although a growing number of epidemiological studies have been conducted on size-specific health effects of particulate matter in China, results remain inconsistent. In this study, we investigated acute effect of fine and coarse particular matter on cardiovascular hospital visits in Ningbo, China. We used generalized additive models to examine short-term effects of PM2.5 and PM10-2.5 on cardiovascular hospital visits by adjustment for temporal, seasonal, and meteorological effects. Subgroup analyses were conducted by age, sex, and season. We also examined the stability of their effects in multi-pollutant models. We found that PM2.5 were associated with cardiovascular hospital visits (RR=1.006; 95% CI 1.000, 1.011) and results remained similar after adjustment for PM10-2.5 (RR=1.005; 95% CI 0.998, 1.013). There was a borderline association between PM10-2.5 and cardiovascular hospital visits (RR=1.007; 95% CI 0.997, 1.016), which disappeared after controlling for PM2.5 (RR=1.000; 95% CI 0.988, 1.013). The associations appeared to be stronger in the cold season and among the elderly (75years). The findings of this study suggested significant adverse effects of PM2.5, but no independent effects of PM10-2.5 on cardiovascular hospital visits. Additional studies are needed to confirm these findings.